A list of the most recent deficiencies for Chaparral House. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-12-21 | 2024-01-17 | Y |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-12-21 | 2024-01-17 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-04-20 | 2023-05-20 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-04-20 | 2023-05-20 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-04-20 | 2023-05-20 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-04-20 | 2023-05-20 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-04-20 | 2023-05-20 | N |
| Provide or obtain dental services for each resident. | Health | 2023-04-20 | 2023-05-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-20 | 2023-05-20 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2023-04-20 | 2023-05-20 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-04-25 | 2023-05-15 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2023-04-25 | 2023-05-15 | N |
| Develop a communication plan. | Fire Safety | 2023-04-25 | 2023-05-15 | N |
| Establish emergency prep training and testing. | Fire Safety | 2023-04-25 | 2023-05-15 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-04-25 | 2023-05-15 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-04-25 | 2023-05-15 | N |
| Use approved construction type or materials. | Fire Safety | 2023-04-25 | 2023-05-15 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-04-25 | 2023-05-15 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2023-04-25 | 2023-05-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-25 | 2023-05-15 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-04-25 | 2023-05-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-04-25 | 2023-05-15 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-04-25 | 2023-05-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-04-25 | 2023-05-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-04-25 | 2023-05-15 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-04-25 | 2023-05-15 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-03-02 | 2023-03-15 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2023-03-02 | 2023-03-15 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-01-17 | 2023-02-15 | Y |
| Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide. | Health | 2021-07-14 | 2021-07-30 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-07-16 | 2019-08-12 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-07-16 | 2019-08-12 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2019-07-16 | 2019-08-12 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-07-16 | 2019-08-12 | N |
| Use approved construction type or materials. | Fire Safety | 2019-07-16 | 2019-08-12 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-07-16 | 2019-08-12 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2019-07-16 | 2019-08-12 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-07-16 | 2019-08-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-07-16 | 2019-08-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-07-16 | 2019-08-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-07-16 | 2019-08-12 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-06-12 | 2019-07-12 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-06-12 | 2019-07-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-06-12 | 2019-07-12 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2018-10-11 | 2018-10-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-10-11 | 2018-10-26 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-07-19 | 2018-08-08 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-07-19 | 2018-08-08 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-07-19 | 2018-08-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-07-19 | 2018-08-08 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-07-19 | 2018-08-08 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2018-07-19 | 2018-08-08 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2018-07-19 | 2018-08-08 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2018-07-19 | 2018-08-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-07-19 | 2018-08-08 | N |
