A list of the most recent deficiencies for Chelsea Gardens. 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? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-23 | 2023-06-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-05-23 | 2023-06-14 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-05-23 | 2023-06-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-23 | 2023-06-09 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-05-23 | 2023-06-09 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-05-23 | 2023-06-09 | N |
| Post nurse staffing information every day. | Health | 2023-05-23 | 2023-06-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-23 | 2023-06-09 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2023-05-23 | 2023-06-08 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-06-21 | 2022-07-05 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-04-22 | 2022-06-06 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2022-04-22 | 2022-05-06 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-04-22 | 2022-05-04 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-04-22 | 2022-05-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-04-21 | 2022-04-29 | Y |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-04-21 | 2022-04-27 | Y |
| 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 | 2022-04-21 | 2022-04-26 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-21 | 2022-04-25 | Y |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-04-22 | 2022-04-25 | N |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2022-03-24 | 2022-04-07 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-24 | 2022-04-07 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-01-26 | 2022-02-11 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-12-09 | 2022-01-31 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-12-09 | 2022-01-31 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2021-12-09 | 2022-01-31 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-09 | 2022-01-31 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-11-04 | 2021-11-21 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2021-10-26 | 2021-11-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-10-01 | 2020-11-05 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-10-01 | 2020-11-05 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-10-01 | 2020-11-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-10-01 | 2020-11-05 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-10-01 | 2020-11-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-10-05 | 2020-11-05 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-10-05 | 2020-11-05 | N |
