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Deficiency Records for Chapman Care Center
A list of the most recent deficiencies for Chapman Care Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Chapman Care Center. 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? |
|---|---|---|---|---|
| Use approved construction type or materials. | Fire Safety | 2024-12-11 | 2025-01-10 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-12-06 | 2025-01-03 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-12-06 | 2025-01-03 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-12-06 | 2025-01-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-12-06 | 2025-01-03 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-12-06 | 2025-01-03 | 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 | 2024-12-06 | 2025-01-03 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-12-06 | 2025-01-03 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-12-06 | 2025-01-03 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2024-12-06 | 2025-01-03 | 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 | 2024-12-06 | 2025-01-03 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2024-12-06 | 2025-01-03 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-12-06 | 2025-01-03 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-12-06 | 2025-01-03 | 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 | 2024-12-06 | 2025-01-03 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2024-12-06 | 2025-01-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-12-06 | 2025-01-03 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2024-12-06 | 2025-01-03 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-12-06 | 2025-01-03 | 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 | 2024-12-06 | 2025-01-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-12-06 | 2025-01-03 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2024-12-06 | 2025-01-03 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-12-06 | 2025-01-03 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2024-12-06 | 2025-01-03 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-12-06 | 2025-01-03 | Y |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-12-11 | 2025-01-01 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-06-20 | 2024-07-10 | Y |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2024-06-03 | 2024-06-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-04 | 2024-05-01 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-08-10 | 2023-09-08 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-08-26 | 2022-09-23 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-26 | 2022-09-23 | Y |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-05-09 | 2022-06-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-05-09 | 2022-06-06 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-05-09 | 2022-06-06 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-05-09 | 2022-06-06 | 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 | 2022-05-09 | 2022-06-06 | 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 | 2022-05-09 | 2022-06-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-09 | 2022-06-06 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-05-10 | 2022-05-24 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-05-10 | 2022-05-24 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-05-10 | 2022-05-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-10 | 2022-05-24 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-05-10 | 2022-05-24 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-05-10 | 2022-05-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-05-10 | 2022-05-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-05-10 | 2022-05-24 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2019-08-15 | 2019-09-24 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2019-08-15 | 2019-09-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-08-15 | 2019-09-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-08-15 | 2019-09-24 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-07-23 | 2019-08-21 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2019-07-23 | 2019-08-21 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-07-23 | 2019-08-21 | 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 | 2019-07-23 | 2019-08-21 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-07-23 | 2019-08-21 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2019-07-23 | 2019-08-21 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-07-23 | 2019-08-21 | 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 | 2019-07-23 | 2019-08-21 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-07-23 | 2019-08-21 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2019-07-23 | 2019-08-21 | 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 | 2019-07-23 | 2019-08-21 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2019-07-23 | 2019-08-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-07-23 | 2019-08-21 | N |
| Provide specialized rehabilitative services by qualified personnel, when ordered for a resident by a doctor. | Health | 2019-07-23 | 2019-08-21 | N |
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