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Deficiency Records for Chatsworth Park Health Care Center
A list of the most recent deficiencies for Chatsworth Park Health 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 Chatsworth Park Health 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? |
|---|---|---|---|---|
| Provide specialized rehabilitative services by qualified personnel, when ordered for a resident by a doctor. | Health | 2024-07-18 | 2024-08-02 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-06-27 | 2024-07-08 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-04-19 | 2024-06-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-19 | 2024-06-24 | 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 | 2024-04-19 | 2024-06-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-19 | 2024-06-24 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-04-19 | 2024-06-24 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-04-25 | 2024-05-17 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2024-04-25 | 2024-05-17 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-04-25 | 2024-05-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-04-25 | 2024-05-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-04-25 | 2024-05-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-04-25 | 2024-05-17 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-04-25 | 2024-05-17 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-04-19 | 2024-05-13 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2024-04-19 | 2024-05-13 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-04-19 | 2024-05-13 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-04-19 | 2024-05-13 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-04-19 | 2024-05-13 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-04-19 | 2024-05-13 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-04-19 | 2024-05-13 | 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 | 2024-04-19 | 2024-05-13 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-04-19 | 2024-05-13 | 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 | 2024-04-19 | 2024-05-13 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2024-04-19 | 2024-05-13 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-04-19 | 2024-05-13 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-03 | 2024-04-26 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-03-04 | 2024-03-26 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-02-15 | 2024-03-07 | Y |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2024-01-05 | 2024-02-01 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-01-05 | 2024-02-01 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-12-22 | 2024-01-17 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2023-12-22 | 2024-01-17 | Y |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2023-12-22 | 2024-01-17 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-09-29 | 2023-10-25 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-09-29 | 2023-10-25 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-09-29 | 2023-10-25 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-09-29 | 2023-10-25 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-09-15 | 2023-10-09 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-08-14 | 2023-09-14 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-08-14 | 2023-09-14 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-06-02 | 2023-06-13 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-05-05 | 2023-06-04 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-05-05 | 2023-06-04 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-20 | 2023-04-05 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-03-20 | 2023-04-05 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2023-02-23 | 2023-03-20 | Y |
| 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 | 2022-09-23 | 2022-10-07 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2022-09-14 | 2022-10-06 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-09-14 | 2022-10-06 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-01 | 2022-08-12 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-07-05 | 2022-07-24 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-07-05 | 2022-07-24 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-07-09 | 2022-07-10 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-04-08 | 2022-06-14 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-01-21 | 2022-01-31 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-01-05 | 2022-01-14 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-11-15 | 2021-12-27 | N |
| Report COVID19 data to residents and families. | Health | 2021-11-15 | 2021-12-27 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-12-09 | 2021-12-24 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2021-12-09 | 2021-12-24 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-12-09 | 2021-12-24 | 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 | 2021-12-09 | 2021-12-24 | N |
| Construct fire resistant interior walls. | Fire Safety | 2021-12-09 | 2021-12-24 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-12-09 | 2021-12-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-12-09 | 2021-12-24 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-12-09 | 2021-12-24 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2021-12-09 | 2021-12-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-12-09 | 2021-12-24 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-12-09 | 2021-12-24 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-12-09 | 2021-12-24 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2021-12-09 | 2021-12-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-12-09 | 2021-12-24 | N |
| Ensure that sources of ignition are removed from patients receiving respiratory therapy. | Fire Safety | 2021-12-09 | 2021-12-24 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-12-03 | 2021-12-15 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2021-12-03 | 2021-12-15 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-12-03 | 2021-12-15 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2021-12-03 | 2021-12-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-12-03 | 2021-12-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-03 | 2021-12-15 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2021-12-03 | 2021-12-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-12-03 | 2021-12-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-03 | 2021-12-15 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-12-03 | 2021-12-15 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-12-03 | 2021-12-15 | 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 | 2021-12-03 | 2021-12-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-12-03 | 2021-12-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-12-03 | 2021-12-15 | N |
| Keep all essential equipment working safely. | Health | 2021-12-03 | 2021-12-15 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2021-12-03 | 2021-12-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-11-30 | 2021-12-10 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-11-20 | 2021-11-29 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2020-02-21 | 2020-03-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-02-21 | 2020-03-21 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2020-02-21 | 2020-03-21 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-02-21 | 2020-03-21 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2020-02-21 | 2020-03-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-02-21 | 2020-03-21 | 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 | 2020-02-21 | 2020-03-21 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2020-02-21 | 2020-03-21 | 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 | 2020-02-21 | 2020-03-21 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2020-02-21 | 2020-03-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-21 | 2020-03-21 | N |
| Provide rooms that can be unlocked from inside without a key. | Fire Safety | 2020-02-28 | 2020-03-21 | N |
| Have exits that are accessible at all times. | Fire Safety | 2020-02-28 | 2020-03-21 | 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 | 2020-02-28 | 2020-03-21 | 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 | 2020-02-28 | 2020-03-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-02-28 | 2020-03-21 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2021-12-03 | Not Fixed | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2020-02-21 | Not Fixed | N |
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