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Deficiency Records for Chateau De Notre Dame Community Care Center

A list of the most recent deficiencies for Chateau De Notre Dame Community 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 Chateau De Notre Dame Community 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?
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Health 2024-07-31 2024-08-23 Y
Reasonably accommodate the needs and preferences of each resident. Health 2024-06-13 2024-07-12 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 2024-06-13 2024-07-12 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 2024-06-13 2024-07-12 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 2024-06-13 2024-07-12 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2024-06-10 2024-07-12 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-06-10 2024-07-12 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-05-20 2024-05-22 Y
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Health 2024-05-20 2024-05-22 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 2023-12-06 2023-12-29 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-12-06 2023-12-29 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-11-21 2023-12-17 Y
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. Health 2023-11-21 2023-12-17 Y
Have a battery powered remote alarm panel in a location accessible by operating personnel. Fire Safety 2023-08-01 2023-10-23 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-08-01 2023-10-23 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 2023-08-01 2023-09-15 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2023-08-01 2023-09-15 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-08-03 2023-09-01 N
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2023-08-03 2023-09-01 N
Assure that each resident?s assessment is updated at least once every 3 months. Health 2023-08-03 2023-09-01 N
Ensure each resident receives an accurate assessment. Health 2023-08-03 2023-09-01 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-08-03 2023-09-01 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 2023-08-03 2023-09-01 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-08-03 2023-09-01 N
Provide and implement an infection prevention and control program. Health 2023-08-03 2023-09-01 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 2023-08-03 2023-09-01 Y
Provide enough food/fluids to maintain a resident's health. Health 2023-08-03 2023-09-01 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-03-29 2023-04-21 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-03-29 2023-04-21 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-03-29 2023-04-21 Y
Respond appropriately to all alleged violations. Health 2023-03-29 2023-04-21 Y
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2023-03-29 2023-04-21 Y
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Health 2023-03-29 2023-04-21 Y
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Health 2023-01-05 2023-02-03 Y
Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. Health 2023-01-05 2023-02-03 Y
Ensure staff are vaccinated for COVID-19 Health 2023-01-05 2023-02-03 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-09-01 2022-10-14 N
Keep all essential equipment working safely. Health 2022-09-01 2022-10-14 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 2022-08-30 2022-10-14 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-08-30 2022-10-14 N
Provide and implement an infection prevention and control program. Health 2022-01-13 2022-02-27 N

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