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Deficiency Records for Resorts at Chester River Manor Corp
A list of the most recent deficiencies for Resorts at Chester River Manor Corp. 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 Resorts at Chester River Manor Corp. 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? |
|---|---|---|---|---|
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-03-27 | 2024-05-23 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-03-27 | 2024-05-23 | 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 | 2024-03-27 | 2024-05-23 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2024-03-27 | 2024-05-23 | 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 | 2024-03-27 | 2024-05-23 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-03-27 | 2024-05-23 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-03-27 | 2024-05-23 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-03-27 | 2024-05-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-03-27 | 2024-05-23 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-03-27 | 2024-05-23 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-03-27 | 2024-05-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-03-27 | 2024-05-23 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-03-27 | 2024-05-23 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2024-03-27 | 2024-05-23 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-03-27 | 2024-05-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-03-27 | 2024-05-23 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-03-27 | 2024-05-23 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-03-08 | 2024-04-12 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-03-08 | 2024-04-12 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2024-03-08 | 2024-04-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-03-08 | 2024-04-12 | 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 | 2024-03-08 | 2024-04-12 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-03-08 | 2024-04-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-03-08 | 2024-04-12 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2024-03-08 | 2024-04-12 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-03-08 | 2024-04-12 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-03-08 | 2024-04-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-03-08 | 2024-04-12 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-03-08 | 2024-04-12 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2023-03-17 | 2023-04-07 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-08-25 | 2022-09-20 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-08-25 | 2022-09-20 | Y |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-11-18 | 2022-02-22 | Y |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2021-11-18 | 2022-02-22 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-11-18 | 2022-02-22 | Y |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-11-18 | 2022-02-22 | Y |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-11-18 | 2022-02-22 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-10-14 | 2021-11-09 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-10-14 | 2021-11-09 | 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 | 2021-10-14 | 2021-11-09 | 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 | 2021-10-14 | 2021-11-09 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-10-14 | 2021-11-09 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-10-14 | 2021-11-09 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2021-10-14 | 2021-11-09 | Y |
| Provide two separate exits in rooms of more than 1000 square feet. | Fire Safety | 2019-05-21 | 2019-06-24 | N |
| Install proper backup exit lighting. | Fire Safety | 2019-05-21 | 2019-06-24 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-05-21 | 2019-06-24 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2019-05-21 | 2019-06-24 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-05-21 | 2019-06-24 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-05-21 | 2019-06-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-05-21 | 2019-06-24 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-05-21 | 2019-06-24 | N |
| Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. | Fire Safety | 2019-05-21 | 2019-06-24 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-05-21 | 2019-06-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-05-21 | 2019-06-24 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-04-29 | 2019-06-03 | N |
| 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 | 2019-04-29 | 2019-06-03 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-04-29 | 2019-06-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-04-29 | 2019-06-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-04-29 | 2019-06-03 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-04-29 | 2019-06-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-04-29 | 2019-06-03 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-04-29 | 2019-06-03 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2017-11-17 | 2018-02-16 | N |
| Have exits that are accessible at all times. | Fire Safety | 2017-11-17 | 2018-02-16 | 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 | 2017-11-17 | 2018-02-16 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2017-11-17 | 2018-02-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-11-17 | 2018-02-16 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2017-11-17 | 2018-02-16 | N |
| Protect each resident from mistreatment, neglect and misappropriation of personal property. | Health | 2017-11-17 | 2017-12-29 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-11-17 | 2017-12-29 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-11-17 | 2017-12-29 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-11-17 | 2017-12-29 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-11-17 | 2017-12-29 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-11-17 | 2017-12-29 | N |
| Give or get emergency care by a doctor 24 hours a day. | Health | 2017-11-17 | 2017-12-29 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-11-17 | 2017-12-29 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-11-17 | 2017-12-29 | N |
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