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Deficiency Records for Chesterwood Village
A list of the most recent deficiencies for Chesterwood Village. 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 Chesterwood Village. 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? |
|---|---|---|---|---|
| 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 | 2024-03-28 | 2024-04-02 | 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 | 2023-07-05 | 2023-07-17 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-05-11 | 2023-05-23 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-05-11 | 2023-05-23 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-07-05 | 2022-07-22 | 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 | 2022-06-28 | 2022-07-22 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-06-28 | 2022-07-22 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-06-28 | 2022-07-22 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-06-28 | 2022-07-22 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-06-28 | 2022-07-22 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-06-28 | 2022-07-22 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-06-28 | 2022-07-22 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-06-28 | 2022-07-22 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2022-06-28 | 2022-07-22 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2022-06-28 | 2022-07-22 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2022-06-28 | 2022-07-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-06-28 | 2022-07-22 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-02-01 | 2022-02-21 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-02-01 | 2022-02-21 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-02-01 | 2022-02-21 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-10-10 | 2019-11-19 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2019-10-10 | 2019-11-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-10 | 2019-11-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-10 | 2019-11-19 | 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 | 2019-10-07 | 2019-11-19 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-10-07 | 2019-11-19 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2019-10-07 | 2019-11-19 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-10-07 | 2019-11-19 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-10-07 | 2019-11-19 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-09-12 | 2018-10-12 | N |
| Provide emergency officials' contact information. | Fire Safety | 2018-09-12 | 2018-10-12 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-09-12 | 2018-10-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-09-12 | 2018-10-12 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-09-12 | 2018-10-12 | N |
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