Chalet Living & Rehab

In the surveyor’s words

From the most serious findings on record at Chalet Living & Rehab, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600Mar 19, 2026

  Based on observation, interview and record review, the facility failed to ensure that one resident (R1) was free of sexual abuse from a resident (R4) with a known history of requesting sexual favors from other residents, behavioral symptoms, and history of battery. This failure affected 1 of 3 residents reviewed for abuse and resulted in R1 feeling fearful, uncomfortable, and crying.Findings include:The immediate jeopardy began on 02/02/26 when the facility failed to ensure R1 was free from sexual abuse by R4. The Administrator (V1), Executive Director (V2) and Assistant Administrator (V3) were notified of the immediate jeopardy on 03/16/26 at 10:28am. The facility submitted an abatement plan on 03/17/26 at 12:18pm; a revised plan on 03/17/26 at 5:09pm; and on 3/18/26 at11:29am. […]

• Immediate jeopardy, isolatedF689Mar 25, 2025

  Based on interview and record review, the facility failed to supervise, monitor, and develop an effective plan to prevent residents with known histories of substance abuse from obtaining illicit drugs while in the facility for three of three residents (R1, R4, R5) reviewed for opioid use. These failures resulted in R1, R4, and R5 obtaining illicit drugs and having suspected overdoses while not being able to leave the facility on pass. R1, R4, and R5 did not leave the facility, nor did they have community passes in their care plans. Findings include: R1 experienced a suspected opioid overdose on 1/17/25, requiring administration of Narcan (medication used to reverse the effects of opioids) at the facility with evaluation and treatment in local emergency department. […]

• Actual harm, isolatedF692Mar 15, 2024

  Based on record review and interviews the facility failed to assess and address multiple significant weight loss and provide supplements for 1 (R1) out of 3 residents reviewed for nutrition and dietary services. These failures resulted to 1 resident (R1) significant weight loss, decline from moderate to severe protein malnutrition and recommendation for gastrostomy tube insertion. Findings include: R1 was [AGE] years old male resident, initially admitted on [DATE]. R1's medical diagnosis includes the following Pancytopenia and acute kidney failure. […]

• Actual harm, isolatedF689Feb 23, 2024

  Based on observation, interviews and record reviews, the facility failed to provide adequate supervision for 1 confused resident (R19) who is a high fall risk out of a sample of 36 residents reviewed for falls. This failure resulted in R19 sustaining a displaced bilateral nasal bone and anterior osseous nasal septal fracture. Findings Include: R19 was reviewed as a closed record. R19 was sent to the hospital on 2/19/24. R19's clinical record documents in part: R19 is a [AGE] year-old with the medical diagnosis of metabolic encephalopathy, need for assistance with personal care, lack of coordination, abnormalities of gait and mobility, adult failure to thrive, adult failure to thrive, retention of urine, pleural effusion, myocardial infarction, fracture of nasal bones, subsequent encounter… […]

• Actual harm, isolatedF600Mar 2, 2023

  Based on observation , interview, and record review , the facility failed to ensure a resident is free from physical abuse. This failure affected 1 ( R5) of 4 ( R2,R3,R4 and R5) residents reviewed for abuse which resulted in a bruise around the right wrist after being physically restrained. Findings include : R5's diagnosis includes Spina Bifida , Anemia in Chronic Kidney Disease , Chronic Kidney Disease stage 4 , Schizoaffective Disorder , Bipolar Disorder , Type 2 Diabetes Mellitus and Paraplegia. R5 was first admitted to the facility on [DATE]. R5 has a BIMS ( Brief Interview of Mental Status ) of 9/15. R5 is care planned for including resisting care which includes refusing blood draws and exams. ( Initiated 5/1/17). […]