Chalet Rehabilitation and Healthcare Center

In the surveyor’s words

From the most serious findings on record at Chalet Rehabilitation and Healthcare Center, in the surveyor’s own words.

• Actual harm, isolatedF689Feb 16, 2026

  Based on interview and record review, the facility failed to ensure a resident's person-centered fall prevention care plan interventions were implemented for 1 of 3 residents reviewed for falls. This deficient practice resulted in a resident sustaining a fracture to her left tibia and fibula. (Resident B) Findings include:During an interview on 2/13/26 at 9:52 a.m., Resident B indicated she had a fall from bed when CNA 1 stood on the left side of the bed and rolled Resident B to her right side. Resident B's left leg slid forward, and she fell from the bed. Resident B fractured her left tibia and fibula. There was only one staff member in her room when she fell.The clinical record for Resident B was reviewed on 2/8/26 at 1:53 p.m. […]

• Actual harm, isolatedF689May 18, 2021

  Based on observation, record review, and interview, the facility failed to ensure two staff provided care to a dependent resident which resulted in the resident having rolled out of bed during care and sustained a fracture for 1 of 5 residents reviewed for falls. (Resident 32) Findings include: On 5/12/21 at 11:30 a.m., Resident 32 was seated in a Broda chair (mobile chair that assists patients who have limited mobility with comfortable positioning). The resident was observed to have a soft splint to his left leg. The clinical record of Resident 32 was reviewed on 5/12/21 at 2:15 p.m. […]

• Actual harm, isolatedF686Feb 10, 2021

  Based on interview and record review, the facility failed to routinely assess a pressure wound, ensure physician orders [REDACTED]. Findings include: On 2/8/21 at 12:00 p.m., Resident D's closed clinical record was reviewed. [DIAGNOSES REDACTED]. The resident was discharged on [DATE] and transferred to another long term care nursing facility. Resident D's admission MDS (Minimum Data Set) assessment, dated 10/20/20, indicated the resident was moderately cognitively impaired, required extensive assistance of 1 staff member with ADL's (Activities of Daily Living), and was at risk for the development of pressure ulcers. A care plan initiated on 10/14/20, for Resident D indicated, Resident at risk for further skin breakdown related to immobility and [MEDICAL CONDITION] on head and neck . […]

• No harm, potential for more than minimal, widespreadF812Jun 5, 2026

  Based on observation, interview, and record review, the facility failed to ensure foods were served in a sanitary and safe manner for 1 of 3 kitchen observations. Staff hair was not covered while in the kitchen food preparation area and while serving the meal. (Cook 4) Finding includes: During a follow-up kitchen observation on 6/1/26 from 12:20 p.m. to 12:40 p.m., [NAME] 4 was observed working at the food preparation table located on the opposite side of the steam table that held the noon foods. [NAME] 4 was observed preparing the resident's food trays. [NAME] 4 was observed to have facial hair, approximately one-half inch in length, located above the upper lips and sideburns located in front of both ears. The facial hair above the lips and the sideburns were observed to not be covered. […]

• No harm, potential for more than minimal, patternF812Sep 13, 2023

  Based on observation, interview, and record review the facility failed to ensure food was stored in a sanitary manner for 1 of 1 kitchen observations. Food was not dated. Finding includes: During the initial tour of the kitchen on 9/13/23 from 9:01 a.m. until 9:40 a.m., the freezer and refrigerator were observed. Inside the freezer the following was observed: - A large clear plastic opened bag, undated, that contained 1 chicken breast that was observed to be covered with small ice crystals. - A large clear plastic opened bag, undated, that contained green vegetables that was observed to have small ice crystals throughout the bag. Inside the refrigerator the following was observed: - An opened, undated, glass 32 ounce container. […]