Chandler Hall Health Services

In the surveyor’s words

From the most serious findings on record at Chandler Hall Health Services, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Jul 7, 2023

  Based on observation, review of policy and staff interview, it was determined that the facility failed to maintain sanitary conditions and store food properly in the kitchen. (Main Kitchen) Findings include: Review of the facility policy entitled, Food Storage, dated [DATE], revealed that products in storage were to be labeled with the date on delivery and once the product was opened the package was to be labeled with an opened and discard date. Observation during tour of the main kitchen dry storage room and refrigerator/freezers on [DATE], at 11:10 a.m., revealed an open unwrapped 25 pound bag of whole grain brown rice received [DATE], one open case of frozen egg rolls shipped [DATE], one open case breaded chicken tenderloin received [DATE], one jar of capers with no expiration date. […]

• No harm, potential for more than minimal, isolatedF812Jul 2, 2026

  Based on observation and staff interview, it was determined that the facility failed to maintain sanitary conditions in the kitchen.Findings include: Observations during the kitchen tour on June 30, 2026, at 11:46 a.m., revealed the following:A black substance was observed on the wall, the floor, and the drainpipe beneath the dishwasher. In an interview on June 30, 2026, at 11:55 a.m., the Culinary Director confirmed that there was black substance beneath the dishwasher that required mitigation. 28 Pa. Code 201.14(a) Responsibility of licensee28 Pa. Code 201.18(b)(1)(3) Management

• No harm, potential for more than minimal, isolatedF761May 16, 2025

  Based on observation, facility policy review, and staff interview, it was determined that the facility failed to properly store medications on two of three hallways on the nursing unit. (100 hallway and 300 hallway) Review of the facility policy entitled, Security of Medication Cart, last reviewed February 24, 2025, revealed that medication carts must be securely locked at all times when out of the nurse's view. Observation on May 13, 2025, from 10:30 a.m. through 10:33 a.m., revealed the medication cart was unlocked and unattended on the 100 hallway. Observation on May 15, 2025, from 9:35 a.m. […]

• No harm, potential for more than minimal, isolatedF761Jun 13, 2024

  Based on observation, facility policy review, and staff interview, it was determined that the facility failed to ensure that medications/biologicals were securely stored in one of one medication storage rooms. (Medication and Treatment Room) Findings include: Review of the facility policy entitled, Controlled Substances, last reviewed on February 25, 2024, revealed that controlled substances listed as Schedule II-V of the Comprehensive Drug Abuse Prevention and Control Act of 1976 are to be separately locked in permanently affixed compartments. Observation on June 13, 2024, at 11:20 a.m., revealed the Medication and Treatment Room had controlled substances that were stored in a locked box inside a refrigerator. […]

• No harm, potential for more than minimal, isolatedF580Jul 7, 2023

  Based on policy review, clinical record review and staff interview, it was determined that the facility failed to notify a resident's responsible party of a significant weight loss for one of two sampled residents with weight changes. (Residents 35) Findings include: Review of the facility policy entitled, Weight Policy, dated August 17, 2022, revealed that any unplanned significant weight changes were to be reported to the physician and the resident's representative. Clinical record review revealed that Resident 35 had diagnoses that included dysphagia following cerebral infarction and chronic kidney disease, stage 4. Review of the Minimum Data Set (MDS) assessment dated [DATE], revealed the resident had cognitive impairment and received tube feedings for his nutritional requirements. […]