Chandler Nursing Center

In the surveyor’s words

From the most serious findings on record at Chandler Nursing Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF684May 6, 2023

  Based on interview and record review the facility failed to ensure that residents receive treatment and care in accordance with professional standards of practice 1 of 4 (Resident #1) residents reviewed quality of care. The facility failed to assess Resident #1's right contracted hand for skin breakdown. The facility failed to provide treatment for the contracted hand to prevent skin breakdown. The facility failed to provide treatment for wound to Resident #1's right palm. The facility failed to develop a care plan for Resident #1's contracted hand and need for management. The facility failed to notify the physician of Resident #1's wound to the right hand. This failure resulted in an identification of an Immediate Jeopardy (IJ) on 5/03/23 at 4:45 p.m. […]

• No harm, potential for more than minimal, widespreadF812Dec 4, 2024

  Based on observation, interview, and record review the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety in the facility's only kitchen reviewed for food safety requirements and kitchen sanitation. 1.The facility failed to ensure the ice machine was properly cleaned. 2. The facility failed to ensure the designated scoop for ice was used. 3. The facility failed to ensure the spatula used for pureeing was kept on a clean, sanitary surface. 4. The facility failed to ensure gloves were used when prepping food products. 5.The facility failed to ensure foods stored in the refrigerators, were labeled and dated. 6. The facility failed to ensure the [NAME] effectively wore a hair net to cover all her hair. […]

• No harm, potential for more than minimal, patternF755Aug 7, 2026

  Based on interviews and record reviews, the facility failed to provide pharmaceutical services (including procedures that assure the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals) to meet the needs of each resident for 1 of 5 residents (Resident #1 ) reviewed for pharmacy services. The facility failed to ensure the physician's order for Resident #1 for breathing treatments every 6 (six) hours was accurately transcribed resulting in Resident #1 not receiving prescribed breathing treatments from admission on [DATE] to discharge on [DATE]. This failure could place residents at risk of not receiving breathing treatments as ordered. […]

• No harm, potential for more than minimal, patternF690Feb 19, 2026

  Based on observations, interviews, and record review the facility failed to ensure a resident who enters the facility with/without an indwelling catheter is not catheterized unless the resident's clinical condition demonstrates that catheterization was necessary for 2 of 2 residents (Resident #4 and #74) reviewed for indwelling catheters. The facility did not have an appropriate diagnosis for Residents #4's and #74's Foley catheter. This failure could place residents at risk for inappropriate placement of indwelling catheters, discomfort or injury, and urinary tract infections. Findings included:1. Record review of a face sheet dated 02/19/26 indicated Resident #4 was a [AGE] year-old female admitted on [DATE]. […]

• No harm, potential for more than minimal, patternF755Feb 19, 2026

  Based on interview and record review, the facility failed to establish a system of receipt and disposition of all controlled drugs in sufficient detail to enable accurate reconciliation and determine that drug records were in order and that an account of all controlled drugs were maintained and periodically reconciled for 2 of 4 medication carts (MA Cart #1) and (Nurse Cart #1) observed for controlled medications storage, and failed to provide pharmaceutical services including procedures that assure the accurate administering of all drugs and biologicals to ensure no medication errors and to meet the needs of each resident for 1 of 5 residents (Resident #70) for medication pass. […]