Chateau Living Center

In the surveyor’s words

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

• Immediate jeopardy, patternF689Jan 6, 2025

  Based on observations, interviews and record reviews, the facility failed to ensure the resident's environment remained free of accident/hazards, identify and eliminate the risk of accident hazards to keep a resident free from elopement for 1 (Resident #1) of 3 (Resident #1, Resident #2, Resident #3) residents investigated for accidents/hazards. This deficient practice resulted in an Immediate Jeopardy (IJ) situation on 12/23/2024 at 8:50 a.m., when Resident #1 who was ordered a WanderGuard transmitter (a personal safety device that will alert facility staff when the resident approaches an exit and/or has left the building) exited the facility through Exit b. On 12/23/2024 at 9:25 a.m., Resident #1 was found 0.4 miles away from the facility with a skin tear to the back of his head. […]

• Immediate jeopardy, patternF689Sep 21, 2023

  Based on record reviews, interviews, and observations, the facility failed to ensure residents who had a history of unsafe use of smoking materials were supervised and did not have smoking materials in their possession for 4 (Resident #33, Resident #83, Resident #86, and Resident #568) of 4 (Resident #33, Resident #83, Resident #86, and Resident #568) sampled residents reviewed for smoking. The deficient practice resulted in an Immediate Jeopardy situation on 07/19/2023 for Resident #568, a severely cognitively impaired resident, when Resident #568 had a cigarette lighter removed from his possession by S9Licensed Practical Nurse after Resident #568 attempted to enter the facility with a lit cigarette in his mouth and the facility failed to reassess the resident as an unsafe smoker and… […]

• Immediate jeopardy, patternF835Sep 21, 2023

  The facility failed to be administered in a manner that enabled it to use its resources effectively and efficiently by failing to provide the necessary administrative oversight to ensure systems were in-place and implemented for residents who had a history of unsafe use of smoking materials were supervised and did not have smoking materials in their possession for 4 (Resident #33, Resident #83, Resident #86, and Resident #568) of 4 (Resident #33, Resident #83, Resident #86, and Resident #568) sampled residents reviewed for smoking. […]

• Immediate jeopardy, patternF689Oct 6, 2021

  Based on observations, interviews, and records review, the facility to: 1. Ensure a newly admitted resident (Resident #1), with a known history of smoking, who displayed confusion, was supervised while smoking; and 2. Have a system in place to ensure residents who were identified as unsafe smokers, did not have access to smoking materials and were supervised while smoking for 5 of 5 (Resident #2, #3, #7, #8, and #9) unsafe smokers reviewed for safe smoking. The deficient practice resulted in an Immediate Jeopardy situation for Resident #1 on [DATE] at 4:25am, when the fire alarm sounded and Resident #1 was found in a smoke filled room after the sprinkler system activated, extinguishing fire from Resident #1's bed. Resident #1 was screaming in pain and could not breathe. […]

• No harm, potential for more than minimal, patternF550Jun 29, 2026

  Based on observations and interviews, the facility failed to serve residents with proper utensils and dishware during meal service. Findings: Observation of Dining Room A on 06/27/2026 at 11:30AM revealed residents were given plastic utensils for use during the lunch meal service. Further observation revealed staff removed the plastic utensils from the tables and then provided silverware. In an interview on 06/27/2026 at 11:35AM, Resident #133 stated, we must be special today, we get silverware. Resident #133 indicated residents were typically given plastic utensils during meal service. Observations of Dining Room A and Dining Room B on 06/27/2026 at 12:10PM revealed all residents were served gumbo and dessert in Styrofoam containers. […]