Chateau Rehabilitation and Healthcare Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF686Apr 25, 2025

  Based on interview and record review, the facility failed to ensure a resident received assessment, treatment, and individualized interventions to prevent worsening of a pressure injury to the coccyx. This resulted in the resident developing an unstageable (wound bed is obscured by dead tissues) pressure injury (Resident P). The Immediate Jeopardy began on 1/16/25 when the facility failed to assess an identified pressure injury and provide appropriate treatment and interventions The Administrator, Director of Nursing (DON), Regional Support Nurse and Chief Nursing Officer were notified of the Immediate Jeopardy on April 24, 2025 at 3:49 P.M. The immediate jeopardy was removed on 4/25/25. Findings include: On 4/22/25 at 12:34 P.M., Resident P's family member was interviewed. […]

• Immediate jeopardy, isolatedF880Aug 13, 2021

  Based on observation, interview, and record review, the facility failed to follow CDC (Center for Disease Control) guidance during a pandemic and implement an infection control program to properly prevent/contain COVID-19. The facility failed to cohort and establish a red zone for COVID-19 positive residents, failed to cohort 4 COVID-19 positive residents (Resident B, Resident D, Resident F and Resident H) separately from 4 residents not testing positive (Resident C, Resident E, Resident G, and Resident J), and failed to implement PPE (Personal Protective Equipment) doffing and cleaning prior to exiting a room in TBP (Transmission Based Precautions) (CNA 1), to prevent the spread of COVID-19 in 2 of 2 wings (B-wing and C-wing) which included 4 of 6 halls (B-wing Hall #2, B-wing Hall #3,… […]

• Actual harm, isolatedF689Sep 15, 2022

  Based on interview and record review, the facility failed to appropriately transfer a resident who required the extensive assistance of two staff members. One staff member transferred the resident from chair to the bed using a bear hug and a short time later the resident was observed lying in bed with her foot/leg in an unnatural position facing the left leg, which resulted in the resident found with a right femur compression fracture for 1 of 3 residents reviewed for accident hazards. (Resident B) Findings include: The clinical record for Resident B was reviewed on 9/15/22 at 11:00 A.M. […]

• No harm, potential for more than minimal, widespreadF812Jul 28, 2025

  Based on observation, interview and record review the facility failed to ensure safe and sanitary food storage and serving practices for 3 of 3 observations. Food prepared in the kitchen was consumed by 90 of 90 residents who lived in the facility. Findings include: During a continuous observation on, 7/22/25 from 09:15 AM-10:15 AM, the following was observed:A dining room pantry had about a cupful of colorful O shaped cereal in an open tray below the cereal dispensers. A second tray contained about a cupful of tan O shaped cereal underneath the dispensers. There was no label on the trays.The dry food storage had an open bag of white granules visible in a bulk sized bag labeled salt. […]

• No harm, potential for more than minimal, widespreadF801Aug 19, 2024

  Based on record review and interview the facility failed to ensure the qualified/registered dietician was licensed in Indiana. This deficient practice had the potential to affect 70 of 70 residents in the facility who received dietary services. Findings include: The employee records were reviewed on 8/18/24 at 11:40 AM. The employee records indicated Registered Dietician (RD) 6 was hired by the facility on 6/1/2024. Review of the Indiana Professional Licensing Agency website on 8/19/24 at 11:53 AM indicated, effective 7/1/2019, Dieticians would receive licensures instead of certifications through the Medical Licensing Board of Indiana. […]