Chatham Glen Healthcare and Rehabilitation Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Jan 13, 2022

  Based on observation, interview, and policy and procedure review, the facility failed to ensure food was labeled, dated, stored, and monitored in accordance with professional standards. Findings; During the initial tour of the kitchen conducted on 1/10/2022 beginning at 9:17 AM with the Certified Dietary Manager (CDM) an observation of the walk-in cooler showed several outdated containers of leftovers to include a container labeled green beans dated 1/3/2022, a container of rice dated 1/1/22, and a container of black-eyed peas dated 1/1/22. There were containers of raw tomatoes and whole lemons observed with bruising, oozing brownish and/or white discoloration to the produce. […]

• No harm, potential for more than minimal, patternF812May 25, 2023

  Based on observation, interview and record review, the facility failed to ensure food was stored in accordance with professional standards for food service safety in the dry storage food area and in the walk-in freezer in the main kitchen. Findings include: During the initial tour of the kitchen dry good storage area conducted with the Certified Dietary Manager on 5/22/23 at 9:25 AM, a plastic scoop was observed in the oatmeal storage bin lying on top of the oatmeal and a small metal scoop was observed in the brown sugar storage bin on top of the brown sugar. […]

• No harm, potential for more than minimal, isolatedF641Feb 20, 2026

  Based on record review and interview, the facility failed to ensure residents' Minimum Data Set (MDS) assessments were accurate for 2 of 6 residents reviewed for medication management (Residents #75, and #122). Findings include:1) Review of Resident #122's physician order dated 9/28/2025 read, Furosemide Oral Tablet (Furosemide), Give 20 mg [milligram] by mouth every 12 hours for fluid retention. Order Status: Active. Review of Resident #122's Medication Administration Record for January 2026 documented Furosemide was administered from 1/20/2026 to 1/31/2026.Review of Resident #122's quarterly MDS assessment dated [DATE] revealed the resident was not taking diuretics under Section N- Medications.During an interview on 2/19/2026 at 12:37 PM, the Director of MDS stated, [Resident #122's… […]

• No harm, potential for more than minimal, isolatedF684Feb 20, 2026

  Based on observation, interview, and record review, the facility failed to ensure medications were administered as ordered by physician for 2 of 7 residents reviewed for medication management (Residents #24 and #90), and failed to ensure the intravenous (IV) catheter dressing was changed for 1 of 4 residents reviewed for intravenous therapy (Resident #140). Findings include: 1) During an observation on 2/19/2026 at 8:13 AM, Staff G, Licensed Practical Nurse (LPN), administered Diltiazem HCI (Hydrochloride) ER (Extended Release) 240 mg (milligram) capsule to Resident #24. […]

• No harm, potential for more than minimal, isolatedF761Feb 20, 2026

  Based on observation, interview, and record review, the facility failed to ensure medications were securely stored in 2 of 4 halls. Findings include: 1) During an observation on 2/17/2026 at 10:31 AM, Resident #3 was sitting in her wheelchair in her room next to her bed. On top of her bed, there was Hydrocortisone Cream 1% and Zinc Oxide Ointment. During an interview on 2/17/2026 at 10:31 AM, Resident #3 stated, I use the creams preventively for my back because at times my back will itch. During an interview on 2/17/2026 at 11:52 AM, Staff I, Licensed Practical Nurse (LPN), stated, Residents are not to keep medication in their rooms. It should be secured in the medication cart. […]