Chatham Hills Subacute Care Center

In the surveyor’s words

From the most serious findings on record at Chatham Hills Subacute Care Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF678Apr 27, 2023

  Complaint #NJ 00163449 Based on interviews and review of the medical records (MRs) and other facility documentation on [DATE] and [DATE], it was determined the facility failed to immediately initiate Cardiopulmonary Resuscitation (CPR) (an emergency lifesaving procedure performed when the heart stops beating) and activate their emergency response system (ERS) which includes calling 911, notify other staff by announcing the emergency code, and retrieving the crash cart and the automatic external defibrillator (AED) when Resident #1 who was a full code (all resuscitative measures should be taken if the heartbeat or breathing stops) and did not have a physician order (PO) for Do Not Resuscitate (DNR) was found unresponsive and without a pulse or respirations in bed. […]

• Actual harm, isolatedF600Apr 27, 2023

  Complaint #NJ 00163449 Based on interviews and review of the medical records (MRs) and other facility documentation on [DATE] and [DATE], it was determined the facility failed to provide services to prevent neglect of a resident (Resident #1). Resident #1 who was a full code (all resuscitative measures should be taken if the heartbeat or breathing stops) and had no advance directive or a physician order (PO) for Do Not Resuscitate (DNR) was found unresponsive and without a pulse or respirations in bed on [DATE]. […]

• No harm, potential for more than minimal, patternF698Nov 18, 2025

  Based on observation, interview and record review, it was determined that the facility failed to provide care and services in accordance with professional standards by adjusting medication times of administration for a medication (Gabapentin) (used to treat nerve pain) to accommodate for dialysis (a medical treatment that removes waste products and excess fluid from the blood when the kidneys are unable to do so) scheduled times and was not administered 41 times from June 2025 until surveyor inquiry September 2025. Reference: New Jersey Statutes Annotated, Title 45. Chapter 11. Nursing Board. […]

• No harm, potential for more than minimal, patternF755Nov 18, 2025

  Based on observation, interview, and record review, and review of other facility documentation, it was determined that the facility failed to ensure that a Licensed Practical Nurse followed the PO to notify physician when blood sugar was less than 70 or above 250 for 1 of 1 resident's reviewed for medication administration, (Resident #15).This deficient practice was evidenced as follows:Reference: New Jersey Statutes Annotated, Title 45. Chapter 11. Nursing Board. The Nurse Practice Act for the State of New Jersey states: The practice of nursing as a registered professional nurse is defined as diagnosing and treating human responses to actual and potential physical and emotional health problems, through such services as case finding, health teaching, health counseling, and provision of… […]

• No harm, potential for more than minimal, patternF756Nov 18, 2025

  Based on observation, interviews, record review and review of pertinent facility documents, it was determined that the facility's Consultant Pharmacist's (CP) failed to identify and address irregularities for a.) a medication prescribed for neuropathy (damage, disease, or dysfunction of one or more nerves that can cause burning or shooting pain, numbness, and tingling) was not administered 41 times from 6/7/25 through 9/15/25 when the resident was consistently out of the facility to attend dialysis treatments at 1 PM. This was identified for 1 of 1 residents reviewed for dialysis (Resident #2); and b.) inadequate monitoring and documentation for the reason an as needed anti-anxiety medication (Xanax) was administered. […]