Chelsey Park Health And Rehabilitation

In the surveyor’s words

From the most serious findings on record at Chelsey Park Health And Rehabilitation, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF880Mar 12, 2023

  Based on observations, staff interview and review of facility policy titled Laundry Services, the facility failed to maintain infection control during the transport of clean linens and resident's clothing. The facility census was 49. Findings include: Review of facility policy titled Laundry Services reviewed 12/30/2022 revealed the intent of the policy is to protect associates who handle and process the laundry while facilitating an adequate supply of linens. The policy does not document information related to covering the cart when transporting clean linen or resident's clothing. Observation on 3/11/2023 at 9:19 a.m. revealed the clean linen cart was rolled off the elevator and down the 300 hall with one side uncovered. Observation on 3/11/2023 at 9:27 a.m. and 10:11 a.m. […]

• No harm, potential for more than minimal, isolatedF600Aug 6, 2026

  Based on record review, staff interviews, and review of the facility's policy titled Abuse Prohibition, the facility failed to protect two of three sampled residents' (R) (R2 and R3) rights to be free from abuse. Specifically, the facility failed to protect R3 from physical abuse by a staff member and failed to protect R2 from sexual abuse by another resident (R1). Findings include: Review of the facility's policy titled Abuse Prohibition, reviewed 12/27/2025, revealed under Policy: It is the intent of this center to actively preserve each patient's right to be free from mistreatment, neglect, abuse or misappropriation of patient property. The policy further defined Physical abuse as including hitting, slapping, pinching, and kicking and controlling behavior through corporal punishment. […]

• No harm, potential for more than minimal, isolatedF684Mar 12, 2023

  Based on observation, interviews, record review, and review of the policy titled Skilled Nursing Services Restorative, the facility failed to provide treatment and care to address the positioning needs in accordance with professional standards of practice for one of 31 sampled residents (R) (R#8) related to contracture management. Findings included: A review of the policy titled Skilled Nursing Services Restorative dated 2020 with last review date of 12/30/22 revealed the following: to establish a communication system between nursing and skilled therapy to assure continuity of care between disciplines. This center promotes nursing interventions that assist the patient in his/her ability to adapt and adjust to living as independently and as safely as possible. On 3/10/23 at 11:14 a.m. […]

• No harm, potential for more than minimal, isolatedF758Mar 12, 2023

  Based on record review, staff interview, and review of the facility policy titled Automatic Stop Orders, the facility failed to ensure a stop date was implemented, not to exceed 14 days for psychotropic medications for two residents (R) (R#26, R#198) of six residents reviewed for unnecessary medications. Specifically, the facility failed to ensure a stop date was implemented for antianxiety medication ordered as needed (PRN) for R#26 and R#198. Findings are: A review of the facility policy, Automatic Stop Orders, dated 2019, revealed PRN order for psychotropic medications would require the prescriber to specify a duration over 14 days with a clinical rationale. […]

• No harm, potential for more than minimal, isolatedF761Mar 12, 2023

  Based on observation, staff interviews, and policy review titled Medication Storage in the Care Center, the facility failed to ensure the medication cart and treatment cart on the second floor were locked and secured, when not in use. The facility census was 49 residents. Findings include: Review of the facility policy titled Medication Storage in the Care Center copyright 2023, revealed the intent is to ensure medications and biologicals are stored safely, securely, and properly following manufacturer's recommendations or those of the supplier. The guideline indicated medication rooms, carts, and medication supplies are locked or attended by persons with authorized access. Observation on 3/11/2023 at 7:47 a.m. […]