Chesapeake Shores Nursing Center

In the surveyor’s words

From the most serious findings on record at Chesapeake Shores Nursing Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF561Jan 9, 2026

  Based on interviews, record review, and observations, it was determined that the facility 1) failed to ensure resident rights to eat in a location of their choice, and 2) failed to follow the resident's preference in care providers. This was found to be evident for breakfast and dinner services and had the potential to affect all residents, and evident in 1 (Resident #28) out of 2 resident reviewed for choices. The findings include: 1) During an interview on 01/05/2026 at 10:22 AM, Resident #49 stated that the only time residents can eat in the dining room is during lunch and has been told they don't have enough staff for residents to eat in the dining room during breakfast and dinner. On 01/06/2026 at 10:36 AM, the facility's schedule of mealtimes was reviewed. […]

• No harm, potential for more than minimal, widespreadF801May 15, 2024

  Based on interviews of facility staff, it was determined that the facility failed to ensure a full-time clinically qualified nutrition professional for the oversight of food preparation and the daily kitchen operation. All the residents in the facility have the potential to be affected by not having a qualified nutritional professional with the appropriate competencies and skill sets to carry out food and nutrition services. The findings include: An interview was conducted with the Dietary Director (Staff #12) on 4/30/24 at 9:50 AM. She indicated that she had worked at the facility for [AGE] years with indication that she has had various job duties in the kitchen. She indicated that she has been in full charge of the kitchen for a year. […]

• No harm, potential for more than minimal, widespreadF812May 15, 2024

  Based on observation, interview, and documentation review it was determined that the facility staff failed to 1) ensure the dish washing machine was operating at the appropriate water temperature and sanitation levels, and 2) failed to ensure food has reached proper final internal cooking temperatures and/or all hot foods are held at 135 degrees Fahrenheit or higher on the steam table. This practice had the potential to affect all residents that consumed food that was prepared by the kitchen. This was evident during random kitchen inspection/observations of food service conducted during the recertification survey. The findings included. 1) On [DATE] at 2:05 PM, observation of the staff and dish washing machine were initiated at 2:05 PM. […]

• No harm, potential for more than minimal, widespreadF919May 15, 2024

  Based on observations and interviews it was determined that the facility failed to ensure call devices were accessible to residents. This was evident 1) for 1 resident room (room [ROOM NUMBER]-B) and 2) for all residents' bathrooms and facility shower rooms, during the initial resident screening and nursing unit observation of the recertification survey. The findings include: 1) On 5/1/24 at 10:17 AM the surveyor observed resident #35 sitting in a recliner in their room resting. The call device was plugged to the wall but was not within reach of the resident. The resident was asked if s/he had an alternate call device anywhere beside them and s/he said no. The resident was asked how they call for assistance without the call device. […]

• No harm, potential for more than minimal, patternF921Jan 9, 2026

  Based on interviews, observations, and record review, it was determined that the facility failed to provide a functional and comfortable environment to residents. This was found to be evident in 2 of 2 facility courtyard awnings.The findings include:During an interview on 01/05/2026 at 11:05 AM, Resident #49 stated to this writer that the awning in the outside courtyard where residents go to smoke was ripped and was told by staff that there were no plans to repair the awning.A observation was made by this writer of the outside courtyard on 01/05/2026 at 12:26 PM from inside the dining room. The awning located outside next to the dining room was observed to have a large tear.On 01/06/2026 at 1:00 PM, surveyors went outside and observed the courtyard. […]