Cheshire Home

In the surveyor’s words

From the most serious findings on record at Cheshire Home, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF727Aug 18, 2023

  Based on document review and interview, the facility failed to ensure there was a Registered Nurse (RN) on duty for eight continuous hours per day. This failure had the potential to affect the residents' assessments, residents' care and treatments for all 32 residents in the facility. Findings include: Review of the facility provided Daily Staffing sheets for the weekends in the Centers for Medicare and Medicaid (CMS), quarter January, February, and March 2023, triggered on the Payroll Based Journal (PBJ) revealed that the facility reported no RN coverage for eight continuous hours on weekends for the following dates: 01/01/23 Sunday -- no RN coverage. 01/08/23 Sunday -- no RN coverage. 01/22/23 Sunday -- no RN coverage. 02/19/23 Sunday -- no RN coverage. 03/05/23 Sunday - no RN coverage. […]

• No harm, potential for more than minimal, widespreadF880Nov 15, 2021

  Based on observations, interviews, medical record review, and other facility documentation, it was determined that the facility failed to a.) identify unvaccinated residents exposed to COVID-19 as Persons Under Investigation (PUI). This was identified for 3 of 3 residents (Resident #3, #20, and #23) on 1 of 1 nursing units and b.) revise and implement the facility's [CONDITION(S)] Outbreak Response Plan with current state and federal guidelines. This deficient practice was evidenced by the following: According to the Centers for Disease Control (CDC), Unvaccinated residents who have had close contact with someone with [CONDITION(S)]-CoV-2 (COVID-19) infection should be placed in quarantine for 14 days after their exposure, even if [CONDITION(S)] testing is negative. […]

• No harm, potential for more than minimal, patternF812Nov 15, 2021

  Based on observation, interview and review of facility documentation it was determined that the facility failed to a.) properly handle and store potentially hazardous foods in a manner that is intended to prevent the spread of food borne illnesses, b.) maintain equipment and kitchen areas in a manner to prevent microbial growth and cross contamination and c.) failed to maintain adequate infection control practices in the kitchen. This deficient practice was observed and evidenced by the following: On 11/10/21 from 09:43 AM -10:55 AM, the surveyor toured the kitchen in the presence of the Director of Dietary (DD) and observed the following: 1. […]

• No harm, potential for more than minimal, isolatedF584Jan 8, 2026

  Based on observation, interview, and record review, it was determined that the facility failed to provide a homelike environment for residents in 1 of 12 resident rooms observed and was evidenced by the following.On 1/5/26 at 6:50 PM, the surveyor knocked on door for room [ROOM NUMBER] and received permission from Resident #7 to enter the room. The resident pointed out the ceiling in the center of room and stated, this does not look nice. Resident #7 stated being upset that the ceiling gridwork and ventilation cover were soiled and in need of cleaning and maybe replacement. […]

• No harm, potential for more than minimal, isolatedF607Jan 8, 2026

  Based on interview and review of pertinent documentation provided by the facility, it was determined that the facility failed to follow their abuse policy to ensure criminal background checks were completed prior to hire for 2 out of 47 newly hired staff (Staff #45 and #47).This deficient practice was evidenced by the following: The surveyors reviewed 47 new employee files for criminal background and reference checks which revealed the following: A review of Staff #45's file, a driver with a date of hire (DOH) of 11/25/24, showed a background screening report (BSR) dated 12/9/24 and there were no references found in their file. The BSR was completed after Staff #45's DOH. A review of Staff #47's file, a Licensed Practical Nurse with a DOH of 3/25/25, showed a BSR dated 3/26/25. […]