Touchpoints at Chestnut

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF842Aug 18, 2025

  Based on review of the clinical record, facility documentation, facility policy, and interviews for two (2) of two (2) residents (Resident #1 and Resident #2) reviewed for skin integrity, the facility failed to ensure the residents had documented weekly skin assessments. The findings include:1. Resident #1 was admitted to the facility with diagnoses that included stroke, hemiplegia (weakness) affecting the left side, dysphagia and epilepsy. The Braden scale assessment dated [DATE] identified Resident #2 was at a very high risk of pressure sores. The weekly skin observation tool dated 2/11/25 identified Resident #1's skin was intact. […]

• No harm, potential for more than minimal, patternF812Apr 24, 2025

  Based on observations, review of facility documentation, facility policy, and interviews, the facility failed to ensure that the kitchen's dry storage areas were maintained in a clean and sanitary manner; and failed to ensure that previously opened refrigerated items were labeled and dated; and failed to ensure that the sanitizing solution was maintained at the appropriate sanitizing levels; and failed to ensure that the high temperature dish machine rinse cycles maintained the appropriate temperatures; and failed to ensure that the temperature logs for sanitizing solution, dish machine, refrigerators, freezers, and resident meals were completed in their entirety and daily. […]

• No harm, potential for more than minimal, patternF947Apr 24, 2025

  Based on review of the facility documentation, facility policy, and interviews for reviewed for staffing, the facility failed to provide and track the 12 hours of education for the nurse's aides per year. The findings include: Interview with the ADNS on 4/24/25 at 7:19 AM indicated that she was responsible for the staff education in the facility including the mandatory training once a calendar year. The ADNS indicated that the annual mandatory education for 2024 was provided through education boards with post tests. Interview with RN #1 (corporate regional educator and Infection Preventionist) on 4/24/25 at 7:20 AM indicated that she was aware that the nurse's aide must have 12 hours of education per year. […]

• No harm, potential for more than minimal, patternF656Jun 28, 2023

  Based on clinical record review, observation, and staff interview for one of two residents (Resident # 16) review for nutrition, the facility failed to follow the resident care plan for meal consumption percentage. The findings included: Resident # 16's diagnoses included dysphagia, feeding difficulties, and deficiency of other specified B group vitamins. The care plan dated for 5/10/23 identified needed assistance with activity of daily living, refusal of meals, and significant weight loss. The quarterly MDS assessment dated [DATE] identified Resident #16 was totally dependent with assist of one for eating. Interventions directed receiving meals and supplements as ordered and to monitor the resident's dietary intake. […]

• No harm, potential for more than minimal, patternF657Jun 28, 2023

  Based on clinical record review, observations, and interview interviews for 1 of 1 sampled resident, (Resident #31) reviewed for care planning the facility failed to update/ revise the resident plan care regarding assistance with footwear and oxygen. The findings include: Resident #31's diagnoses included: End Stage Renal Disease, heart failure, depression, and Anemia. A physician's order dated 2/23/23 directed transfer mechanical lift with assist of 2: 3 times a day every day. A Resident Care Plan dated 9/29/22 and 3/7/23 identified the resident needed assistance with ADLs (Activities of Daily Living) related to deconditioned status, therapy to regain strength, that he/she will be tired and weak after specialized appointments. […]