All citations for Chehalem Post Acute

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Chehalem Post Acute

Last standard health inspection on record

March 28, 2025

Showing 1 to 25 of 47 citations

No harm, with potential for more than minimal harm
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Widespread (many residents). CMS level F.
Health citation F-0727, Nursing and Physician Services Deficiencies. Inspection of March 28, 2025. Found during a standard inspection and a complaint inspection.
The home gave a date the problem would be corrected (April 29, 2025).
No harm, with potential for more than minimal harm
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Widespread (many residents). CMS level F.
Health citation F-0838, Administration Deficiencies. Inspection of March 28, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 29, 2025).
No harm, with potential for more than minimal harm
Have a plan that describes the process for conducting QAPI and QAA activities.
Widespread (many residents). CMS level F.
Health citation F-0865, Administration Deficiencies. Inspection of March 28, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 29, 2025).
No harm, with potential for more than minimal harm
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Widespread (many residents). CMS level F.
Health citation F-0882, Infection Control Deficiencies. Inspection of March 28, 2025. Found during a standard inspection and a complaint inspection.
The home gave a date the problem would be corrected (April 29, 2025).
No harm, with potential for more than minimal harm
Conduct risk assessment and an All-Hazards approach.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0006, Emergency Preparedness Deficiencies. Inspection of March 28, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 29, 2025).
No harm, with potential for more than minimal harm
Develop Emergency Preparedness policies and procedures.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0013, Emergency Preparedness Deficiencies. Inspection of March 28, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 29, 2025).
No harm, with potential for more than minimal harm
Establish policies and procedures including evacuation.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0020, Emergency Preparedness Deficiencies. Inspection of March 28, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 29, 2025).
No harm, with potential for more than minimal harm
Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.
Widespread (many residents). CMS level F.
Fire safety citation K-0111, Construction Deficiencies. Inspection of March 28, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 29, 2025).
No harm, with potential for more than minimal harm
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Widespread (many residents). CMS level F.
Fire safety citation K-0211, Egress Deficiencies. Inspection of March 28, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 29, 2025).
No harm, with potential for more than minimal harm
Install emergency lighting that can last at least 1 1/2 hours.
Widespread (many residents). CMS level F.
Fire safety citation K-0291, Egress Deficiencies. Inspection of March 28, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 29, 2025).
No harm, with potential for more than minimal harm
Have approved installation, maintenance and testing program for fire alarm systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0345, Smoke Deficiencies. Inspection of March 28, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 29, 2025).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0353, Smoke Deficiencies. Inspection of March 28, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 29, 2025).
No harm, with potential for more than minimal harm
Properly select, install, inspect, or maintain portable fire extinguishes.
Widespread (many residents). CMS level F.
Fire safety citation K-0355, Smoke Deficiencies. Inspection of March 28, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 29, 2025).
No harm, with potential for more than minimal harm
Meet other general requirements that are deficient.
Widespread (many residents). CMS level F.
Fire safety citation K-0500, Services Deficiencies. Inspection of March 28, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 29, 2025).
No harm, with potential for more than minimal harm
Have simulated fire drills held at unexpected times.
Widespread (many residents). CMS level F.
Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of March 28, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 29, 2025).
No harm, with potential for more than minimal harm
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Widespread (many residents). CMS level F.
Fire safety citation K-0741, Miscellaneous Deficiencies. Inspection of March 28, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 29, 2025).
No harm, with potential for more than minimal harm
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Widespread (many residents). CMS level F.
Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of March 28, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 29, 2025).
No harm, with potential for more than minimal harm
Ensure that any exit in an area undergoing construction, repair, or improvements shall be inspected daily to ensure its ability to be used instantly in case of emergency.
Widespread (many residents). CMS level F.
Fire safety citation K-0791, Miscellaneous Deficiencies. Inspection of March 28, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 29, 2025).
No harm, with potential for more than minimal harm
Have power receptacles that are properly grounded.
Widespread (many residents). CMS level F.
Fire safety citation K-0912, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 28, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 29, 2025).
No harm, with potential for more than minimal harm
Have generator or other power source capable of supplying service within 10 seconds.
Widespread (many residents). CMS level F.
Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 28, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 29, 2025).
No harm, with potential for more than minimal harm
Keep residents' personal and medical records private and confidential.
Pattern (more than a few residents). CMS level E.
Health citation F-0583, Resident Rights Deficiencies. Inspection of March 28, 2025. Found during a standard inspection and a complaint inspection.
The home gave a date the problem would be corrected (April 29, 2025).
No harm, with potential for more than minimal harm
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Pattern (more than a few residents). CMS level E.
Health citation F-0607, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of March 28, 2025. Found during a standard inspection and a complaint inspection.
The home gave a date the problem would be corrected (April 29, 2025).
No harm, with potential for more than minimal harm
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Pattern (more than a few residents). CMS level E.
Health citation F-0725, Nursing and Physician Services Deficiencies. Inspection of March 28, 2025. Found during a standard inspection and a complaint inspection.
The home gave a date the problem would be corrected (April 29, 2025).
No harm, with potential for more than minimal harm
Observe each nurse aide's job performance and give regular training.
Pattern (more than a few residents). CMS level E.
Health citation F-0730, Nursing and Physician Services Deficiencies. Inspection of March 28, 2025. Found during a standard inspection and a complaint inspection.
The home gave a date the problem would be corrected (April 29, 2025).
No harm, with potential for more than minimal harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pattern (more than a few residents). CMS level E.
Health citation F-0755, Pharmacy Service Deficiencies. Inspection of March 28, 2025. Found during a standard inspection and a complaint inspection.
The home gave a date the problem would be corrected (April 29, 2025).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.