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 38 citations

  1. Immediate jeopardy to resident health or safety

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Isolated (one or a few residents). CMS level J.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of December 4, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 23, 2024).

  2. Harm to a resident

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Isolated (one or a few residents). CMS level G.

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of January 7, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 30, 2025).

  3. No harm, with potential for more than minimal harm

    Address subsistence needs for staff and patients.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0015, Emergency Preparedness Deficiencies. Inspection of December 4, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 19, 2024).

  4. 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 December 4, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 23, 2024).

  5. 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 December 4, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 19, 2024).

  6. 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 December 4, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 23, 2024).

  7. 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 December 4, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 23, 2024).

  8. No harm, with potential for more than minimal harm

    Ensure proper usage of power strips and extension cords.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of December 4, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 23, 2024).

  9. 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 August 13, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 26, 2025).

  10. No harm, with potential for more than minimal harm

    Honor the resident's right to organize and participate in resident/family groups in the facility.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0565, Resident Rights Deficiencies. Inspection of December 4, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 23, 2024).

  11. No harm, with potential for more than minimal harm

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0584, Resident Rights Deficiencies. Inspection of December 4, 2023. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (January 23, 2024).

  12. 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 December 4, 2023. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (January 23, 2024).

  13. No harm, with potential for more than minimal harm

    Post nurse staffing information every day.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0732, Nursing and Physician Services Deficiencies. Inspection of December 4, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 23, 2024).

  14. No harm, with potential for more than minimal harm

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of December 4, 2023. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (January 23, 2024).

  15. No harm, with potential for more than minimal harm

    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0806, Nutrition and Dietary Deficiencies. Inspection of December 4, 2023. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (January 23, 2024).

  16. No harm, with potential for more than minimal harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of December 4, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 23, 2024).

  17. No harm, with potential for more than minimal harm

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of December 4, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 19, 2024).

  18. No harm, with potential for more than minimal harm

    Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0559, Resident Rights Deficiencies. Inspection of January 7, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 30, 2025).

  19. No harm, with potential for more than minimal harm

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of January 7, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 30, 2025).

  20. No harm, with potential for more than minimal harm

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of September 19, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 7, 2024).

  21. No harm, with potential for more than minimal harm

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0582, Resident Rights Deficiencies. Inspection of December 4, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 23, 2024).

  22. No harm, with potential for more than minimal harm

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of December 4, 2023. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (January 23, 2024).

  23. No harm, with potential for more than minimal harm

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of December 4, 2023. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (January 23, 2024).

  24. No harm, with potential for more than minimal harm

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of December 4, 2023. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (January 23, 2024).

  25. No harm, with potential for more than minimal harm

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0693, Quality of Life and Care Deficiencies. Inspection of December 4, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 23, 2024).

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.