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 26 to 50 of 95 citations

  1. 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).

  2. 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).

  3. 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).

  4. 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).

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

    Provide and implement an infection prevention and control program.

    Widespread (many residents). CMS level F.

    Health citation F-0880, Infection Control Deficiencies. Inspection of October 21, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 15, 2022).

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

    Conduct testing and exercise requirements.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of October 21, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 15, 2022).

  7. 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).

  8. 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).

  9. 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).

  10. 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).

  11. 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).

  12. 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).

  13. 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 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).

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

    Provide and implement an infection prevention and control program.

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

    Health citation F-0880, 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).

  15. 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).

  16. 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).

  17. 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).

  18. 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).

  19. 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).

  20. 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).

  21. 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).

  22. 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).

  23. 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 October 21, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 15, 2022).

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

    Have properly located and lighted "Exit" signs.

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

    Fire safety citation K-0293, Egress Deficiencies. Inspection of October 21, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 15, 2022).

  25. 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 15, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 3, 2026).

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.