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 76 to 95 of 95 citations

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

    Provide safe and appropriate respiratory care for a resident when needed.

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

    Health citation F-0695, 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. 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.

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

    Health citation F-0755, 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).

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

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

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

    Health citation F-0756, Pharmacy Service 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 each resident’s drug regimen must be free from unnecessary drugs.

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

    Health citation F-0757, Pharmacy Service 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

    Ensure medication error rates are not 5 percent or greater.

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

    Health citation F-0759, Pharmacy Service Deficiencies. Inspection of December 4, 2023. Found during a standard inspection.

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

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

    Provide timely, quality laboratory services/tests to meet the needs of residents.

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

    Health citation F-0770, Administration 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).

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

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

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

    Health citation F-0842, Resident Assessment and Care Planning 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).

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

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

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

    Fire safety citation K-0222, Egress Deficiencies. Inspection of December 4, 2023. Found during a standard inspection.

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

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

    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

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

    Fire safety citation K-0223, Egress Deficiencies. Inspection of December 4, 2023. Found during a standard inspection.

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

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

    Provide properly protected cooking facilities.

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

    Fire safety citation K-0324, 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).

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

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

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

    Fire safety citation K-0372, 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).

  12. 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.

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

    Fire safety citation K-0741, 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).

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

    Meet other general requirements.

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

    Fire safety citation K-0932, 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).

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

    Allow residents to self-administer drugs if determined clinically appropriate.

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

    Health citation F-0554, 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).

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

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

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

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

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

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of October 21, 2022. Found during a standard inspection.

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

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

    Keep all essential equipment working safely.

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

    Health citation F-0908, Environmental Deficiencies. Inspection of October 21, 2022. Found during a standard inspection.

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

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

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

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

    Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of October 21, 2022. Found during a standard inspection.

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

  19. No harm, with potential for minimal harm

    Post nurse staffing information every day.

    Widespread (many residents). CMS level C.

    Health citation F-0732, Nursing and Physician 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).

  20. No harm, with potential for minimal harm

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

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

    Health citation F-0623, 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).

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.