All citations for Chestnut Hill Health and Rehabilitation Center LLC

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 Chestnut Hill Health and Rehabilitation Center LLC

Last standard health inspection on record

May 20, 2025

Showing 1 to 25 of 39 citations

  1. 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 May 20, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 11, 2025).

  2. 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 May 20, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 11, 2025).

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

    Provide properly protected cooking facilities.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of May 20, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 11, 2025).

  4. 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 May 20, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 11, 2025).

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

    Have properly installed electrical wiring and gas equipment.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0511, Services Deficiencies. Inspection of May 20, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 11, 2025).

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

    Assure that each resident’s assessment is updated at least once every 3 months.

    Widespread (many residents). CMS level F.

    Health citation F-0638, Resident Assessment and Care Planning Deficiencies. Inspection of September 23, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 5, 2022).

  7. 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 May 20, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 27, 2025).

  8. 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 May 20, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 27, 2025).

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

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

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

    Health citation F-0726, Nursing and Physician Services Deficiencies. Inspection of March 14, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 21, 2024).

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

    Inspect, test, and maintain automatic sprinkler systems.

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

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of March 14, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 5, 2024).

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

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

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

    Health citation F-0636, Resident Assessment and Care Planning Deficiencies. Inspection of September 23, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 5, 2022).

  12. 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 September 23, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 5, 2022).

  13. 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 July 16, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 11, 2026).

  14. 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 May 28, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 4, 2025).

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

    Assess the resident when there is a significant change in condition

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

    Health citation F-0637, Resident Assessment and Care Planning Deficiencies. Inspection of May 20, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 27, 2025).

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

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

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

    Health citation F-0644, Resident Assessment and Care Planning Deficiencies. Inspection of May 20, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 27, 2025).

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

    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

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

    Health citation F-0740, Quality of Life and Care Deficiencies. Inspection of May 20, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 27, 2025).

  18. 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 May 20, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 27, 2025).

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

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

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

    Health citation F-0804, Nutrition and Dietary Deficiencies. Inspection of May 20, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 27, 2025).

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

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

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

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of May 20, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 11, 2025).

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

    Provide a written emergency evacuation plan.

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

    Fire safety citation K-0711, Miscellaneous Deficiencies. Inspection of May 20, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 11, 2025).

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

    Have generator or other power source capable of supplying service within 10 seconds.

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

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of May 20, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 11, 2025).

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

    Ensure proper usage of power strips and extension cords.

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

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of May 20, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 11, 2025).

  24. 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 11, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 10, 2025).

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

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

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

    Health citation F-0550, Resident Rights Deficiencies. Inspection of March 14, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 21, 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.