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Chalet Village Health And Rehabilitation Center

Details

Type of Ownership For profit - Corporation
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 80
Continuing Care? No
Resident Council? Yes
Family Council? No
Multi-Home Chain? No
Located in a Hospital? No
Special Focus Facility? No

View:    Health Inspections  |  Quality Measures  |  Staffing  |  Fire Inspections

Health Inspections  

Most Recent Inspection: 03/15/2012

Date of last standard health inspection: 03/15/2012
Quality Indicator Survey No
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Health Deficiencies for this nursing home: 3
Average number of Health Deficiencies in IN: 3
Average number of Health Deficiencies in US: 3
Range of Health Deficiencies in IN: 0 - 25
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide activities to meet the interests and needs of each resident. 03/01/2012 01/05/2001 2 Few
Ensure that each resident who enters the nursing home without a catheter is not given a catheter 03/01/2012 01/05/2001 and that incontinent patients receive proper servi unless medically necessary
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Try to resolve each resident's complaints quickly. 03/01/2012 01/05/2001 2 Many

Inspection, 03/01/2008

Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. 03/01/2008 02/00/2009 2 Few
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. 03/01/2008 02/00/2009 2 Few
1) Hire only people with no legal history of abusing 03/01/2008 02/00/2009 neglect or mistreatment of residents. neglecting or mistreating residents; or 2) report
Develop and implement policies for 1) screening and training employees; and the 2) prevention 03/01/2008 02/00/2009 investigation identification
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. 03/01/2008 02/00/2009 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide care by qualified persons according to each resident's written plan of care. 03/01/2008 02/00/2009 2 Few

Inspection, 00/07/2007

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep accurate 00/07/2007 00/02/2008 Few complete and organized clinical records on each re
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide medically-related social services to help each resident achieve the highest possible quality of life. 00/07/2007 00/02/2008 2 Few

Inspection, 01/05/2003

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. 01/05/2003 00/01/2004 1 Many
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 01/05/2003 00/01/2004 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide care by qualified persons according to each resident's written plan of care. 01/05/2003 00/01/2004 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give residents a notice of rights, rules, services and charges. 01/05/2003 00/01/2004 1 Some

Inspection, 00/07/2003

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. 00/07/2003 02/00/2004 2 Some
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 00/07/2003 02/00/2004 1 Many
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 00/07/2003 02/00/2004 2 Few
Have a program that investigates, controls and keeps infection from spreading. 00/07/2003 00/02/2006 2 Many
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. 00/07/2003 02/00/2004 2 Some
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Protect each resident from all abuse, physical punishment, and involuntary separation from others. 00/07/2003 02/00/2004 2 Few
Protect each resident from mistreatment, neglect and misappropriation of personal property. 00/07/2003 02/00/2004 4 Few
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. 00/07/2003 02/00/2004 4 Some
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. 00/07/2003 02/00/2004 4 Many
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Store, cook, and serve food in a safe and clean way. 00/07/2003 02/00/2004 2 Some
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide care by qualified persons according to each resident's written plan of care. 00/07/2003 00/02/2006 2 Some
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 00/07/2003 02/00/2004 2 Few
Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. 00/07/2003 02/00/2004 2 Few
Ensure residents maintain acceptable nutritional status. 00/07/2003 02/00/2004 2 Few
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. 00/07/2003 00/02/2006 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Conduct initial and periodic assessments of each resident's functional capacity. 00/07/2003 02/00/2004 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give residents a notice of rights, rules, services and charges. 00/07/2003 02/00/2004 1 Some
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. 00/07/2003 00/02/2006 2 Few
Keep residents' personal and medical records private and confidential. 00/07/2003 02/00/2004 2 Few
Allow residents to easily view the results of the nursing home's most recent inspection. 00/07/2003 02/00/2004 1 Many
Allow residents to self-administer drugs if determined safe. 00/07/2003 02/00/2004 2 Few
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 00/07/2003 02/00/2004 2 Few
Listen to the resident groups and act on their complaints and suggestions that affect resident care and life. 00/07/2003 02/00/2004 2 Some

Inspection, 00/04/2002

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Have a program that investigates 00/04/2002 01/09/2003 Some controls and keeps infection from spreading.
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide care by qualified persons according to each resident's written plan of care. 00/04/2002 01/09/2003 2 Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 00/04/2002 01/09/2003 3 Few
Ensure residents maintain acceptable nutritional status. 00/04/2002 01/09/2003 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Conduct initial and periodic assessments of each resident's functional capacity. 00/04/2002 01/09/2003 2 Some
Ensure each resident receives an accurate assessment by a qualified health professional. 00/04/2002 01/09/2003 2 Few
Develop a complete care plan that meets all the resident's needs 00/04/2002 01/09/2003 Some with timetables and actions that can be measured.
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Immediately tell the resident 00/04/2002 01/09/2003 and a family member of situations (injury/decline/ the resident's doctor

Nursing Home Staffing  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

National Average Average in IN Golden Living Center, Asheville
RN Staff Only1 N/A N/A 4 out of 5 stars
Total Number of Residents 86 70 35
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 16 hours 30 minutes 1 hour 53 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 15 hours 32 minutes 58 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 15 hours 50 minutes 54 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 17 hours 5 minutes 2 hours 24 minutes

1 The star rating a nursing home received for the information it provided about its Registered Nurse (RN) staffing. RNs have between 2 and 6 years of education.

Quality Measures  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

Long-Term Residents

Short-Term Residents

Fire Safety Inspections

Lists the fire safety requirements that the nursing home failed to meet. Fire safety results are not included in the nursing home's Overall Rating.

Most Recent Inspection: 03/29/2012

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 03/29/2012
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Fire Safety Deficiencies for this nursing home: 0
Average number of Fire Safety Deficiencies in IN: 0
Average number of Fire Safety Deficiencies in US: 2
Range of Fire Safety Deficiencies in IN: 0 - 0

Inspection, 02/04/2009

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Portable fire extinguishers. 02/04/2009 00/07/2010 2 Few
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are accessible at all times. 02/04/2009 00/07/2010 2 Some

Inspection, 02/09/2003

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
An approved automatic sprinkler system connected to the fire alarm system. 02/09/2003 02/07/2004 2 Few
Portable fire extinguishers. 02/09/2003 02/07/2004 2 Some
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridors that are separated from use areas by walls constructed to limit the passage of smoke. 02/09/2003 02/07/2004 2 Some
Emergency Plans and Fire Drills Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Record of quarterly fire drills for each shift under varying conditions. 02/09/2003 02/07/2004 1 Many
Hazardous Area Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. 02/09/2003 02/07/2004 2 Some
Interior Finish Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Fire resistant room wall surfaces. 02/09/2003 02/07/2004 1 Some
Medical Gases and Anesthetizing Areas Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Proper medical gas storage and administration areas. 02/09/2003 02/07/2004 2 Few

Inspection, 00/08/2003

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 00/08/2003 02/04/2003 2 Many
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Weekly inspections and monthly testing of generators. 00/08/2003 02/04/2003 2 Many
Hazardous Area Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. 00/08/2003 02/04/2003 2 Some
Smoke Compartmentation and Control Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Walls that prevent smoke from passing through and would resist fire for at least one hour. 00/08/2003 02/04/2003 2 Some
 

1065 Parkway St
Berne, IN 46711

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