Inspection visit
Inspection
27 citations recorded
Inspector’s narrative
What the inspector wrote
This survey cited 27 deficiencies. The full statement and the facility’s plan of correction follow, verbatim from the federal record.
F 0578
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to
participate in experimental research, and to formulate an advance directive.
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
record review and staff interview, the facility failed to ensure resident's code status matched in the hard
(paper) and electronic chart. This affected two (#76 and #139) residents of 34 residents reviewed for
advanced directives. The facility census was 146.
Findings include:
Review of the Resident #76's chart revealed Resident #76 admitted to the facility on [DATE], with diagnoses
including Alzheimer's disease, dementia in other diseases classified elsewhere unspecified severity without
behavioral disturbance, psychotic disturbance, mood disturbance and anxiety, weakness, repeated falls,
gastrostomy status, and hypothyroidism.
Review of Resident #76's significant change Minimum Data Set (MDS) assessment dated [DATE], revealed
the resident's cognition was not assessed and Resident #76 required maximal assistance with upper body
dressing, rolling left and right, sitting to lying, lying to sitting, sitting to standing, chair transfers, and walking
ten feet. Resident #76 was dependent with oral hygiene, tub transfers, toileting, showering, lower body
dressing, putting on and taking off footwear and personal hygiene.
Review of Resident #76's electronic physician order dated 04/05/24 revealed Resident #76 was a do not
resuscitate comfort care (DNRCC). The order was electronically signed by Resident #76's physician.
Review of Resident #76's code status form in the hard chart dated 03/01/21 revealed Resident #76 was a
do not resuscitate comfort care arrest (DNRCCA). The form was signed by Resident #76's physician.
Interview on 07/23/24 at 4:01 P.M., with Corporate Registered Nurse (CRN) #182 verified Resident #76's
code status did not match in the electronic chart and the hard chart. CRN #182 verified Resident #76 was
listed as a DNRCC in the electronic chart and a DNRCCA in the hard chart.
2. Review of the medical record for Resident #139 revealed an admission date of 05/03/24. Diagnoses
included dementia, chronic obstructive pulmonary disease, unspecified severe protein-calorie malnutrition,
hyperlipidemia, chronic atrial fibrillation, atherosclerotic heart disease of native coronary artery without
angina pectoris, anemia, major depressive disorder, chronic kidney disease, aphasia, and unspecified
psychosis not due to a substance or known physiological condition.
Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #139 had
(continued on next page)
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other
safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the
date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date
these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER
REPRESENTATIVE'S SIGNATURE
TITLE
(X6) DATE
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Facility ID:
If continuation sheet
Page 1 of 15
Event ID:
365734
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
365734
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
07/25/2024
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Chamberlin Healthcare Center
3889 East Galbraith Road
Cincinnati, OH 45236
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0578
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
severely impaired cognition. Resident #139 was assessed to require supervision for eating,
substantial/maximal assistance for oral hygiene, toileting, dressing, personal hygiene, bed mobility, and
transfer, and was dependent for bathing.
Review of the active physician orders in the electronic health record revealed an order for code status of Do
Not Resuscitate Comfort Care Arrest (DNRCC-A).
Review of the signed DNR paper form dated 07/10/24 revealed DNRCC was checked instead of DNRCC-A.
Interview on 07/24/24 at 2:57 P.M., with CRN #183 verified the DNR paper form and the order in the
electronic health record did not match.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
365734
If continuation sheet
Page 2 of 15
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
365734
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
07/25/2024
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Chamberlin Healthcare Center
3889 East Galbraith Road
Cincinnati, OH 45236
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0584
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
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.
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
medical record review, observation, resident interview, staff interview, nursing home bill of rights review, and
policy review, the facility failed to provide a clean and home like environment. This affected three (#22, #70,
and #446) of 29 residents reviewed for environment. The facility census was 146.
Findings Included:
1. Review of the medical record for Resident #22 revealed an admission date of 04/21/23. Diagnoses
included chronic obstructive pulmonary disease, type two diabetes, Alzheimer's disease, dementia, and
psychosis not due to a substance or physiological condition.
Review of MDS dated [DATE] revealed Resident #22 was severely cognitively impaired. Resident #22
required supervision for eating. Resident #22 was dependent for oral hygiene, toileting, dressing upper and
lower clothing, personal hygiene, bathing, and transfers.
Review of plan of care dated 05/22/24 revealed resident was at risk for falls and to apply the Dycem to
wheelchair, assess risk for falls on admission, bed in lowest position, educate resident and representative,
ensure resident was wearing appropriate non-skid footwear, ensure resident's room was free of accident
hazards, ensure that the bed was locks are engaged, nurse to do orthostatic blood pressure each shift for
three days and report abnormalities, place a sheet of Dycem to wheelchair seat to prevent resident from
sliding out of chair, provide activities, provide assistive devices as needed, physical therapy referral, and
rearrange the room, and have personal items within reach.
2. Review of the medical record for Resident #70 revealed an admission date of 04/22/24. Diagnoses
included vascular dementia, major depression, and mood disorder.
Review of MDS dated [DATE] revealed Resident #70 was severely cognitively impaired. Resident #70
required partial moderate assistance for dressing upper body. Resident #70 substantial maximal assistance
dressing lower body, transfers, personal hygiene, bathing, toileting use, and placing shoes on and off feet.
Review of plan of care dated 07/22/24 revealed that Resident #70 was at risk for falls related to gait
balance problems, impaired cognition, and incontinence. Interventions included assessing risk for falls,
educate resident wearing appropriate nonskid shoes, place call light in reach, ensure the bed locks are
engaged, and provide adequate lighting at night.
Observation on 07/22/24 at 11:51 A.M., revealed the room Resident #22 and Resident #70 resided in was
observed to have a greasy, slippery, dirty floor. The surveyor and State Tested Nurse Aide (STNA) #393
both slide on the floor when walking into residents' rooms.
Interview on 07/22/24 at 11:52 A.M., with STNA #393 verified it was very slippery and greasy to walk on.
STNA #393 stated a resident could fall on this dirty floor.
3. Review of the medical record for Resident #446 revealed an admission of 07/17/24. Diagnoses included
psychosis, and dementia.
(continued on next page)
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
365734
If continuation sheet
Page 3 of 15
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
365734
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
07/25/2024
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Chamberlin Healthcare Center
3889 East Galbraith Road
Cincinnati, OH 45236
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0584
Review of MDS assessment dated [DATE] revealed the MDS was in progress.
Level of Harm - Minimal harm
or potential for actual harm
Review of plan of care dated 07/22/24 revealed Resident #446 was at risk for a decrease in activity of daily
living self-care performance related to dementia, and psychosis.
Residents Affected - Few
Observation on 07/22/24 at 11:16 A.M., of Resident #446's room revealed the bed had no headboard, and
clothes were in brown bags on top of her dresser. The dresser was observed to have old food crumbs, large
brown harden unidentified stain, dried pink nail polish, and a full bottom drawer with clothes from the past
resident.
Interview on 07/22/24 at 11:16 A.M., with Resident #446 stated she had no headboard, and her dresser
was dirty and had other resident's items in her dresser. Resident #446 stated she could not use the dresser
due to it being filthy. Resident #446 stated she had been admitted six days ago, and the facility was a mess.
Interview on 07/22/24 at 11:23 A.M., with Unit Manager (UM) #62 verified Resident #446 had no
headboard, clothes were in brown bag on top of her dresser that was hers from her admission. UM #62
verified that Resident #446 dresser had old food crumbs, large brown unknown substance that was
hardened, a yellow Lego piece, left over trash, dried pink nail polish, and a full bottom drawer with clothes
from the past resident.
Review of the undated policy titled, Housekeeping In Service revealed daily performance of damp mop of
floor and use proper mop, germicide solution to disinfect the resident's floor.
Review of the form titled, Nursing Home Residents [NAME] of Rights, dated 1987, revealed every resident
had the right to receive medical care, nursing care, rehabilitative and restorative therapies, and personal
hygiene in a safe, clean environment.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
365734
If continuation sheet
Page 4 of 15
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
365734
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
07/25/2024
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Chamberlin Healthcare Center
3889 East Galbraith Road
Cincinnati, OH 45236
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0641
Ensure each resident receives an accurate assessment.
Level of Harm - Minimal harm
or potential for actual harm
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
record review and staff interview, the facility failed to correctly code the Minimum Data Set (MDS)
assessment for the proper discharge location. This affected one (#144) of three residents reviewed for
discharge. The census was 146.
Residents Affected - Few
Findings include:
Review of Resident #144's medical record revealed an admission date of 02/16/24 and discharge date of
05/03/24, with diagnoses including: cellulitis of right lower leg, schizophrenia, and schizoaffective disorder.
Review of Minimum Data Set (MDS) assessment dated [DATE], revealed Resident #144 was cognitively
intact and required assistance for mobility, she was having hallucinations and delusions, and verbal
behaviors. Review of care plan revealed a discharge plan to home or another facility.
Review of progress note date 05/03/24 at 12:44 P.M., revealed Resident #144 signed out of facility against
medical advice (AMA), it was explained to resident that by leaving against advice she cannot take
medications with her and she releases the facility from all responsibility. Resident #144 verbalized
understanding. Nurse practitioner aware.
Review of the discharge MDS dated [DATE] revealed Section A2105 for Discharge Status revealed
Resident #144 discharged to 04. Short-Term General Hospital (acute hospital, IPPS) rather than 01.
Home/Community.
Interview on 07/24/24 at 2:45 P.M., with Registered Nurse (RN) #181 verified Resident #144's MDS was
coded incorrectly for the discharge destination to home.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
365734
If continuation sheet
Page 5 of 15
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
365734
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
07/25/2024
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Chamberlin Healthcare Center
3889 East Galbraith Road
Cincinnati, OH 45236
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0656
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
Develop and implement a complete care plan that meets all the resident's needs, with timetables and
actions that can be measured.
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
record review, staff interview, and policy review, the facility failed to develop a care plan for a resident with
vision impairment. This affected one (#52) of 29 residents reviewed for care planning. The facility census
was 146.
Findings include:
Review of the Resident #52's medical record revealed an admission date of 03/17/23, with diagnoses
including type two diabetes mellitus with diabetic polyneuropathy, atherosclerotic heart disease of native
coronary artery without angina pectoris, pure hypercholesterolemia, anxiety disorder, spinal stenosis, other
intervertebral disc degeneration lumbar region, obsession compulsive disorder, depression, other chronic
pain, insomnia, hypertension, chronic pain and tobacco use.
Review of Resident #52's quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed the
resident to be cognitively intact and Resident #52 required supervision with eating, oral hygiene, toileting,
personal hygiene, lying to sitting, sitting to standing, chair transfers, toilet transfers, and tub transfers.
Resident #52 required maximal assistance with showering and set up assistance with lower body dressing,
upper body dressing, putting on and taking off footwear, rolling left and right, sitting to lying, and walking.
Resident #52 had adequate vision with corrective lenses.
Review of Resident #52's eye appointment dated 03/08/24 revealed Resident #52 had a cataract consult on
03/08/24 at 12:30 P.M.
Review of Resident #52's post operative instructions for cataract surgery dated 04/11/24 revealed Resident
#52 was to wear the eye shield while sleeping for seven nights after surgery.
Review of Resident #52's care plan dated 07/23/24 revealed Resident #52 did not have a vision care plan
or care plan for the use of corrective lenses or cataracts.
Interview on 07/25/24 at 10:34 A.M., with Corporate Registered Nurse (CRN) #182 verified Resident #52
did not have a vision care plan. CRN #182 also confirmed Resident #52 had corrective lenses and a history
of cataracts and cataract surgery.
Review of the policy titled Plan of Care, dated 03/01/24, revealed the facility will provide a resident centered
care plan that meets the psychosocial, physical, and emotional needs and concerns of the resident.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
365734
If continuation sheet
Page 6 of 15
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
365734
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
07/25/2024
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Chamberlin Healthcare Center
3889 East Galbraith Road
Cincinnati, OH 45236
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0657
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed,
and revised by a team of health professionals.
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
record review, staff interview, and policy review, the facility failed to ensure care plans were updated timely
with fall interventions. This affected one (#139) of five residents reviewed for falls. The facility census was
146.
Findings include:
Review of the medical record for Resident #139 revealed an admission date of 05/03/24. Diagnoses
included dementia, chronic obstructive pulmonary disease, unspecified severe protein-calorie malnutrition,
hyperlipidemia, chronic atrial fibrillation, atherosclerotic heart disease of native coronary artery without
angina pectoris, anemia, major depressive disorder, chronic kidney disease, aphasia, and unspecified
psychosis not due to a substance or known physiological condition.
Review of the facility assessment titled Fall Risk Observation Tool, dated 05/11/24, revealed Resident #139
was at risk for falls.
Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #139 had
severely impaired cognition. Resident #139 was assessed to require supervision for eating,
substantial/maximal assistance for oral hygiene, toileting, dressing, personal hygiene, bed mobility, and
transfer, and was dependent for bathing.
Review of the Interdisciplinary Team (IDT) progress note dated 07/16/24 revealed Resident #139 had a fall
on 07/15/24 while attempting to lay on her bedside table. The new intervention was to remove the bedside
table for safety and only use during meals.
Review of the plan of care revised on 07/23/24 revealed Resident #139 was at risk for falls related to
dementia. Interventions included ensuring room is free of accident hazards, ensuring non-skid footwear is
worn, place call light within reach, and ensuring bed locks are engaged.
Interview on 07/25/24 at 2:26 P.M., with Corporate Nurse #182 confirmed the intervention related to the
bedside table was not added to the care plan.
Review of the policy titled Fall Prevention and Management, revised on 03/06/24, revealed care plans
should be updated with new fall interventions.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
365734
If continuation sheet
Page 7 of 15
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
365734
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
07/25/2024
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Chamberlin Healthcare Center
3889 East Galbraith Road
Cincinnati, OH 45236
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0689
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to
prevent accidents.
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** 3. Review of
the medical record for Resident #128 revealed an admission date of 12/06/23, with diagnoses including
dementia with mild agitation, and bipolar disorder. Review of Resident #128's care plan revealed he had a
substance use disorder related to alcohol use and were to observe resident's room for items.
Review of policy entitled Resident Substance Abuse in facility was signed and dated by Resident #128 on
05/05/24 as acknowledgement of receipt.
Interview and observation on 07/23/24 at 11:23 A.M., with Resident #128 revealed he had a pack of
cigarettes on his person, with six cigarettes in it. Resident #128 stated he didn't smoke, that he used
cigarettes for bargaining. Resident #128 also had an empty carton of hard tea (tea premixed with alcohol)
and two individual serving boxes of wine in his room.
Interview on 07/23/24 at 11:30 A.M., Registered Nurse (RN) #182 verified the presence of the drug-related
items and the facility's policy was that cigarettes could not be traded or used to bargain.
Review of the undated policy titled, Resident Substance Abuse in Facility, revealed residents may not
possess, use or provide any illicit drugs or abuse drugs in any manner, and may not have drug-related
paraphernalia in their possession while a resident in the facility.
Based on observation, medical record review, resident interview, staff interview, and review of policies, the
facility failed to provide safe storage for cigarettes and alcohol. This affected one (#128) of one resident
reviewed for smoking. The facility failed to provide care planned fall interventions for residents at risk for
falls. This affected two (#22, #103) of three residents reviewed for falls. The facility census was 146.
Findings included:
1. Review of medical record for Resident #22 revealed an admission date 04/21/23. Diagnoses included
chronic obstructive pulmonary disease, type two diabetes, Alzheimer's disease, dementia, and psychosis
not due to a substance or physiological condition.
Review of Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #22 was assessed as
having severe cognitive impairment. Resident #22 required supervision for eating. Resident #22 was
dependent for oral hygiene, toileting, dressing upper and lower clothing, personal hygiene, bathing, and
transfers. Resident #22 was able to ambulate by himself with no staff help or assisted devices.
Review of Fall Risk Observation Tool dated 05/05/24 revealed that Resident #22 had poor recall and
judgement, ambulatory without assistance, gait was weak walking and short steps, able to stand and walk,
predisposing diseases and condition for three or more present.
Review of plan of care dated 05/22/24 revealed interventions included: apply the dycem to wheelchair,
assess risk for falls on admission, bed in lowest position, educate resident and representative, ensure
resident was wearing appropriate non-skid footwear, ensure resident's room was free of accident hazards,
ensure that the bed was locks are engaged, nurse to do orthostatic blood pressure each shift for three days
and report abnormalities, place a sheet of dycem to wheelchair seat to prevent
(continued on next page)
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
365734
If continuation sheet
Page 8 of 15
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
365734
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
07/25/2024
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Chamberlin Healthcare Center
3889 East Galbraith Road
Cincinnati, OH 45236
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0689
Level of Harm - Minimal harm
or potential for actual harm
resident from sliding out of chair, provide activities, provide assistive devices as needed, physical therapy
referral, and rearrange the room, and have personal items within reach.
Observation on 07/22/24 at 2:10 P.M., revealed Resident #22 was walking the halls by himself with one
regular sock on right foot, and right foot had a bare foot.
Residents Affected - Few
Interview on 07/22/24 at 2:11 P.M., with State Tested Nurse Aide (STNA) #393 verified Resident #22 was
walking the hallways with one regular sock on and one foot barefoot.
2. Review of medical record for Resident #103 revealed an admission date of 10/18/22. Diagnoses included
chronic pulmonary disease, Alzheimer's disease, illus, and cognitive communication deficit.
Review of MDS assessment dated [DATE] revealed Resident #103 was severely cognitively impaired.
Resident #103 required setups for all meals. Resident #103 required dependent oral hygiene, toileting,
bathing, personal hygiene, dressing upper and lower body, and transfers.
Review of plan of care dated 07/22/24 revealed Resident #103 was at risk for activity of daily living self-care
related to assistance with activity of daily living, dementia, chronic pulmonary disease, and Alzheimer's.
Interventions included grab bars to bed to aide with turning and repositioning, place shoes on and off, place
call light within reach, and evaluation and treat per medical provider orders.
Observation on 07/22/24 at 11:38 A.M., revealed Resident #103 was ambulating in lock down unit with her
both bare feet and no socks on.
Interview on 07/22/24 at 11:38 A.M., with STNA #22 confirmed Resident #103 had no shoes or nonskid
socks on while ambulating in the hall.
Review of the policy titled Fall Preventions and Management dated 03/06/24, stated an intervention was put
in place after a fall to prevent future falls. Fall prevention and management was the process of identifying
risk factors that can minimize the potential for falls and also a process to manage a resident's care if a fall
occurs.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
365734
If continuation sheet
Page 9 of 15
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
365734
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
07/25/2024
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Chamberlin Healthcare Center
3889 East Galbraith Road
Cincinnati, OH 45236
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0690
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate
catheter care, and appropriate care to prevent urinary tract infections.
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
medical record review, observation, staff interviews, and policy review, the facility failed to provide timely
incontinence care for a resident dependent on staff for care. This affected one (#51) of one resident
reviewed for incontinence care. The facility census was 146.
Findings included:
Review of medical record for Resident #51 revealed an admission date of 06/21/24. Diagnoses included
Alzheimer's disease, anxiety disorder, dementia, and major depression.
Review of the Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #51 was severely
cognitively impaired. Resident #51 required substantial maximal assistance for personal hygiene, bathing,
transfers, lower body, toileting, and transfers. Resident #51 required partial assistance for dressing upper
body.
Review of plan of care dated 07/04/24 revealed that Resident #51 was at risk for incontinent of urine.
Interventions were to apply barrier creams as needed, check resident for incontinence, and observe for
signs and symptoms of urinary tract infection.
Observation on 07/22/24, from 2:02 P.M. through 2:14 P.M., revealed Resident #51 walking around in the
hallway wet and in view of other residents. Resident #51 was observed to be saturated with urine on her
green scrub pants entire back side at bottom, around her waist and through the bottom of her shirt.
Interview on 07/22/24 at 2:18 P.M., with Registered Nurse (RN) #113 verified Resident #51 was saturated
in urine. RN #113 verified Resident #51 had moderate amount of saturated urine in brief, through her pants,
at the waist of pants and through Resident #51's shirt.
Interview on 07/24/24 at 2:35 P.M., with State Tested Nurse Aide (STNA) #32 stated Resident #51 was a
check and change. STNA #32 stated she had come in and checked and changed Resident #51, at the start
of her shift, at 7:45 A.M. and again at 9:15 A.M. STNA #32 stated she had not got to check and change her
before lunch. STNA #32 stated the nurse had come to tell her that the nurse did change her and Resident
#51 was saturated with urine.
Review of the policy titled, Perineal Care Male and Female dated 04/20/2017, revealed perineal care was
performed on residents who were unable or unwilling to maintain body cleanliness and or who are
incontinent of bowel and bladder. Perineal care will be care planned for each individual resident to meet his
or her specific needs.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
365734
If continuation sheet
Page 10 of 15
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
365734
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
07/25/2024
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Chamberlin Healthcare Center
3889 East Galbraith Road
Cincinnati, OH 45236
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0761
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
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.
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** 3. Review of
medical record for Resident #117 revealed an admission date of [DATE], with diagnoses including paranoid
schizophrenia and delusional disorders. Review of physician's orders dated [DATE], revealed an order for
risperidone 0.5 milligrams (mg) twice a day for paranoid schizophrenia; [DATE], Pantoprazole 40 mg daily
for digestive aid; and Tamsulosin 0.4 mg daily for prostate health.
Review of minimum data set assessment dated [DATE] revealed Resident #117 was cognitively intact and
noted to refuse care at times. Resident #117 had a court appointed guardian.
Observation and interview on [DATE] at 9:04 A.M., revealed a medication cup with three tablets in it, sitting
on Resident #117's over the bedside table. Resident #117 verified the nurse had brought them in and left
them so he could take them with his breakfast.
Interview on [DATE] at 9:06 A.M., Registered Nurse (RN) #57 verified she did give Resident #117
medications but did not witness him take his medication, Resident #117 stated he wanted to take them with
breakfast. RN #57 verified the medications were risperidone, Pantoprazole and Tamsulosin.
Review of the policy titled, Storage of Medications, with revision date of [DATE], revealed only licensed
nurses, pharmacy personnel, and those lawfully authorized to administer medications (such as medication
aides) were permitted to access medications. Medication rooms, carts, and medication supplies are locked
when they were not attended by persons with authorized access.
Based on medical record, observation, staff interview, resident interview, and review of policies, the facility
failed to ensure medications were provided with an open date when being utilized to ensure medications
were not expired. This affected two (#13 and #127) residents observed during medication storage. The
facility failed to ensure medications were not left at the bedside and were consumed when administered.
This affected one (#117) randomly observed resident. The facility census was 146.
Findings include:
1. Observation on [DATE] at 9:30 A.M., of the medication cart revealed Resident #13 had open bottle
Keppra 100 mg/milliliter liquid and had no open date on bottle. Resident #13 also had an open bottle of
Felbamate 600 mg/5 ml liquid with no open date on the bottle.
Interview on [DATE] at 9:45 A.M., with Director of Nursing (DON) verified the nurse was to place a date on
the medication when opened for both Keppra and Felbamate bottles.
2. Observation on [DATE] at 9:50 A.M., of the medication cart with Resident #127 had an open bottle of
Valproic Acid 250 milligram/5 milliliter 16 ounces and had no open date. Resident #127 had second open
bottle of Valproic Acid 250 mg/5 ml 16 ounces and had no open date.
Interview on [DATE] at 9:55 A.M., with DON confirmed Resident #127 had two bottles of Valproic Acid were
open, undated and had been used by staff for delivery of medication for Resident #127.
(continued on next page)
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
365734
If continuation sheet
Page 11 of 15
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
365734
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
07/25/2024
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Chamberlin Healthcare Center
3889 East Galbraith Road
Cincinnati, OH 45236
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0761
Level of Harm - Minimal harm
or potential for actual harm
Review of the policy titled, Storage of Medications, with revision date of [DATE], revealed the nurse shall
place date opened sticker on the medication and record the date opened and the new date of expiration.
The expiration date of the vial or container will be 30 days from opening, unless the manufacturer
recommends another date or regulations or guidelines require different dating.
Residents Affected - Few
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
365734
If continuation sheet
Page 12 of 15
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
365734
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
07/25/2024
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Chamberlin Healthcare Center
3889 East Galbraith Road
Cincinnati, OH 45236
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0880
Provide and implement an infection prevention and control program.
Level of Harm - Minimal harm
or potential for actual harm
Based on medical record, observation, resident interview, staff interview and policy reviews, the facility
failed to ensure the proper transmission-based precautions were provided for a resident per physician
orders. This affected one (#109) of one resident reviewed for infection control. The facility census was 146.
Residents Affected - Few
Findings include:
Review of medical record for Resident #109 revealed an admission date 03/14/24. Diagnoses included
chronic pulmonary disease, severe combined immunodeficiency with low T and B cells, and psychotic
disorder with delusions.
Review of physician order for Resident #109 dated 07/18/24 revealed an order for contact precautions
every morning and bedtime due to Shingles. Resident #109 was allowed to come out of the room if rash
was covered.
Review of physician order for Resident #109 dated 07/20/24 revealed an order for the antibiotic Valtrex oral
one gram to give one tablet twice a day for seven days for Shingles.
Observation on 07/23/24 at 4:01 P.M., revealed Resident #109 had enhanced barrier precautions sign
hanging on her door. Resident #109 was sitting in her room in wheelchair.
Interview on 07/23/24 at 4:01 P.M., with Resident #109 stated she did not have shingles at this time.
Interview on 07/23/24 at 4:02 P.M., with Licensed Practical Nurse (LPN) #52 stated she knew Resident
#109 was on contact precaution. LPN #52 verified Resident #109 had only an enhanced barrier precaution
sign hanging on her door. LPN #52 verified there should have been a contact precaution sign instead.
Interview on 07/23/24 at 4:30 P.M., with Unit Manager (UM) #62 verified Resident #109 had shingles and a
rash under her arm on the one side. UM #62 stated Resident #109 does not come out of her room at this
time. UM #62 stated the facility did not make her stay in her room, Resident #109 stays in her room on her
own choice.
Review of the policy titled Surveillance for Infections, dated 02/28/22, revealed the purpose of policy was to
provide guidance for monitoring infections for tracking, trending, and monitoring for outbreaks.
Review of the policy titled Standard Precautions and Transmission Based Precautions dated 06/25/21,
revealed the facility used two tier approach to precautions: standard precautions and transmission-based
precautions based on resident's clinical condition utilizing Center of Disease Control (CDC) guidelines. The
isolation precaution was the method of preventing the spread of contagious disease and microorganism
transfer to others following CDC recommendations and guidelines.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
365734
If continuation sheet
Page 13 of 15
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
365734
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
07/25/2024
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Chamberlin Healthcare Center
3889 East Galbraith Road
Cincinnati, OH 45236
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0919
Make sure that a working call system is available in each resident's bathroom and bathing area.
Level of Harm - Minimal harm
or potential for actual harm
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
medical record review, observation, resident interview, and staff interviews, the facility failed to ensure call
lights were accessible to residents while in bed. This affected three (#51, #143, and #446) of three
residents reviewed for call lights. The facility census was 146.
Residents Affected - Few
Findings included:
1. Review of medical record for Resident #51 revealed an admission date of 06/21/24. Diagnoses included
Alzheimer's disease, anxiety disorder, dementia, and major depression.
Review of the Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #51 was severely
cognitively impaired. Resident #51 required supervision with meals, required partial and moderate
assistance with oral care, substantial maximal assistance for personal hygiene, bathing, transfers, lower
body, and transfers.
Review of plan of care dated 06/21/24 revealed Resident #51 was at risk for falls related to injury related to
decreased cognition and safety. Interventions included assess for risk for falls, educate resident or
representative, ensure resident's room was free of potential visible hazards, ensure that the bed locks are
engaged, observe medication for side effects that may increase for falls, and place call bell within reach,
and remind to call for assistance.
Observation on 07/22/24 at 2:18 P.M., with Registered Nurse (RN) #113 verified Resident #51's call light
was wrapped up and hanging on the wall at the plug in for the call light.
Interview on 07/22/24 at 2:22 P.M., with RN #113 verified the call light for Resident #51 was wrapped up on
the wall and unable to be reached or used by the resident.
2. Review of the medical record for Resident #143 revealed an admission date of 06/28/24. Diagnoses
included major depressive disorder, type two diabetes, and overactive bladder.
Review of MDS assessment dated [DATE] revealed that Resident #143 Brief Interview of Mental Status was
04 that indicated she was cognitively impaired. Resident #143 required supervision with or without setup for
meals, dressing upper and lower body, transfers, toileting, personal hygiene, and bathing.
Review of plan of care dated 07/11/24 revealed Resident #132 was at risk for falls related to cognition
deficit, communication deficit, and use of psychotropic medications. Interventions included assess for risk
for falls, educated resident or representative, ensure resident room was free of accident hazards, ensure
that the bed locks are engaged, place call bell within reach, and observe for medication side effects and
report.
Observation on 07/22/24 at 2:18 P.M., with Registered Nurse (RN) #113 verified Resident #143's call light
was wrapped up and hanging on the wall at the plug in for the call light.
Interview on 07/22/24 at 2:22 P.M., with RN #113 verified the call lights for Resident #143 was wrapped up
on the wall and unable to be reached or used by the resident.
(continued on next page)
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
365734
If continuation sheet
Page 14 of 15
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
365734
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
07/25/2024
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Chamberlin Healthcare Center
3889 East Galbraith Road
Cincinnati, OH 45236
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0919
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
3. Review of the medical record for Resident #446 revealed an admission date of 07/17/24. Diagnoses
included psychosis and dementia.
Review of MDS dated [DATE] revealed the assessment was in progress.
Review of plan of care dated 07/22/24 revealed that Resident #446 was at risk for activity of daily living
self-care performance related to dementia and psychosis.
Observation on 07/22/24 at 11:16 A.M., of Resident #446 revealed the resident was in bed and the call light
was under her mattress, between the frame and mattress.
Interview on 07/22/24 at 11:16 A.M., with Resident #446 revealed she did not have a call light and had
been at the facility for six days.
Interview on 07/22/24 at 11:23 A.M., with Unit Manager #62 verified Resident #446's call light was under
her mattress and unable to be reached.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
365734
If continuation sheet
Page 15 of 15
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Back to topCitations
27 citations recorded*CMS
What do CMS severity letters mean?
Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.
General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.
Each letter combines severity with scope: how many residents the deficiency affected.
- 0161GeneralS&S Fpotential for harm
Use approved construction type or materials.
- 0211GeneralS&S Epotential for harm
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- 0222GeneralS&S Epotential for 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.
F657 - Comprehensive Care Plans
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F689 - Accidents
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F690 - Incontinence
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F880 - Infection Control
Provide and implement an infection prevention and control program.
F919 - Resident Call System
Make sure that a working call system is available in each resident's bathroom and bathing area.
- 0223GeneralS&S Epotential for harm
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- 0291GeneralS&S Fpotential for harm
Install emergency lighting that can last at least 1 1/2 hours.
- 0293GeneralS&S Epotential for harm
Have properly located and lighted "Exit" signs.
- 0324GeneralS&S Fpotential for harm
Provide properly protected cooking facilities.
- 0345GeneralS&S Fpotential for harm
Have approved installation, maintenance and testing program for fire alarm systems.
- 0351GeneralS&S Epotential for harm
Install an approved automatic sprinkler system.
- 0353GeneralS&S Epotential for harm
Inspect, test, and maintain automatic sprinkler systems.
- 0372GeneralS&S Fpotential for harm
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
F741 - The facility must have sufficient staff who provide direct services to
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- 0753GeneralS&S Epotential for harm
Have restrictions on the use of highly flammable decorations.
F761 - Labeling of Drugs and Biologicals
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.
- 0781GeneralS&S Epotential for harm
Have restrictions on the use of portable space heaters.
F912 - Measure at least 80 square feet per resident in multiple resident
Have power receptacles that are properly grounded.
F918 - Bathroom Facilities
Have generator or other power source capable of supplying service within 10 seconds.
F920 - Dining and Resident Activities
Ensure proper usage of power strips and extension cords.
F578 - The right to request, refuse, and/or discontinue treatment, to participate in or
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
F584 - Safe Environment
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.
F641 - Accuracy of Assessments
Ensure each resident receives an accurate assessment.
F656 - Comprehensive Care Plans
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
FAQ · About this visit
Common questions about this visit
What happened during the July 25, 2024 survey of CHAMBERLIN HEALTHCARE CENTER?
This was a inspection survey of CHAMBERLIN HEALTHCARE CENTER on July 25, 2024. The surveyor cited 27 deficiencies, recorded on the federal Form 2567 statement of deficiencies.
Were any deficiencies cited at CHAMBERLIN HEALTHCARE CENTER on July 25, 2024?
Yes, 27 deficiencies were cited, each with a CMS Scope and Severity grade. The first was: "Use approved construction type or materials."
What type of survey was this?
This was a inspection survey conducted by state surveyors under federal Centers for Medicare & Medicaid Services (CMS) oversight. Findings are published on CMS Care Compare.
SourceView on CMS Care Compare
Next steps
Concerned about a resident’s care?Find your local ombudsman through the Eldercare Locatoror file a complaint with your state survey agency.
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Data from CMS Care Compare public records. Dataset last refreshed . If you believe any information is inaccurate, report it here.