B+
84/100

Chatham Hills Subacute Care Center Inspection Report, Violations & Safety Grade (CHATHAM, New Jersey)

415 SOUTHERN BLVD, CHATHAM, New Jersey 07928

Phone: 9738221500

CMS Overall:4/5

Overview & Bed Count

Certified Beds
108
Avg Residents/Day
95.8
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
County
Morris
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall4/5
Health3/5
Staffing4/5
Quality5/5

Nurse Staffing Check

MetricThis FacilityNew Jersey AvgDifference
RN Hours per Resident per Day0.840.70+0.14
Total Nurse Hours per Resident per Day3.583.90-0.32
CMS Staffing Rating4/53.2/5-
Nursing Staff Turnover40.7%39.3%-

Health Citation History

23 health citations on record

DateCategoryDescriptionSeverity
2025-11-18Quality of Life and Care DeficienciesProvide safe, appropriate dialysis care/services for a resident who requires such services.E – Moderate Harm Potential
2025-11-18Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E – Moderate Harm Potential
2025-11-18Pharmacy Service DeficienciesEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.E – Moderate Harm Potential
2025-11-18Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E – Moderate Harm Potential
2025-11-18Resident Rights DeficienciesHonor 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.D – Moderate Harm Potential
2025-11-18Freedom from Abuse, Neglect, and Exploitation DeficienciesPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.D – Moderate Harm Potential
2025-11-18Resident Rights DeficienciesProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.D – Moderate Harm Potential
2025-11-18Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D – Moderate Harm Potential
2025-11-18Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.D – Moderate Harm Potential
2025-02-13Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2024-05-31Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E – Moderate Harm Potential
2024-05-31Infection Control DeficienciesProvide and implement an infection prevention and control program.E – Moderate Harm Potential
2024-05-31Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D – Moderate Harm Potential
2024-05-31Resident Rights DeficienciesEnsure residents have reasonable access to and privacy in their use of communication methods.D – Moderate Harm Potential
2024-05-31Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.D – Moderate Harm Potential
2024-05-31Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D – Moderate Harm Potential
2024-05-31Nutrition and Dietary DeficienciesDispose of garbage and refuse properly.D – Moderate Harm Potential
2022-03-24Infection Control DeficienciesProvide and implement an infection prevention and control program.E – Moderate Harm Potential
2022-03-24Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.D – Moderate Harm Potential
2022-03-24Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.D – Moderate Harm Potential
2022-03-24Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D – Moderate Harm Potential
2022-03-24Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.D – Moderate Harm Potential
2022-03-24Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D – Moderate Harm Potential

Fire Safety Citation History

21 fire safety citations on record

DateCategoryDescriptionSeverity
2025-11-18Emergency Preparedness DeficienciesConduct testing and exercise requirements.F – Moderate Harm Potential
2025-11-18Egress DeficienciesHave properly located and lighted "Exit" signs.F – Moderate Harm Potential
2025-11-18Smoke DeficienciesProvide properly protected cooking facilities.F – Moderate Harm Potential
2025-11-18Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.F – Moderate Harm Potential
2025-11-18Smoke DeficienciesInstall an approved automatic sprinkler system.F – Moderate Harm Potential
2025-11-18Services DeficienciesHave properly installed electrical wiring and gas equipment.F – Moderate Harm Potential
2025-11-18Gas, Vacuum, and Electrical Systems DeficienciesMeet requirements for the installation and maintenance of electrical systems.F – Moderate Harm Potential
2025-11-18Gas, Vacuum, and Electrical Systems DeficienciesHave proper medical gas storage and administration areas.F – Moderate Harm Potential
2024-05-31Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.F – Moderate Harm Potential
2024-05-31Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2024-05-31Smoke DeficienciesEnsure smoke barriers are constructed to a 1 hour fire resistance rating.F – Moderate Harm Potential
2024-05-31Smoke DeficienciesInstall smoke barrier doors that can resist smoke for at least 20 minutes.F – Moderate Harm Potential
2024-05-31Egress DeficienciesAdd 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.E – Moderate Harm Potential
2024-05-31Egress DeficienciesInstall proper backup exit lighting.E – Moderate Harm Potential
2024-05-31Smoke DeficienciesInstall corridor and hallway doors that block smoke.E – Moderate Harm Potential
2024-05-31Smoke DeficienciesProvide properly protected cooking facilities.D – Moderate Harm Potential
2022-03-24Smoke DeficienciesInstall corridor and hallway doors that block smoke.F – Moderate Harm Potential
2022-03-24Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential
2022-03-24Gas, Vacuum, and Electrical Systems DeficienciesHave proper medical gas storage and administration areas.F – Moderate Harm Potential
2022-03-24Services DeficienciesEnsure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.E – Moderate Harm Potential
2022-03-24Egress DeficienciesInstall emergency lighting that can last at least 1 1/2 hours.D – Moderate Harm Potential

Total Penalties & Fines

$0
Total Fine Amount (CMS)
0
Number of Fines
0
Total Penalties

No penalty records found.

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