Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 385199

Chehalem Post Acute

58 federal citations on record , including 1 at the Immediate Jeopardy level, and 2 federal enforcement actions totaling $54,581.

1 Immediate Jeopardy

Record summary

Federal record · Q1 2026
58
Total citations
51
Last 3 years
3
Actual harm+
2
Federal penalties
$54,581
Total fines
1
Overall ★ rating

Most common violation categories here

Resident Rights12 Quality of Care11 Medication & Pharmacy8 Nursing & Physician Services6 Administration5

Most common F-tags at this facility

F6894 F5843 F6843 F6003 F5592

Citation history

58 on record
SurveyF-TagViolationSeveritySource
Jan 15, 2026F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Jan 15, 2026F559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.DComplaint
Aug 13, 2025F583Keep residents' personal and medical records private and confidential.EComplaint
Mar 28, 2025F883Develop and implement policies and procedures for flu and pneumonia vaccinations.DComplaint
Mar 28, 2025F882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.FComplaint
Mar 28, 2025F880Provide and implement an infection prevention and control program.EComplaint
Mar 28, 2025F776Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.DComplaint
Mar 28, 2025F761Ensure 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.EComplaint
Mar 28, 2025F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DComplaint
Mar 28, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint
Mar 28, 2025F730Observe each nurse aide's job performance and give regular training.EComplaint
Mar 28, 2025F727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.FComplaint
Mar 28, 2025F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EComplaint
Mar 28, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Mar 28, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Mar 28, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
Mar 28, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Mar 28, 2025F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.BComplaint
Mar 28, 2025F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.EComplaint
Mar 28, 2025F584Honor 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.DComplaint
Mar 28, 2025F583Keep residents' personal and medical records private and confidential.EComplaint
Mar 28, 2025F887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.DStandard
Mar 28, 2025F865Have a plan that describes the process for conducting QAPI and QAA activities.FStandard
Mar 28, 2025F838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.FStandard
Mar 28, 2025F777Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.DStandard
Mar 28, 2025F732Post nurse staffing information every day.CStandard
Mar 28, 2025F552Ensure that residents are fully informed and understand their health status, care and treatments.DStandard
Jan 7, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Jan 7, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint
Jan 7, 2025F559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.DComplaint
Sep 19, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Dec 4, 2023F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Dec 4, 2023F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.EComplaint
Dec 4, 2023F770Provide timely, quality laboratory services/tests to meet the needs of residents.DComplaint
Dec 4, 2023F761Ensure 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.EComplaint
Dec 4, 2023F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
Dec 4, 2023F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EComplaint
Dec 4, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Dec 4, 2023F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Dec 4, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Dec 4, 2023F584Honor 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.EComplaint
Dec 4, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Dec 4, 2023F759Ensure medication error rates are not 5 percent or greater.DStandard
Dec 4, 2023F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard
Dec 4, 2023F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Dec 4, 2023F732Post nurse staffing information every day.EStandard
Dec 4, 2023F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Dec 4, 2023F693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DStandard
Dec 4, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JStandard
Dec 4, 2023F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard
Dec 4, 2023F565Honor the resident's right to organize and participate in resident/family groups in the facility.EStandard
Oct 21, 2022F908Keep all essential equipment working safely.DStandard
Oct 21, 2022F880Provide and implement an infection prevention and control program.FStandard
Oct 21, 2022F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GStandard
Oct 21, 2022F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Oct 21, 2022F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Oct 21, 2022F584Honor 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.EStandard
Oct 21, 2022F554Allow residents to self-administer drugs if determined clinically appropriate.DStandard

Federal enforcement history

Federal regulators have imposed 2 enforcement actions against this facility, including 2 civil money penalties totaling $54,581 .

DateTypeFinePayment denial
Jan 7, 2025Fine$14,788—
Dec 4, 2023Fine$39,793—
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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