Chelsea Gardens

Scope/severity J — IMMEDIATE JEOPARDY

Survey 2026-03-09 · Tag F0656 · Complaint investigation · Deficient, Provider has no plan of correction

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

What this scope/severity letter means: CMS found the facility's failure caused, or was likely to cause, serious injury, harm, impairment, or death to a resident. This is the most serious finding a surveyor can make. Affected one resident or instance. How the A–L grid works

Scope/severity J — IMMEDIATE JEOPARDY

Survey 2026-03-09 · Tag F0689 · Complaint investigation · Deficient, Provider has no plan of correction

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

What this scope/severity letter means: CMS found the facility's failure caused, or was likely to cause, serious injury, harm, impairment, or death to a resident. This is the most serious finding a surveyor can make. Affected one resident or instance. How the A–L grid works

Scope/severity K — IMMEDIATE JEOPARDY

Survey 2024-11-13 · Tag F0692 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2024-11-14

Provide enough food/fluids to maintain a resident's health.

What this scope/severity letter means: CMS found a pattern of failures that caused, or were likely to cause, serious injury, harm, impairment, or death. This is the most serious finding a surveyor can make. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2026-03-09 · Tag F0609 · Complaint investigation · No revisit needed · Correction reported 2026-04-15

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2024-11-13 · Tag F0641 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2024-12-02

Ensure each resident receives an accurate assessment.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity E — Potential for harm

Survey 2024-08-01 · Tag F0755 · Routine survey · Deficient, Provider has date of correction · Correction reported 2024-08-20

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm, and it happened repeatedly. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2024-08-01 · Tag F0812 · Routine survey · Deficient, Provider has date of correction · Correction reported 2024-08-20

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2023-05-23 · Tag F0661 · Routine survey · Deficient, Provider has date of correction · Correction reported 2023-06-08

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity E — Potential for harm

Survey 2023-05-23 · Tag F0689 · Routine survey · Deficient, Provider has date of correction · Correction reported 2023-06-09

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm, and it happened repeatedly. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2023-05-23 · Tag F0693 · Routine survey · Deficient, Provider has date of correction · Correction reported 2023-06-09

Ensure 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.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2023-05-23 · Tag F0695 · Routine survey · Deficient, Provider has date of correction · Correction reported 2023-06-09

Provide safe and appropriate respiratory care for a resident when needed.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity F — Potential for harm

Survey 2023-05-23 · Tag F0812 · Routine survey · Deficient, Provider has date of correction · Correction reported 2023-06-09

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm, and it affected the facility broadly. How the A–L grid works

Scope/severity C — No harm, minimal risk

Survey 2023-05-23 · Tag F0732 · Routine survey · Deficient, Provider has date of correction · Correction reported 2023-06-09

Post nurse staffing information every day.

What this scope/severity letter means: A minor issue found throughout the facility, with little potential for harm. How the A–L grid works