CHAPEL RIDGE HEALTH AND REHAB Nursing Home


CHAPEL RIDGE HEALTH AND REHAB (CCN: 045364) is a For profit - Limited Liability company facility located in FORT SMITH, AR (72903). The facility has an overall rating of 4/5, health inspection rating of 4/5, and a staffing rating of 3/5. It offers 157 certified beds and maintains an average of 81.9 residents per day. The nursing staff includes Nurse Aides, LPNs, and RNs working 4.70978 total hours per resident per day. It has been certified since March 17, 2001 and the last listed health inspection was on November 18, 2022, The facility is located in Sebastian county and provides senior and nursing home care.

CHAPEL RIDGE HEALTH AND REHAB Summary


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Provider Name: CHAPEL RIDGE HEALTH AND REHAB

Address: 4623 ROGERS AVE, FORT SMITH, AR 72903

Phone: (479) 452-1541

County: Sebastian (650)

Ownership Type: For profit - Limited Liability company

Certified Beds: 157

Average Residents Per Day: 81.9 ()

Provider Type: Medicare and Medicaid, Resides in Hospital: No

Legal Business Name: CHAPEL RIDGE NURSING CENTER LLC

First Approved Date: March 17, 2001

Affiliated Entity: CENTRAL ARKANSAS NURSING CENTERS (129)

Retirement Community: N, Special Focus Status:

Ownership Change in Last 12 Months: N

Resident Family Council: Resident

Sprinkler System Status: Yes

Overall Rating: 4 ()

Health Inspection Rating: 4 ()

QM Rating: 2 ()

Long Stay QM Rating: 2 ()

Short Stay QM Rating: 1 ()

Staffing Rating: 3 ()

Staffing Report Note:

PT Staffing Note:

Nurse Aide Staff Hours Per Day, per resident: 3.48331, LPN Staff Hours Per Day: 1.0786, RN Staff Hours Per Day: 0.1478, Licensed Staff Hours Per Day: 1.2264

Total Nurse Staff Hours Per Day, per resident: 4.70978

Weekend Nurse Staff Hours: 4.07732, Weekend RN Staff Hours: 0.1151

PT Staff Hours Per Day, per resident: 0.0234

Nurse Staff Turnover: 59.5, Nurse Turnover Note:

RN Turnover: 50.0, RN Turnover Note:

Admin Left Number: 0, Admin Turnover Note:

Case Mix Nurse Aide Hours Per Day, per resident: 2.1247, Case Mix LPN Hours Per Day: 0.6733, Case Mix RN Hours Per Day: 0.2779

Adjusted Nurse Aide Hours Per Day, per resident: 3.33987, Adjusted LPN Hours Per Day: 1.1821, Adjusted RN Hours Per Day: 0.2004

Total Adjusted Nurse Hours Per Day, per resident: 4.82611

Adjusted Weekend Nurse Hours Per Day, per resident: 4.17803

Health Survey Dates and Scores: Cycle 1: 2022-11-18 (Score: 52), Cycle 2: 2021-07-23 (Score: 8), Cycle 3: 2020-02-28 (Score: 40)

Total Weighted Health Score: 35.333

Reported Incidents: 1, Substantiated Complaints: 2

Infection Control Citations: 0

Fines and Penalties: Number of Fines: 0, Total Fines in Dollars: 0.00, Payment Denials Number: 0, Total Penalties Number: 0

Location and GPS: 4623 ROGERS AVE,FORT SMITH,AR,72903 (35.3678, -94.381)

Process Date: 2024-03-01


Health Inspection Citations Details

Each record details specific health deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:

Citation on 2023-04-19

Type: Health, Deficiency: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2023-04-21

Citation on 2023-03-28

Type: Health, Deficiency: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2023-04-21

Citation on 2022-11-18

Type: Health, Deficiency: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2022-12-14

Citation on 2022-11-18

Type: Health, Deficiency: Assess the resident when there is a significant change in condition

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2022-12-14

Citation on 2022-11-18

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

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2022-12-14

Citation on 2022-11-18

Type: Health, Deficiency: Provide safe and appropriate respiratory care for a resident when needed.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2022-12-14

Citation on 2022-11-18

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

Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2022-12-14

Citation on 2021-07-23

Type: Health, Deficiency: Provide safe and appropriate respiratory care for a resident when needed.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2021-08-13

Citation on 2020-02-28

Type: Health, Deficiency: 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.

Severity: C - Level 1: No actual harm with potential for minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2020-02-28

Citation on 2020-02-28

Type: Health, Deficiency: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2020-03-27

Citation on 2020-02-28

Type: Health, Deficiency: Provide safe and appropriate respiratory care for a resident when needed.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2020-03-27

Citation on 2020-02-28

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

Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2020-03-27

Citation on 2020-02-28

Type: Health, Deficiency: Provide and implement an infection prevention and control program.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2020-03-27


Fire Safety Citations Details

Each record details specific fire safety deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:

Citation on 2022-11-14

Type: Fire Safety, Tag: 0321, Version: New

Description: Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2022-12-14

Citation on 2021-07-22

Type: Fire Safety, Tag: 0321, Version: New

Description: Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2021-08-13

Citation on 2021-07-22

Type: Fire Safety, Tag: 0761, Version: New

Description: To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2021-08-13

Citation on 2020-02-26

Type: Fire Safety, Tag: 0321, Version: New

Description: Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2020-03-27

Citation on 2020-02-26

Type: Fire Safety, Tag: 0712, Version: New

Description: Have simulated fire drills held at unexpected times.

Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2020-03-27