Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around October 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Chatham Hills Subacute Care Center during CMS and state inspections, most recent first.
A resident on Enhanced Barrier Precautions (EBP) did not receive care in accordance with infection control protocols. Two CNAs were observed not wearing the required PPE while providing ADLs, despite signage indicating the need for gloves and gowns. The DON cited the high number of residents on EBP as a challenge for placing supplies at each room, leading to non-compliance with the facility's infection control policy.
The facility failed to ensure staff wore appropriate PPE for residents on Enhanced Barrier Precautions, as observed in two cases. One resident's incontinence check was initially conducted without a gown, and another resident with a gall bladder drain tube had no EBP sign or PPE bin at their door. Both instances violated the facility's EBP policy.
The facility failed to handle potentially hazardous foods safely, as observed by surveyors. In the walk-in freezer, hamburger patties and hot dogs were found without labels or dates, and the inner bags were open. Additionally, outdated cereal boxes were found in the South unit pantry. The facility's policies require all food to be labeled and dated, which was not followed, leading to the deficiency.
The facility failed to clarify duplicate orders for Ferrous Sulfate and did not obtain Pregabalin for pain management for two residents. One resident received both tablet and liquid forms of Ferrous Sulfate simultaneously, while another did not receive Pregabalin for several days due to unavailability from the pharmacy.
The facility failed to serve meals in a dignified manner, with residents at the same table receiving meals at different times over three days. Staff interviews confirmed that residents should be served together, but the new Food Service Director sent trays by room number, not table seating, contrary to the facility's policy.
A facility failed to deliver mail to residents in a timely manner, resulting in a resident missing important Social Security correspondence. The delay occurred due to a covering social worker's unfamiliarity with the mail process during the DSS's maternity leave. The issue was resolved when a new social worker discovered and distributed the undelivered mail.
Two residents in a LTC facility, both severely cognitively impaired and dependent on staff for eating, were not provided with necessary meal assistance. One resident was found with an untouched lunch tray, while another did not receive a lunch tray until it was brought to staff's attention. The facility's policy on resident dining was not adhered to, contributing to this deficiency.
The facility failed to maintain a sanitary environment by not keeping the garbage container area free of debris and trash. During a kitchen tour, a surveyor observed debris and trash around the dumpster area, which the Food Service Director stated was the responsibility of housekeeping. The facility's Waste Management Policy requires the area to be kept clean and clear at all times.
Failure to Follow Enhanced Barrier Precautions
Penalty
Summary
The facility failed to ensure staff followed Enhanced Barrier Precautions (EBP) while providing Activities of Daily Living (ADLs) care for a resident on EBP. The resident, who was admitted with diagnoses including surgical aftercare following surgery on the digestive system, was observed in a room with an EBP sign indicating the need for gloves and a gown during high-contact care activities. However, two Certified Nurse Aides (CNAs) were observed not wearing the required personal protective equipment (PPE) while providing care and handling soiled linens. Interviews with the CNAs revealed a lack of awareness and understanding of the EBP requirements, with one CNA stating the absence of a PPE cart as the reason for not donning PPE. The Director of Nursing (DON) acknowledged the issue, citing the high number of residents on EBP as a challenge for placing supplies at each room. The facility's policy mandates the use of gloves and gowns during high-contact activities for residents on EBP, but this was not adhered to, increasing the risk of infection spread.
Failure to Adhere to Enhanced Barrier Precautions
Penalty
Summary
The facility failed to ensure that staff wore the appropriate personal protective equipment (PPE) for residents on Enhanced Barrier Precautions (EBP) to reduce the transmission of multidrug-resistant organisms (MDROs). This deficiency was observed for two residents on two different units. In one instance, the Infection Preventionist (IP) did not initially wear a gown while performing an incontinence check on a resident, despite the EBP sign indicating the need for both gloves and a gown. The IP acknowledged the mistake and corrected it after the surveyor pointed it out. The resident had been admitted with diagnoses including secondary malignant neoplasm of the breast and hemothorax, and had a physician order for EBP due to the risk of MDROs. The care plan also specified the need for gown and gloves during high-contact activities, which was not initially followed by the IP. In another instance, a resident with a gall bladder drain tube did not have an EBP sign or PPE bin at their door. The surveyor observed the resident multiple times without the required signage or PPE bin. During an incontinence check, the Registered Nurse/Unit Manager (RN/UM) only wore gloves and not a gown, despite handling the resident's biliary drain tube. The resident had been admitted with diagnoses including acute cholecystitis, immunodeficiency, and obstruction of the bile duct, and had a physician order for EBP due to the risk of MDROs. The care plan also specified the need for gown and gloves during high-contact activities, which was not followed by the RN/UM. The facility's policy on Enhanced Barrier Precautions required the use of gown and gloves for high-contact activities and the posting of signs indicating the type of precautions and PPE required. The policy also mandated that PPE be available outside the resident rooms. The RN/UM and the Director of Nursing (DON) acknowledged the lapses in following the EBP protocol during meetings with the survey team. The facility's failure to adhere to its own EBP policy was evident in the observations and interviews conducted by the surveyors.
Deficient Food Handling and Storage Practices
Penalty
Summary
The facility failed to handle potentially hazardous foods and maintain sanitation in a safe and consistent manner, as observed during a survey. In the walk-in freezer, a box of hamburger patties and a box of hot dogs were found without labels or dates, and the inner plastic bags were open to the air. The Food Service Director (FSD) acknowledged that these items should have been labeled with received and opened dates, and the bags should have been closed. Additionally, a fry basket contained an item resembling a french fry, despite no fried foods being prepared for breakfast that day. Further inspection revealed outdated food items in the South unit pantry, including a box of corn flakes with a date of May 1, 2023, and a box of rolled oat cereal with a date of February 14, 2023. The facility's policies on food receiving and storage, as well as refrigerator and freezer management, require all food to be covered, labeled, and dated, with supervisors responsible for ensuring food items are not expired. These policies were not adhered to, contributing to the deficiency.
Failure to Clarify Medication Orders and Obtain Pain Medication
Penalty
Summary
The facility failed to provide pharmaceutical services in accordance with professional standards by not clarifying duplicate physician's orders for Ferrous Sulfate and failing to obtain a medication for pain for two residents. For Resident #63, the facility had duplicate orders for Ferrous Sulfate in both tablet and liquid form, which were both administered on the same day. The LPN acknowledged that the Ferrous Sulfate 325 mg tablets should have been discontinued but did not address why both forms were administered simultaneously. For Resident #133, the facility failed to administer Pregabalin capsules for pain management from 9/6/23 to 9/13/23 due to the medication being unavailable from the pharmacy. The facility documented that they were awaiting a delivery from the pharmacy and a prescription from the physician. Despite notifying the physician, the medication was not provided during this period, resulting in the resident not receiving their prescribed pain management. The facility's policies for medication administration and physician orders require that any orders needing clarification be addressed with the physician and that any concerns about medication dosages or potential adverse consequences be communicated. However, these policies were not followed, leading to the deficiencies observed by the surveyors.
Failure to Serve Meals Dignifiedly
Penalty
Summary
The facility failed to ensure that residents were served their meals in a dignified manner during meal service, as observed by surveyors over three consecutive days. On the first day, a staff member was seen feeding one resident while another resident at the same table was not eating or being fed. Additionally, several tables had residents who were served their meals at different times, with some residents waiting for their meals while others at the same table were already eating. The meal trays did not arrive on the same cart, leading to staggered serving times. This pattern continued over the next two days, with residents at the same table being served meals at different times, sometimes with a delay of several minutes. Interviews with facility staff, including an LPN and the Administrator, confirmed that residents at the same table should be served together to maintain dignity. The Administrator attributed the issue to the new Food Service Director, who was sending trays by room number rather than by table seating. The facility's Resident Dining Policy, dated April 14, 2024, indicated that rounds and audits should be conducted to ensure residents at each table are served together, highlighting a failure to adhere to this policy.
Failure to Deliver Resident Mail Timely
Penalty
Summary
The facility failed to provide timely delivery of mail to residents, including on Saturdays, which resulted in a significant delay in a resident receiving important correspondence. This deficiency was identified during a resident council group meeting where a resident reported not receiving mail from November 2023 until mid-March 2024. The resident was expecting a letter from Social Security, which was delayed, leading to a disqualification due to a missed deadline. The facility had to intervene to rectify the situation and secure the resident's Social Security services. The delay in mail delivery was attributed to a lack of awareness and action by a covering social worker who was unfamiliar with the mail delivery process during the Director of Social Services' maternity leave. The business office manager sorted the mail, but important mail was not delivered to residents in a timely manner. When a new social worker started in mid-March, they discovered the undelivered mail and distributed it to the residents. The facility's policy stated that mail should be delivered daily, but this was not adhered to, leading to the deficiency.
Failure to Provide Meal Assistance to Dependent Residents
Penalty
Summary
The facility failed to consistently provide meal assistance to residents who were dependent on staff for activities of daily living. This deficiency was observed in two residents, Resident #32 and Resident #10, during a survey. Resident #32, who was severely cognitively impaired and dependent on staff for eating, was observed with an untouched lunch tray, indicating that no assistance was provided. The resident's medical records showed a diagnosis of cerebral infarction, hemiplegia, hemiparesis, and dysphagia, requiring a specific diet and assistance with meals. Despite these needs, the resident was left unattended with a meal tray that had not been opened or consumed. Similarly, Resident #10, who also had severe cognitive impairment and required supervision for eating, did not receive a lunch tray until it was brought to the attention of the staff by the surveyor. The resident expressed hunger and confirmed not having eaten, which was corroborated by the absence of a lunch tray on the bedside table. The resident's medical records indicated a diagnosis of dysphagia and malnutrition, necessitating a puree solids diet and nectar thickened liquids, along with supervision during meals. The staff's failure to ensure the resident received and was assisted with their meal was a clear oversight. The facility's policy on resident dining was reviewed, which stated that audits are conducted to ensure residents' dining needs are met. However, during a meeting with the survey team, the facility's administration acknowledged that no patient should be missed for meal pass, and no additional information was provided regarding audits as per the dining policy. This lack of adherence to the policy contributed to the deficiency observed in the care of Residents #32 and #10.
Improper Disposal of Garbage and Refuse
Penalty
Summary
The facility failed to maintain a sanitary environment by not keeping the garbage container area free of debris and trash. During an initial kitchen tour, a surveyor observed debris and trash, including cardboard and paper, around the dumpster area. The Food Service Director indicated that housekeeping was responsible for maintaining this area. The facility's Waste Management Policy, dated January 3, 2024, specifies that the area around the container should be kept clean and clear at all times. This deficiency was identified during a survey conducted on May 22, 2024, and was confirmed through an interview with the Administrator on May 29, 2024, who stated that the area was cleaned immediately after the surveyor's observation.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Chatham
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Pine Acres Rehabilitation And Healthcare | 1.7 mi | — | 9 | 0 |
| Spring Grove Rehabilitation And Healthcare Center | 2.7 mi | — | 18 | 0 |
| Cheshire Home | 2.8 mi | — | 8 | 0 |
| Florham Park Rehabilitation And Healthcare Center | 3 mi | — | 0 | 0 |
| Continuing Care At Lantern Hill | 3.9 mi | — | 4 | 1 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.