Above average — CMS composite of the measures below.
A standard survey is most likely before around November 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Chosen Valley Care Center during CMS and state inspections, most recent first.
A resident with limited range of motion and a history of hemiplegia did not have her restorative program resumed after a hospitalization. Despite being discharged from therapy and expressing a desire to continue exercises, the facility failed to restart her restorative program. The therapy director assumed the program would restart, but it was not, and the restorative tech confirmed the absence of a program. The facility's policy required restorative care, but it was not provided.
The facility failed to monitor orthostatic blood pressures for residents on antipsychotic medications, despite physician orders and care plans indicating the need for such monitoring. Three residents, with varying degrees of cognitive impairment and requiring assistance with daily activities, did not have their orthostatic blood pressures checked as required. Interviews with staff confirmed the importance of this monitoring to prevent adverse side effects like hypotension, which could lead to increased falls.
A resident with moderately impaired cognition and multiple medical conditions did not receive necessary dental services after a routine referral was made. The facility's process for scheduling dental appointments broke down, as staff assumed the dentist would handle follow-up care. However, the resident was not listed as an active patient, leading to a lack of follow-up on the dental referral.
A facility failed to implement enhanced barrier precautions for a resident with a PICC line, despite the resident's need for such precautions due to an infection and the presence of a central IV access. The resident's room lacked PPE and signage, and antibiotics were administered without enhanced barrier PPE. The infection preventionist confirmed the need for precautions, but the facility's policy did not clearly include PICC lines, leading to non-compliance.
Failure to Resume Restorative Services for Resident Post-Hospitalization
Penalty
Summary
The facility failed to resume restorative services for a resident with limited range of motion following a hospitalization. The resident, who was cognitively intact and dependent on staff for activities of daily living, had a history of hemiplegia and hemiparesis following a cerebral infarction, chronic pain, and muscle weakness. Despite being discharged from physical and occupational therapy after returning to her prior level of functioning, the resident expressed a desire to continue exercises to improve her chances of going home. However, the facility did not restart her restorative program after her hospitalization, as confirmed by interviews with the therapy director and restorative techs. The therapy director assumed the restorative program would restart upon the resident's return from the hospital, but it was not. The restorative tech confirmed that the binder lacked a program for the resident, and the therapy department did not provide recommendations following the end of skilled services. The director of nursing expected therapy and the restorative nurse to follow up with the restorative program, but this did not occur. The facility's policy indicated that residents should receive restorative nursing care as needed, but this was not implemented for the resident in question.
Failure to Monitor Orthostatic Blood Pressures for Residents on Antipsychotics
Penalty
Summary
The facility failed to monitor orthostatic blood pressures for residents receiving antipsychotic medications, which is a necessary practice to identify potential adverse side effects such as hypotension. Three residents, identified as R6, R28, and R56, were reviewed for psychotropic medication use, and it was found that their orthostatic blood pressures had not been monitored as required. R6, who was cognitively intact and required extensive assistance with daily activities, had a physician's order to monitor orthostatic blood pressure every 30 days while on Quetiapine Fumarate, but no evidence of such monitoring was found in the past six months. Similarly, R28, with severe cognitive impairment, had a care plan that included monthly orthostatic blood pressure checks due to the risk of falls from psychotropic medications, yet no records of these checks were found. R56, also with severe cognitive impairment, had no orders for orthostatic blood pressure monitoring while on Haloperidol, despite the care plan indicating the need for such monitoring. Interviews with facility staff, including a registered nurse case manager, the director of nursing, and a consultant pharmacist, confirmed the importance of monitoring orthostatic blood pressures for residents on antipsychotic medications to prevent adverse side effects like hypotension, which could lead to increased falls. The facility's policy on antipsychotic medication use, dated July 2022, also required nursing staff to monitor and report side effects such as orthostatic hypotension to the attending physician. Despite these requirements, the facility did not complete the necessary monitoring, leading to a deficiency in care for the residents involved.
Failure to Arrange Dental Services for Resident
Penalty
Summary
The facility failed to arrange dental services for a resident after a non-urgent dental referral was made. The resident, who has moderately impaired cognition and several medical diagnoses including diabetes mellitus and epilepsy, was identified as needing a routine dental referral to address non-urgent dental care needs. Despite the resident's interest in obtaining new lower dentures, the facility did not follow through with the necessary arrangements for dental services. Interviews with facility staff revealed a breakdown in the process of scheduling dental appointments. The Community Care Coordinator (CCC) stated that after a dental screening form indicates a routine referral, additional paperwork must be completed and sent to her for scheduling. However, the resident had not been seen by a dentist, and the CCC speculated that the resident wished to be seen. The Licensed Practical Nurse (LPN) and case manager indicated that the process involves charting the screening form and reaching out to the resident's contact for paperwork completion, but this step was not completed for the resident in question. The Director of Social Services (DSS) and the Director of Nursing (DON) both believed that the dentist would handle follow-up appointments if a referral was made. However, it was discovered that the resident was not listed as an active patient with the dentist, contrary to the facility's records. This error contributed to the lack of follow-up on the dental referral, as the facility staff assumed the dentist would manage the scheduling and follow-up care.
Failure to Implement Enhanced Barrier Precautions for Resident with PICC Line
Penalty
Summary
The facility failed to implement enhanced barrier precautions (EBP) for a resident with a peripherally inserted central catheter (PICC) line, which was identified during a survey. The resident, who was cognitively intact, had a central IV access and was receiving antibiotics for an infection related to an internal knee prosthesis and sepsis. Despite the presence of a PICC line, the resident's room lacked any indication of EBP or personal protective equipment (PPE), and intravenous antibiotics were administered without the use of enhanced barrier PPE. The infection preventionist confirmed that residents with indwelling medical devices, such as PICC lines, should be placed on EBP to prevent the spread of infections. However, the facility's policy, which included a handwritten addendum, did not clearly include PICC lines under EBP requirements. The director of nursing acknowledged that staff had discussed EBP for PICC lines upon the resident's admission but failed to implement them, indicating a lack of clarity and adherence to the necessary precautions.
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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 Chatfield
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Whitewater Health Services | 10.8 mi | ★★★★★ | 3 | 0 |
| Spring Valley Care Center | 14.6 mi | ★★★★★ | 15 | 0 |
| Stewartville Care Center | 15.5 mi | ★★★★★ | 2 | 0 |
| Rochester Restorative Care Center | 18.3 mi | ★★★★★ | 36 | 1 |
| Charter House Inc | 19.2 mi | ★★★★★ | 4 | 0 |
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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 July 2026) and official state health department websites.