Chestnut Ridge: Untrained Staff Performed CPR - CA
CNA 3 told inspectors she would perform chest compressions at 15 per minute if she found an unresponsive resident. The correct rate is 100 to 120 compressions per minute, according to the facility's own director of nursing.
The nursing assistant, hired in an unspecified recent timeframe, admitted she had never provided a copy of her CPR certificate to the facility. She demonstrated a fundamental misunderstanding of life-saving procedures that the director of nursing described as essential for quality care.
"In order to deliver quality CPR, staff members must use a backboard and the Ambu-bag," the director of nursing explained to inspectors. The backboard goes under the resident during compressions, while the Ambu-bag provides two rescue breaths after every 30 compressions.
CNA 3's technique fell catastrophically short of these standards. At 15 compressions per minute, she would deliver chest compressions at roughly one-eighth the medically necessary rate. Current CPR guidelines require continuous compressions at 100 to 120 per minute to maintain blood circulation to vital organs during cardiac arrest.
The nursing assistant also told inspectors she would "put the resident's chin up" before starting CPR, suggesting additional gaps in her emergency response training.
Federal inspectors classified the violation as immediate jeopardy, meaning the facility's practices posed a serious risk of significant injury, harm, impairment or death to residents. The designation triggers heightened federal oversight and potential termination from Medicare and Medicaid programs.
The facility's director of staff development acknowledged responsibility for ensuring all nursing staff maintain current, non-expired licenses and certifications. Despite this duty, she confirmed that CNA 3 had worked at the facility since her hire date without providing proof of CPR certification.
The director of nursing outlined the facility's emergency response protocol during her interview with inspectors. Staff members who discover an unresponsive resident should check for breathing, call out for help, and immediately begin CPR. Other staff members can then call 911 and verify the resident's code status while compressions continue.
This systematic breakdown in credentialing and training oversight left vulnerable residents at risk during medical emergencies. Nursing homes serve some of the most medically fragile populations, with many residents requiring immediate intervention during cardiac or respiratory crises.
The inspection report does not indicate how long CNA 3 worked without valid certification or whether she actually performed CPR on any residents during that period. The complaint investigation that triggered the inspection suggests concerns about the facility's emergency response capabilities had reached outside observers.
Chestnut Ridge Post Acute operates on South Central Avenue in Glendale, serving residents who depend on staff competency during life-threatening emergencies. The facility must now demonstrate to federal regulators how it will prevent uncertified staff from performing critical medical procedures.
The immediate jeopardy finding affects few residents according to the inspection classification, but the implications extend throughout the facility's emergency response system. Every resident faces potential risk when staff lack proper training and certification for life-saving interventions.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Chestnut Ridge Post Acute LLC from 2026-01-02 including all violations, facility responses, and corrective action plans.
Additional Resources
- View all inspection reports for Chestnut Ridge Post Acute LLC
- Browse all CA nursing home inspections
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: June 13, 2026 · Our methodology
CHESTNUT RIDGE POST ACUTE LLC in GLENDALE, CA was cited for violations during a health inspection on January 2, 2026.
CNA 3 told inspectors she would perform chest compressions at 15 per minute if she found an unresponsive resident.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.
Frequently Asked Questions
- What happened at CHESTNUT RIDGE POST ACUTE LLC?
- CNA 3 told inspectors she would perform chest compressions at 15 per minute if she found an unresponsive resident.
- How serious are these violations?
- Violation severity varies from minor documentation issues to serious safety concerns. Review the inspection report for specific deficiency codes and scope. All violations must be corrected within required timeframes and are subject to follow-up verification inspections.
- What should families do?
- Families should: (1) Ask facility administration about specific corrective actions taken, (2) Request to see the follow-up inspection report verifying corrections, (3) Check if this represents a pattern by reviewing prior inspection reports, (4) Compare this facility's ratings with other nursing homes in GLENDALE, CA, (5) Report any new concerns directly to state authorities.
- Where can I see the full inspection report?
- The complete inspection report is available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request a copy directly from CHESTNUT RIDGE POST ACUTE LLC or from the state Department of Health. The report includes specific deficiency codes, facility responses, and correction timelines. This facility's federal provider number is 056190.
- Has this facility had violations before?
- To check CHESTNUT RIDGE POST ACUTE LLC's history, visit Medicare.gov's Care Compare and review their inspection history, quality ratings, and staffing levels. Look for patterns of repeated violations, especially in critical areas like abuse prevention, medication management, infection control, and resident safety.