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Deficiency Records for Charlestown Place at New Albany
A list of the most recent deficiencies for Charlestown Place at New Albany. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Charlestown Place at New Albany. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-05-03 | 2024-05-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-03 | 2024-05-21 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-02-22 | 2024-03-04 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-02-22 | 2024-03-04 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2024-01-25 | 2023-12-18 | Y |
| Meet other general requirements. | Fire Safety | 2023-08-24 | 2023-09-08 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-08-24 | 2023-09-08 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-08-24 | 2023-09-08 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2023-08-24 | 2023-09-08 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-08-24 | 2023-09-08 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-08-24 | 2023-09-08 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-08-24 | 2023-09-08 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-08-24 | 2023-09-08 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-08-24 | 2023-09-08 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-08-24 | 2023-09-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-24 | 2023-09-08 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-08-24 | 2023-09-08 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-08-24 | 2023-09-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-08-24 | 2023-09-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-08-24 | 2023-09-08 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2023-08-24 | 2023-09-08 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-08-21 | 2023-08-24 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-07-31 | 2023-08-18 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-07-31 | 2023-08-18 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-07-31 | 2023-08-18 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-07-31 | 2023-08-18 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-07-31 | 2023-08-18 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-07-31 | 2023-08-18 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-07-31 | 2023-08-18 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2023-07-31 | 2023-08-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-31 | 2023-08-18 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-07-31 | 2023-08-18 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-01-27 | 2023-01-31 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-01-27 | 2023-01-31 | Y |
| 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. | Health | 2023-01-27 | 2023-01-31 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-12-21 | 2022-12-22 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2022-07-26 | 2022-09-22 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2022-07-26 | 2022-09-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-07-26 | 2022-09-22 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-07-26 | 2022-09-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-07-26 | 2022-09-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-12 | 2022-07-29 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-07-12 | 2022-07-29 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-07-12 | 2022-07-29 | N |
| Provide or obtain dental services for each resident. | Health | 2022-07-12 | 2022-07-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-07-12 | 2022-07-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-20 | 2022-06-06 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-05-20 | 2022-06-06 | Y |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2022-05-20 | 2022-06-06 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-30 | 2022-04-07 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-03-11 | 2022-04-01 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-11 | 2022-04-01 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-03-11 | 2022-04-01 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2022-03-11 | 2022-04-01 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-22 | 2022-01-07 | Y |
| Provide appropriate foot care. | Health | 2021-12-22 | 2022-01-07 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2021-12-22 | 2022-01-07 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-12-22 | 2022-01-07 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-11-17 | 2021-11-26 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-11-17 | 2021-11-26 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-11-17 | 2021-11-26 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-10-28 | 2021-11-19 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-10-28 | 2021-11-19 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-10-28 | 2021-11-19 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-10-28 | 2021-11-19 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2021-05-26 | 2021-07-19 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-05-26 | 2021-07-19 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-05-26 | 2021-07-19 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-05-26 | 2021-07-19 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-05-26 | 2021-07-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-05-26 | 2021-07-19 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-05-26 | 2021-07-19 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2021-05-26 | 2021-07-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-05-26 | 2021-07-19 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-05-26 | 2021-07-19 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-05-26 | 2021-07-19 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-05-26 | 2021-07-19 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-05-26 | 2021-07-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-05-10 | 2021-05-12 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2021-05-10 | 2021-05-12 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-05-10 | 2021-05-12 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-05-10 | 2021-05-12 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2021-05-10 | 2021-05-12 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2021-05-10 | 2021-05-12 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2021-05-10 | 2021-05-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-05-10 | 2021-05-12 | N |
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