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Deficiency Records for Charlotte Hall Veterans Home
A list of the most recent deficiencies for Charlotte Hall Veterans Home. 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 Charlotte Hall Veterans Home. 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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-02-17 | 2023-04-21 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-02-17 | 2023-04-21 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-02-17 | 2023-04-21 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-02-17 | 2023-04-21 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-02-17 | 2023-04-21 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-02-17 | 2023-04-21 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-02-17 | 2023-04-21 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-02-17 | 2023-04-21 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-02-17 | 2023-04-21 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-02-17 | 2023-04-21 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-02-17 | 2023-04-21 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-02-17 | 2023-04-03 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-08-15 | 2022-10-10 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-08-15 | 2022-10-10 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-08-15 | 2022-10-10 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-08-15 | 2022-10-10 | N |
| Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | Health | 2022-08-15 | 2022-10-10 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-08-15 | 2022-10-10 | 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 | 2022-08-15 | 2022-10-10 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-08-15 | 2022-10-10 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-08-15 | 2022-10-10 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-08-15 | 2022-10-10 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2022-08-15 | 2022-10-10 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-08-15 | 2022-10-10 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-08-15 | 2022-10-10 | Y |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2022-08-12 | 2022-09-12 | N |
| Install proper backup exit lighting. | Fire Safety | 2022-08-12 | 2022-09-12 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-08-12 | 2022-09-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-12 | 2022-09-12 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-08-12 | 2022-09-12 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-08-12 | 2022-09-12 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-08-12 | 2022-09-12 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2022-08-12 | 2022-09-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-08-12 | 2022-09-12 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2022-08-12 | 2022-09-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-12-04 | 2019-04-02 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-12-04 | 2019-02-09 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-12-04 | 2019-02-09 | N |
| 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 | 2018-12-04 | 2019-02-09 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-12-04 | 2019-02-09 | 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 | 2018-12-04 | 2019-02-09 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2018-12-04 | 2019-02-09 | N |
| Provide or obtain dental services for each resident. | Health | 2018-12-04 | 2019-02-09 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2018-12-03 | 2019-01-31 | 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 | 2018-12-03 | 2019-01-31 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-12-03 | 2019-01-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-12-04 | 2018-10-20 | N |
| Install properly constructed windows in hallway walls or doors. | Fire Safety | 2017-08-09 | 2017-10-02 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2017-08-09 | 2017-10-02 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-08-09 | 2017-10-02 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2017-08-10 | 2017-09-15 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-08-10 | 2017-09-15 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-08-10 | 2017-09-15 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-08-10 | 2017-09-15 | N |
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