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Deficiency Records for Charlene Manor Extended Care Facility

A list of the most recent deficiencies for Charlene Manor Extended Care Facility. 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 Charlene Manor Extended Care Facility. 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?
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Health 2024-06-28 2024-08-10 Y
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2024-06-28 2024-08-10 Y
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2023-12-13 2024-01-27 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-12-13 2024-01-27 Y
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. Health 2023-12-13 2024-01-27 Y
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2023-09-18 2023-11-04 N
Ensure each resident receives an accurate assessment. Health 2023-09-18 2023-11-04 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2023-09-18 2023-11-04 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-09-18 2023-11-04 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-09-18 2023-11-04 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2023-09-18 2023-11-04 N
Provide care or services that was trauma informed and/or culturally competent. Health 2023-09-18 2023-11-04 N
Ensure that residents are free from significant medication errors. Health 2023-09-18 2023-11-04 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 2023-09-18 2023-11-04 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-09-18 2023-11-04 N
Provide and implement an infection prevention and control program. Health 2023-09-18 2023-11-04 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2023-09-18 2023-11-04 N
Allow residents to self-administer drugs if determined clinically appropriate. Health 2022-03-30 2022-05-12 N
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Health 2022-03-30 2022-05-12 N
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Health 2022-03-30 2022-05-12 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-03-30 2022-05-12 N
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. Health 2022-03-30 2022-05-12 N
Ensure each resident receives an accurate assessment. Health 2022-03-30 2022-05-12 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-03-30 2022-05-12 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 2022-03-30 2022-05-12 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2022-03-30 2022-05-12 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-03-30 2022-05-12 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-03-30 2022-05-12 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-03-30 2022-05-12 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 2022-03-30 2022-05-12 N
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Health 2022-03-30 2022-05-12 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-03-30 2022-05-12 N
Have restrictions on the use of portable space heaters. Fire Safety 2022-04-06 2022-04-18 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2022-01-04 2022-02-15 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-01-04 2022-02-15 Y
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2022-01-04 2022-02-15 Y
Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting. Health 2022-01-04 2022-02-15 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-01-04 2022-02-15 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2019-10-04 2019-10-25 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2019-10-04 2019-10-25 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 2019-10-04 2019-10-25 N
Ensure each resident receives an accurate assessment. Health 2019-10-04 2019-10-23 N

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