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Deficiency Records for Charlotte Health and Rehabilitation Center

A list of the most recent deficiencies for Charlotte Health and Rehabilitation Center. 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 Health and Rehabilitation Center. 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?
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2023-07-27 2023-09-10 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-07-27 2023-09-10 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-07-27 2023-09-10 N
Install corridor and hallway doors that block smoke. Fire Safety 2023-07-27 2023-09-10 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2023-07-27 2023-09-10 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2023-07-27 2023-09-10 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-07-27 2023-09-10 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2023-07-27 2023-09-10 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-07-27 2023-09-10 N
Have proper medical gas storage and administration areas. Fire Safety 2023-07-27 2023-09-10 N
Reasonably accommodate the needs and preferences of each resident. Health 2023-08-10 2023-09-07 N
Keep residents' personal and medical records private and confidential. Health 2023-08-10 2023-09-07 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 2023-08-10 2023-09-07 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 2023-08-10 2023-09-07 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-08-10 2023-09-07 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 2023-08-10 2023-09-07 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-08-10 2023-09-07 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2023-08-10 2023-09-07 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2022-05-12 2022-06-25 N
Reasonably accommodate the needs and preferences of each resident. Health 2022-04-14 2022-05-16 Y
Honor the resident's right to organize and participate in resident/family groups in the facility. Health 2022-04-14 2022-05-16 Y
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 2022-04-14 2022-05-16 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2022-04-14 2022-05-16 Y
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2022-04-14 2022-05-16 Y
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2022-04-14 2022-05-16 Y
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2022-04-14 2022-05-16 Y
Post nurse staffing information every day. Health 2022-04-14 2022-05-16 Y
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 2022-04-14 2022-05-16 Y
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2022-04-14 2022-05-16 Y
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Health 2022-04-14 2022-05-16 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-04-14 2022-05-16 Y
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2022-04-14 2022-05-16 Y
Provide and implement an infection prevention and control program. Health 2022-04-14 2022-05-16 Y
Provide and implement an infection prevention and control program. Health 2021-12-01 2021-12-21 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 2019-11-20 2020-02-15 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-11-20 2020-02-15 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2019-11-20 2020-02-15 N
Have simulated fire drills held at unexpected times. Fire Safety 2019-11-20 2020-02-15 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2019-11-20 2020-02-15 N
Assess the resident when there is a significant change in condition Health 2019-10-17 2019-11-14 N
Ensure each resident receives an accurate assessment. Health 2019-10-17 2019-11-14 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2019-10-17 2019-11-14 N
Make sure that a working call system is available in each resident's bathroom and bathing area. Health 2019-10-17 2019-11-14 N

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