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Deficiency Records for Charleston Healthcare Center
A list of the most recent deficiencies for Charleston Healthcare 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 Charleston Healthcare 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? |
|---|---|---|---|---|
| Respond appropriately to all alleged violations. | Health | 2024-05-08 | 2024-05-23 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2024-05-08 | 2024-05-23 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-01-24 | 2024-02-14 | 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 | 2024-01-24 | 2024-02-14 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-24 | 2024-02-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-24 | 2024-02-14 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-01-24 | 2024-02-14 | Y |
| Post nurse staffing information every day. | Health | 2024-01-24 | 2024-02-14 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-24 | 2024-02-14 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-01-24 | 2024-02-14 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-01-24 | 2024-02-14 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-01-24 | 2024-02-14 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-11-07 | 2023-12-28 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-11-07 | 2023-12-28 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-11-07 | 2023-12-28 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-07 | 2023-12-28 | 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 | 2023-11-07 | 2023-12-28 | Y |
| Assist a resident in gaining access to vision and hearing services. | Health | 2023-11-07 | 2023-12-28 | Y |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2023-11-07 | 2023-12-28 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-09-07 | 2023-10-13 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-09-07 | 2023-10-13 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-09-07 | 2023-10-13 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-09-07 | 2023-10-13 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-07 | 2023-10-13 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-09-07 | 2023-10-13 | Y |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-09-07 | 2023-10-13 | Y |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-09-07 | 2023-10-13 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-09-07 | 2023-10-13 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2023-05-03 | 2023-06-02 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-05-03 | 2023-06-02 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-05-03 | 2023-06-02 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-03 | 2023-06-02 | Y |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-05-03 | 2023-06-02 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-05-03 | 2023-06-02 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-05-03 | 2023-06-02 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-11-16 | 2023-01-10 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2022-11-16 | 2023-01-10 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-11-16 | 2023-01-10 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-11-16 | 2023-01-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-11-16 | 2023-01-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-16 | 2023-01-10 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2022-11-16 | 2023-01-10 | N |
| Provide appropriate foot care. | Health | 2022-11-16 | 2023-01-10 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2022-11-16 | 2023-01-10 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-11-16 | 2023-01-10 | 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 | 2022-11-16 | 2023-01-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-11-16 | 2023-01-10 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-11-16 | 2023-01-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-11-16 | 2023-01-10 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-11-16 | 2022-12-08 | N |
| Construct fire resistant interior walls. | Fire Safety | 2022-11-16 | 2022-12-08 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-11-16 | 2022-12-08 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-07-28 | 2022-08-16 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-07-28 | 2022-08-16 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-02 | 2022-04-05 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-03-02 | 2022-04-05 | 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 | 2021-12-14 | 2022-02-01 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-12-14 | 2022-02-01 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2021-12-14 | 2022-02-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-14 | 2022-02-01 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-12-14 | 2022-02-01 | Y |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-08-04 | 2021-09-30 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-08-04 | 2021-09-30 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-08-04 | 2021-09-30 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-08-04 | 2021-09-30 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2021-08-04 | 2021-09-30 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-08-05 | 2021-09-15 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-08-05 | 2021-09-15 | 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 | 2021-08-05 | 2021-09-15 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-08-05 | 2021-09-15 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-08-05 | 2021-09-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-08-05 | 2021-09-15 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-08-05 | 2021-09-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-08-05 | 2021-09-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-08-05 | 2021-09-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-08-05 | 2021-09-15 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-08-05 | 2021-09-15 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-08-05 | 2021-09-15 | 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 | 2021-08-05 | 2021-09-15 | 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 | 2021-08-05 | 2021-09-15 | 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 | 2021-08-05 | 2021-09-15 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2021-08-05 | 2021-09-15 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-08-05 | 2021-09-15 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-03-06 | 2019-12-31 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2019-03-12 | 2019-05-18 | 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 | 2019-03-12 | 2019-05-18 | N |
| Keep complete, dated laboratory records in the resident's record. | Health | 2019-03-12 | 2019-05-18 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2019-03-12 | 2019-05-18 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-03-12 | 2019-05-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-03-12 | 2019-05-18 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2019-03-12 | 2019-05-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-12 | 2019-05-18 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-03-12 | 2019-05-09 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-03-12 | 2019-05-09 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-03-12 | 2019-05-09 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-03-12 | 2019-05-09 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-03-12 | 2019-05-09 | N |
| Respond appropriately to all alleged violations. | Health | 2019-03-12 | 2019-05-09 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-03-12 | 2019-05-09 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-03-12 | 2019-05-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-03-12 | 2019-05-09 | 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 | 2019-03-12 | 2019-05-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-03-12 | 2019-05-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-03-12 | 2019-05-09 | 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 | 2019-03-12 | 2019-05-09 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-03-12 | 2019-05-09 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-03-12 | 2019-05-09 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2019-03-12 | 2019-05-09 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2019-03-12 | 2019-05-09 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2019-03-12 | 2019-05-09 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2019-03-12 | 2019-05-09 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-03-12 | 2019-05-09 | N |
| 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 | 2019-03-12 | 2019-05-09 | N |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2019-03-12 | 2019-04-16 | 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 | 2019-03-12 | 2019-04-16 | N |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2019-03-12 | 2019-04-16 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-03-12 | 2019-04-16 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-03-12 | 2019-04-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-03-06 | 2019-03-29 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-03-06 | 2019-03-22 | N |
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