CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Charlestown Community Inc
View the most recent health deficiencies and inspection results for Charlestown Community Inc. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Charlestown Community Inc. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| 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 | 2025-09-19 | 2026-01-06 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2025-09-19 | 2026-01-06 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-09-19 | 2026-01-06 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-09-19 | 2026-01-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-09-19 | 2026-01-06 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2025-09-19 | 2026-01-06 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-09-19 | 2026-01-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-09-19 | 2026-01-06 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2025-09-19 | 2026-01-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-09-19 | 2026-01-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-09-19 | 2026-01-06 | N |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2025-09-19 | 2025-11-05 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-09-19 | 2025-11-05 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2025-09-19 | 2025-11-05 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-09-19 | 2025-11-05 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2025-09-19 | 2025-11-05 | 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 | 2025-09-19 | 2025-11-05 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-09-19 | 2025-11-05 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-09-19 | 2025-11-05 | N |
| Respond appropriately to all alleged violations. | Health | 2025-09-19 | 2025-11-05 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-14 | 2023-09-22 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-07-14 | 2023-09-22 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-07-14 | 2023-09-22 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2023-07-14 | 2023-09-22 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2023-07-14 | 2023-09-22 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2023-07-14 | 2023-09-22 | 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 | 2023-07-14 | 2023-09-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-07-14 | 2023-09-22 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-07-14 | 2023-09-22 | N |
| Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space. | Health | 2023-07-14 | 2023-09-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-14 | 2023-09-22 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-07-14 | 2023-09-22 | Y |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-07-14 | 2023-08-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-07-14 | 2023-08-28 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-07-14 | 2023-08-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-07-14 | 2023-08-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-07-14 | 2023-08-28 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-07-14 | 2022-09-26 | Y |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-01-11 | 2019-04-10 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-01-11 | 2019-04-10 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-01-11 | 2019-04-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-01-11 | 2019-04-10 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2019-01-11 | 2019-04-10 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2019-01-11 | 2019-04-10 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2019-01-11 | 2019-04-10 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-01-11 | 2019-04-10 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-01-11 | 2019-04-10 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-01-11 | 2019-04-10 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2019-01-11 | 2019-04-01 | 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 | 2019-01-11 | 2019-04-01 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-01-11 | 2019-04-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-01-11 | 2019-04-01 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-01-11 | 2019-04-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-01-11 | 2019-04-01 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-01-11 | 2019-04-01 | 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 | 2019-01-11 | 2019-04-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-01-11 | 2019-04-01 | N |
| Ensure a qualified health professional conducts resident assessments. | Health | 2019-01-11 | 2019-04-01 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-01-11 | 2019-04-01 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-01-11 | 2019-04-01 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2019-01-11 | 2019-04-01 | N |
| Assess the resident when there is a significant change in condition | Health | 2019-01-11 | 2019-04-01 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-01-11 | 2019-04-01 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-01-11 | 2019-04-01 | N |
| Respond appropriately to all alleged violations. | Health | 2019-01-11 | 2019-04-01 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-01-11 | 2019-04-01 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2019-01-11 | 2019-04-01 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-01-11 | 2019-04-01 | N |