CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Charlene Manor Extended Care Facility
View the most recent health deficiencies and inspection results for Charlene Manor Extended Care Facility. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Charlene Manor Extended Care Facility. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2026-02-26 | 2026-03-28 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2026-02-26 | 2026-03-28 | 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 | 2026-02-26 | 2026-03-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-05-06 | 2025-05-30 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-03-12 | 2025-04-11 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-11-06 | 2024-12-26 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-11-06 | 2024-12-26 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-11-06 | 2024-12-26 | N |
| Provide appropriate foot care. | Health | 2024-11-06 | 2024-12-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-11-06 | 2024-12-26 | 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 | 2024-11-06 | 2024-12-26 | 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 | 2024-11-06 | 2024-12-26 | 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 | 2024-11-06 | 2024-12-26 | 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 | 2024-11-06 | 2024-12-26 | N |
| Post nurse staffing information every day. | Health | 2024-11-06 | 2024-12-26 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-11-06 | 2024-12-26 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-11-06 | 2024-12-26 | N |
| Provide or obtain dental services for each resident. | Health | 2024-11-06 | 2024-12-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-11-06 | 2024-12-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-11-06 | 2024-12-26 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2024-11-06 | 2024-12-26 | 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 | 2024-11-06 | 2024-12-26 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-11-06 | 2024-12-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-11-06 | 2024-12-26 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-11-06 | 2024-12-26 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-11-06 | 2024-12-26 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-11-06 | 2024-12-26 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-11-06 | 2024-12-26 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2024-11-06 | 2024-12-26 | 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 | 2024-11-06 | 2024-12-26 | N |
| Assess the resident when there is a significant change in condition | Health | 2024-11-06 | 2024-12-26 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-11-06 | 2024-12-26 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-11-06 | 2024-12-26 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-11-06 | 2024-12-26 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-11-06 | 2024-12-26 | N |
| 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 |
| 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 |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | 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 |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-13 | 2024-01-27 | Y |
| 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 |
| Provide and implement an infection prevention and control program. | 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 |
| 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 |
| Ensure that residents are free from significant medication errors. | 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 |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | 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 appropriate treatment and care according to orders, resident?s preferences and goals. | 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 |
| Ensure each resident receives an accurate assessment. | Health | 2023-09-18 | 2023-11-04 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-09-18 | 2023-11-04 | N |