Deficiency Records for Charlene Manor Extended Care Facility
Updated as of May 01, 2019
This is not the most recent data for Charlene Manor Extended Care Facility. For the most recent information, click here.
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? |
|---|---|---|---|---|
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2018-07-17 | 2018-08-31 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-07-17 | 2018-08-31 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-07-17 | 2018-08-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-07-17 | 2018-08-31 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-07-17 | 2018-08-31 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-07-17 | 2018-08-31 | 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 ne | Health | 2018-07-17 | 2018-08-31 | 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 | 2018-07-17 | 2018-08-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-07-17 | 2018-08-31 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-07-17 | 2018-08-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-07-17 | 2018-08-31 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-04-25 | 2017-06-09 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-04-25 | 2017-06-09 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-10-25 | 2016-12-07 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-06-24 | 2016-10-12 | Y |
| Exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2016-04-11 | 2016-05-25 | N |
| Properly maintained smoke detectors. | Fire Safety | 2016-04-11 | 2016-05-25 | N |
| Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2016-04-11 | 2016-05-25 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2016-04-11 | 2016-05-25 | N |
| Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. | Health | 2016-03-24 | 2016-05-08 | N |
| Provide housekeeping and maintenance services. | Health | 2016-03-24 | 2016-05-08 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-03-24 | 2016-05-08 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-03-24 | 2016-05-08 | N |
| Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. | Health | 2016-03-24 | 2016-05-08 | N |
