Deficiency Records for Charlotte Health and Rehabilitation Center
Updated as of March 01, 2024
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 appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-10-01 | 2021-12-01 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-10-01 | 2021-12-01 | 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 |
