Deficiency Records for Charlotte Health and Rehabilitation Center
Updated as of July 01, 2020
This is not the most recent data for Charlotte Health and Rehabilitation Center. For the most recent information, click here.
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? |
|---|---|---|---|---|
| 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 |
| 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 |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-10-17 | 2019-11-14 | Y |
| Have exits that are accessible at all times. | Fire Safety | 2019-01-16 | 2019-02-26 | N |
| Install proper backup exit lighting. | Fire Safety | 2019-01-16 | 2019-02-26 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2019-01-16 | 2019-02-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-01-16 | 2019-02-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-01-16 | 2019-02-26 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-01-16 | 2019-02-26 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-01-16 | 2019-02-26 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-01-16 | 2019-02-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-01-16 | 2019-02-26 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-12-20 | 2019-01-17 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-12-20 | 2019-01-17 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2018-12-20 | 2019-01-17 | 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 | 2018-12-20 | 2019-01-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-12-20 | 2019-01-17 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2018-12-20 | 2019-01-17 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-12-20 | 2019-01-17 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-12-20 | 2019-01-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-12-20 | 2019-01-17 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-12-20 | 2019-01-17 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2018-12-20 | 2019-01-17 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-08-30 | 2018-09-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-08-30 | 2018-09-07 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2018-05-21 | 2018-06-11 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-05-21 | 2018-06-11 | Y |
| Have exits that are accessible at all times. | Fire Safety | 2018-03-22 | 2018-04-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-03-22 | 2018-04-30 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-03-22 | 2018-04-30 | N |
| Ensure electrical receptacles or cover plates have distinctive color or marking. | Fire Safety | 2018-03-22 | 2018-04-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-03-22 | 2018-04-30 | 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 | 2018-02-23 | 2018-03-23 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-02-23 | 2018-03-23 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-02-23 | 2018-03-23 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-02-23 | 2018-03-23 | 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 | 2018-02-23 | 2018-03-23 | N |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2017-09-08 | 2017-09-22 | 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 | 2017-09-08 | 2017-09-22 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-09-08 | 2017-09-22 | Y |
| Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . | Health | 2017-09-08 | 2017-09-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-06-16 | 2017-06-29 | Y |
