Deficiency Records for Charlesgate Nursing Center
Updated as of June 01, 2023
This is not the most recent data for Charlesgate Nursing Center. For the most recent information, click here.
A list of the most recent deficiencies for Charlesgate Nursing 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 services provided by the nursing facility meet professional standards of quality. | Health | 2022-11-18 | 2022-12-18 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-10-07 | 2022-11-06 | 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 | 2022-10-07 | 2022-11-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-10-07 | 2022-11-06 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-10-07 | 2022-11-06 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-07 | 2022-11-06 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-10-07 | 2022-11-06 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2022-10-07 | 2022-11-06 | 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 necessary and PRN use is limited. | Health | 2022-10-07 | 2022-11-06 | N |
| Provide or obtain dental services for each resident. | Health | 2022-10-07 | 2022-11-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-07 | 2022-11-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-10-07 | 2022-11-06 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-10-07 | 2022-11-06 | Y |
| Meet other general requirements that are deficient. | Fire Safety | 2022-09-29 | 2022-11-06 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-08-26 | 2022-09-25 | 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 | 2022-04-08 | 2022-05-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-08 | 2022-05-08 | Y |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2022-04-08 | 2022-05-08 | Y |
| Have policies on smoking. | Health | 2022-04-08 | 2022-05-08 | Y |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2022-04-08 | 2022-05-08 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-03-02 | 2022-04-01 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-07-01 | 2021-07-31 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-07-01 | 2021-07-31 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-07-01 | 2021-07-31 | Y |
| 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 necessary and PRN use is limited. | Health | 2021-07-01 | 2021-07-31 | 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 | 2021-07-01 | 2021-07-31 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-02-11 | 2021-03-13 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-02-11 | 2021-03-13 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-02-11 | 2021-03-13 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2020-06-23 | 2020-07-13 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-06-15 | 2020-06-30 | 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 | 2020-03-06 | 2020-03-30 | N |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2020-03-06 | 2020-03-30 | 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 | 2020-03-06 | 2020-03-30 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-03-06 | 2020-03-30 | N |
