All citations for Charlene Manor Extended Care Facility

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Charlene Manor Extended Care Facility

Last standard health inspection on record

February 26, 2026

Showing 1 to 17 of 17 citations

  1. No harm, with potential for more than minimal harm

    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.

    Widespread (many residents). CMS level F.

    Health citation F-0584, Resident Rights Deficiencies. Inspection of June 28, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 10, 2024).

  2. No harm, with potential for more than minimal harm

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    Widespread (many residents). CMS level F.

    Health citation F-0867, Administration Deficiencies. Inspection of June 28, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 10, 2024).

  3. No harm, with potential for more than minimal harm

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Widespread (many residents). CMS level F.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of September 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 4, 2023).

  4. No harm, with potential for more than minimal harm

    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.

    Widespread (many residents). CMS level F.

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of September 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 4, 2023).

  5. No harm, with potential for more than minimal harm

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0921, Environmental Deficiencies. Inspection of September 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 4, 2023).

  6. No harm, with potential for more than minimal harm

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0607, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of December 13, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 27, 2024).

  7. No harm, with potential for more than minimal harm

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of December 13, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 27, 2024).

  8. No harm, with potential for more than minimal harm

    Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0943, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of December 13, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 27, 2024).

  9. No harm, with potential for more than minimal harm

    Ensure each resident receives an accurate assessment.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of September 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 4, 2023).

  10. No harm, with potential for more than minimal harm

    Ensure services provided by the nursing facility meet professional standards of quality.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of September 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 4, 2023).

  11. No harm, with potential for more than minimal harm

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of September 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 4, 2023).

  12. No harm, with potential for more than minimal harm

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0698, Quality of Life and Care Deficiencies. Inspection of September 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 4, 2023).

  13. No harm, with potential for more than minimal harm

    Provide care or services that was trauma informed and/or culturally competent.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0699, Quality of Life and Care Deficiencies. Inspection of September 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 4, 2023).

  14. No harm, with potential for more than minimal harm

    Ensure that residents are free from significant medication errors.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0760, Pharmacy Service Deficiencies. Inspection of September 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 4, 2023).

  15. No harm, with potential for more than minimal harm

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of September 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 4, 2023).

  16. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0880, Infection Control Deficiencies. Inspection of September 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 4, 2023).

  17. No harm, with potential for minimal harm

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Pattern (more than a few residents). CMS level B.

    Health citation F-0582, Resident Rights Deficiencies. Inspection of September 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 4, 2023).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.