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 26 to 50 of 52 citations

  1. 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.

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

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of November 6, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 26, 2024).

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

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

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

    Health citation F-0690, Quality of Life and Care Deficiencies. Inspection of November 6, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 26, 2024).

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

    Provide enough food/fluids to maintain a resident's health.

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

    Health citation F-0692, Quality of Life and Care Deficiencies. Inspection of November 6, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 26, 2024).

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

    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

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

    Health citation F-0700, Quality of Life and Care Deficiencies. Inspection of November 6, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 26, 2024).

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

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

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

    Health citation F-0726, Nursing and Physician Services Deficiencies. Inspection of November 6, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 26, 2024).

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

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

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

    Health citation F-0757, Pharmacy Service Deficiencies. Inspection of November 6, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 26, 2024).

  7. 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 November 6, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 26, 2024).

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

    Provide or obtain dental services for each resident.

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

    Health citation F-0791, Quality of Life and Care Deficiencies. Inspection of November 6, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 26, 2024).

  9. 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 November 6, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 26, 2024).

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

    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

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

    Health citation F-0887, Infection Control Deficiencies. Inspection of November 6, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 26, 2024).

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

    Provide properly protected cooking facilities.

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

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of November 6, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 26, 2024).

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

    Inspect, test, and maintain automatic sprinkler systems.

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

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of November 6, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 26, 2024).

  13. 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).

  14. 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).

  15. 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).

  16. 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).

  17. 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).

  18. 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).

  19. 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).

  20. 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).

  21. 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).

  22. 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).

  23. 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).

  24. No harm, with potential for minimal harm

    Post nurse staffing information every day.

    Widespread (many residents). CMS level C.

    Health citation F-0732, Nursing and Physician Services Deficiencies. Inspection of November 6, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 26, 2024).

  25. No harm, with potential for minimal harm

    Assess the resident when there is a significant change in condition

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

    Health citation F-0637, Resident Assessment and Care Planning Deficiencies. Inspection of November 6, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 26, 2024).

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.