All citations for Charlestown Community Inc

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 Charlestown Community Inc

Last standard health inspection on record

September 19, 2025

Showing 1 to 25 of 68 citations

  1. Immediate jeopardy to resident health or safety

    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 J.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of July 14, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 22, 2023).

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

    Establish policies and procedures for volunteers.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0024, Emergency Preparedness Deficiencies. Inspection of September 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 6, 2026).

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

    Have approved installation, maintenance and testing program for fire alarm systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of September 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 6, 2026).

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

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of September 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 6, 2026).

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

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of September 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 6, 2026).

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

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0914, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of September 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 6, 2026).

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

    Have generator or other power source capable of supplying service within 10 seconds.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of September 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 6, 2026).

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

    Provide properly protected cooking facilities.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of July 14, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 28, 2023).

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

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of July 14, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 28, 2023).

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

    Have generator or other power source capable of supplying service within 10 seconds.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of July 14, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 28, 2023).

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

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

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

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of September 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 5, 2025).

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

    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

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

    Fire safety citation K-0223, Egress Deficiencies. Inspection of September 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 6, 2026).

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

    Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

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

    Fire safety citation K-0362, Smoke Deficiencies. Inspection of September 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 6, 2026).

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

    Install corridor and hallway doors that block smoke.

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

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of September 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 6, 2026).

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

    Ensure proper usage of power strips and extension cords.

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

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of September 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 6, 2026).

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

    Have proper medical gas storage and administration areas.

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

    Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of September 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 6, 2026).

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

    Assure that each resident’s assessment is updated at least once every 3 months.

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

    Health citation F-0638, Resident Assessment and Care Planning Deficiencies. Inspection of July 14, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 22, 2023).

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

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

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of July 14, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 22, 2023).

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

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

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

    Health citation F-0756, Pharmacy Service Deficiencies. Inspection of July 14, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 22, 2023).

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

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

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

    Health citation F-0883, Infection Control Deficiencies. Inspection of July 14, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 22, 2023).

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

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

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

    Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of July 14, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 28, 2023).

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

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

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

    Health citation F-0623, Resident Rights Deficiencies. Inspection of January 11, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 1, 2019).

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

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

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

    Health citation F-0636, Resident Assessment and Care Planning Deficiencies. Inspection of January 11, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 1, 2019).

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

    Assure that each resident’s assessment is updated at least once every 3 months.

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

    Health citation F-0638, Resident Assessment and Care Planning Deficiencies. Inspection of January 11, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 1, 2019).

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

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

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

    Health citation F-0640, Resident Assessment and Care Planning Deficiencies. Inspection of January 11, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 1, 2019).

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.