All citations for Charlwell House Health and Rehabilitation

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 Charlwell House Health and Rehabilitation

Last standard health inspection on record

May 30, 2025

Showing 1 to 25 of 80 citations

  1. Immediate jeopardy to resident health or safety

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    Widespread (many residents). CMS level L.

    Health citation F-0835, Administration Deficiencies. Inspection of September 1, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 21, 2022).

  2. Immediate jeopardy to resident health or safety

    Provide and implement an infection prevention and control program.

    Widespread (many residents). CMS level L.

    Health citation F-0880, Infection Control Deficiencies. Inspection of September 1, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 5, 2022).

  3. Immediate jeopardy to resident health or safety

    Perform COVID19 testing on residents and staff.

    Widespread (many residents). CMS level L.

    Health citation F-0886, Infection Control Deficiencies. Inspection of September 1, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 11, 2022).

  4. Harm to a resident

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

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

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of September 1, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 8, 2022).

  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.

    Widespread (many residents). CMS level F.

    Health citation F-0726, Nursing and Physician Services Deficiencies. Inspection of September 1, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 21, 2022).

  6. 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.

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of September 1, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 21, 2022).

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

    Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

    Widespread (many residents). CMS level F.

    Health citation F-0838, Administration Deficiencies. Inspection of September 1, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 21, 2022).

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

    Have a plan that describes the process for conducting QAPI and QAA activities.

    Widespread (many residents). CMS level F.

    Health citation F-0865, Administration Deficiencies. Inspection of September 1, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 21, 2022).

  9. 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 September 1, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 21, 2022).

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

    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

    Widespread (many residents). CMS level F.

    Health citation F-0868, Administration Deficiencies. Inspection of September 1, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 21, 2022).

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

    Keep all essential equipment working safely.

    Widespread (many residents). CMS level F.

    Health citation F-0908, Environmental Deficiencies. Inspection of September 1, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 21, 2022).

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

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Widespread (many residents). CMS level F.

    Health citation F-0925, Environmental Deficiencies. Inspection of September 1, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 21, 2022).

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

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

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

    Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of May 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 26, 2025).

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

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

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

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of May 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 26, 2025).

  15. 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.

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

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of May 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 26, 2025).

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

    Provide and implement an infection prevention and control program.

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

    Health citation F-0880, Infection Control Deficiencies. Inspection of May 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 26, 2025).

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

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

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

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of May 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 30, 2025).

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

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

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

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of May 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 30, 2025).

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

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

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

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of May 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 30, 2025).

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

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

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

    Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of April 16, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 15, 2024).

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

    Assist a resident in gaining access to vision and hearing services.

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

    Health citation F-0685, Quality of Life and Care Deficiencies. Inspection of April 16, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 15, 2024).

  22. 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.

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

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of April 16, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 15, 2024).

  23. 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 April 16, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 15, 2024).

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

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

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

    Health citation F-0925, Environmental Deficiencies. Inspection of April 16, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 15, 2024).

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

    Give the resident's representative the ability to exercise the resident's rights.

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

    Health citation F-0551, Resident Rights Deficiencies. Inspection of September 1, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 21, 2022).

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.