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 17 of 17 citations

  1. 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).

  2. 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).

  3. 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).

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

    Develop and maintain an Emergency Preparedness Program (EP).

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

    Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of September 1, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 23, 2022).

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

    List the names and contact information of those in the facility.

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

    Emergency preparedness citation E-0030, Emergency Preparedness Deficiencies. Inspection of September 1, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 23, 2022).

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

    Implement emergency and standby power systems.

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

    Emergency preparedness citation E-0041, Emergency Preparedness Deficiencies. Inspection of September 1, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 23, 2022).

  7. 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 May 30, 2025. Found during a standard inspection.

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

  8. 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 May 30, 2025. Found during a standard inspection.

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

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

    Conduct testing and exercise requirements.

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

    Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of April 16, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 16, 2024).

  10. No harm, with potential for minimal harm

    Develop and maintain an Emergency Preparedness Program (EP).

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of April 16, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 16, 2024).

  11. No harm, with potential for minimal harm

    Implement emergency and standby power systems.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0041, Emergency Preparedness Deficiencies. Inspection of April 16, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 16, 2024).

  12. No harm, with potential for minimal harm

    Follow proper procedures when the fire alarm was out of service for more than 4 hours.

    Widespread (many residents). CMS level C.

    Fire safety citation K-0346, Smoke Deficiencies. Inspection of April 16, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 16, 2024).

  13. No harm, with potential for minimal harm

    Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

    Widespread (many residents). CMS level C.

    Fire safety citation K-0354, Smoke Deficiencies. Inspection of April 16, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 16, 2024).

  14. No harm, with potential for minimal harm

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

    Widespread (many residents). CMS level C.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of April 16, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 16, 2024).

  15. No harm, with potential for minimal harm

    Provide a written emergency evacuation plan.

    Widespread (many residents). CMS level C.

    Fire safety citation K-0711, Miscellaneous Deficiencies. Inspection of September 1, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 23, 2022).

  16. No harm, with potential for minimal harm

    Have simulated fire drills held at unexpected times.

    Widespread (many residents). CMS level C.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of September 1, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 23, 2022).

  17. No harm, with potential for minimal harm

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

    Widespread (many residents). CMS level C.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of September 1, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 23, 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.