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 26 to 50 of 80 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.

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

    Health citation F-0584, 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).

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

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

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

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of September 1, 2022. Found during a standard inspection.

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

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

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

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

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

  5. 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.

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

    Health citation F-0689, 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 (October 21, 2022).

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

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

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

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of September 1, 2022. Found during a standard inspection.

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

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

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

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

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of September 1, 2022. Found during a standard inspection.

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

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

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

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

    Report COVID19 data to residents and families.

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

    Health citation F-0885, Infection Control 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

    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.

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

    Health citation F-0887, 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).

  11. 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.

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

    Health citation F-0943, Freedom from Abuse, Neglect, and Exploitation 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

    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).

  13. 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).

  14. 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).

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

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

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

    Health citation F-0580, Resident Rights 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

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

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

    Health citation F-0655, 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).

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

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

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

    Health citation F-0656, 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).

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

    Provide care and assistance to perform activities of daily living for any resident who is unable.

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

    Health citation F-0677, 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).

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

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

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

    Provide appropriate foot care.

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

    Health citation F-0687, 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).

  21. 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.

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

    Health citation F-0756, 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).

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

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

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

    Provide or get specialized rehabilitative services as required for a resident.

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

    Health citation F-0825, 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).

  24. 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).

  25. 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).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.