Inspection Results » Charlestown Community Inc

Health Inspection on January 11, 2019 ^[1]

1. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Encode each residentÂ’s assessment data and transmit these data to the State within 7 days of assessment. (Corrected 2019-04-01)
   • Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. (Corrected 2019-04-01)
   • Assure that each residentÂ’s assessment is updated at least once every 3 months. (Corrected 2019-04-01)
   • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (Corrected 2019-04-01)
   • Ensure a qualified health professional conducts resident assessments. (Corrected 2019-04-01)

2. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2019-04-01)
   • Ensure each resident receives an accurate assessment. (Corrected 2019-04-01)
   • Allow resident to participate in the development and implementation of his or her person-centered plan of care. (Corrected 2019-04-01)
   • Have a plan that describes the process for conducting QAPI and QAA activities. (Corrected 2019-04-01)
   • Assess the resident when there is a significant change in condition (Corrected 2019-04-01)
   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2019-04-01)
   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2019-04-01)
   • Respond appropriately to all alleged violations. (Corrected 2019-04-01)
   • Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. (Corrected 2019-04-01)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2019-04-01)
   • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Corrected 2019-04-01)
   • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2019-04-01)
   • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2019-04-01)
   • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (Corrected 2019-04-01)
   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2019-04-01)