Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 225304

Charlene Manor Extended Care Facility

61 federal citations on record , and 3 federal enforcement actions totaling $99,366.

Record summary

Federal record · Q1 2026
61
Total citations
46
Last 3 years
1
Actual harm+
3
Federal penalties
$99,366
Total fines
1
Overall ★ rating

Most common violation categories here

Quality of Care18 Care Planning15 Resident Rights10 Medication & Pharmacy5 Abuse & Neglect3

Most common F-tags at this facility

F6844 F8423 F6413 F6562 F5822

Citation history

61 on record
SurveyF-TagViolationSeveritySource
May 6, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Mar 12, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Nov 6, 2024F887Educate 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.DStandard
Nov 6, 2024F880Provide and implement an infection prevention and control program.DStandard
Nov 6, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Nov 6, 2024F791Provide or obtain dental services for each resident.DStandard
Nov 6, 2024F760Ensure that residents are free from significant medication errors.DStandard
Nov 6, 2024F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard
Nov 6, 2024F732Post nurse staffing information every day.CStandard
Nov 6, 2024F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DStandard
Nov 6, 2024F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EStandard
Nov 6, 2024F700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.DStandard
Nov 6, 2024F692Provide enough food/fluids to maintain a resident's health.DStandard
Nov 6, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Nov 6, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Nov 6, 2024F687Provide appropriate foot care.DStandard
Nov 6, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GStandard
Nov 6, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Nov 6, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Nov 6, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Nov 6, 2024F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard
Nov 6, 2024F641Ensure each resident receives an accurate assessment.BStandard
Nov 6, 2024F637Assess the resident when there is a significant change in conditionBStandard
Nov 6, 2024F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DStandard
Nov 6, 2024F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.DStandard
Nov 6, 2024F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard
Nov 6, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard
Nov 6, 2024F558Reasonably accommodate the needs and preferences of each resident.EStandard
Nov 6, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
Jun 28, 2024F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.FComplaint
Jun 28, 2024F584Honor 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.FComplaint
Dec 13, 2023F943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.DComplaint
Dec 13, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Dec 13, 2023F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DComplaint
Sep 18, 2023F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.EStandard
Sep 18, 2023F880Provide and implement an infection prevention and control program.DStandard
Sep 18, 2023F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Sep 18, 2023F761Ensure 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.FStandard
Sep 18, 2023F760Ensure that residents are free from significant medication errors.DStandard
Sep 18, 2023F699Provide care or services that was trauma informed and/or culturally competent.DStandard
Sep 18, 2023F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Sep 18, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.FStandard
Sep 18, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Sep 18, 2023F658Ensure services provided by the nursing facility meet professional standards of quality.DStandard
Sep 18, 2023F641Ensure each resident receives an accurate assessment.DStandard
Sep 18, 2023F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.BStandard
Mar 30, 2022F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Mar 30, 2022F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Mar 30, 2022F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Mar 30, 2022F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Mar 30, 2022F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Mar 30, 2022F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Mar 30, 2022F658Ensure services provided by the nursing facility meet professional standards of quality.DStandard
Mar 30, 2022F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Mar 30, 2022F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Mar 30, 2022F641Ensure each resident receives an accurate assessment.EStandard
Mar 30, 2022F640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.BStandard
Mar 30, 2022F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard
Mar 30, 2022F584Honor 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.DStandard
Mar 30, 2022F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.DStandard
Mar 30, 2022F554Allow residents to self-administer drugs if determined clinically appropriate.DStandard

Federal enforcement history

Federal regulators have imposed 3 enforcement actions against this facility, including 3 civil money penalties totaling $99,366 .

DateTypeFinePayment denial
Nov 6, 2024Fine$52,192—
Jun 28, 2024Fine$37,001—
Sep 18, 2023Fine$10,173—
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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