General Information: CHARLTON PLACE REHAB AND HEALTHCARE CENTER
Nursing home name CHARLTON PLACE REHAB AND HEALTHCARE CENTER
Address65 CHARLTON PLACE
DEATSVILLE, AL 36022
Phone number (334) 263-0618
Located within a hospital No
Type of ownership For profit - Corporation
Owner operates multiple homesYes
Accept Medicare or Medicaid Medicare and Medicaid
Continue Care Retirement CommunityNo
Resident and family councils Resident
Certified number of beds 65
Total number of residents 49
Perc of occupied beds 75
Sprinkler status Yes
Number of Facility Reported Incidents0
Number of Substantiated Complaints1
Number of Fines0
Total Amount of Fines$0
Total Number of Penalties0
Total Number of Penalties0
Ratings Summary: CHARLTON PLACE REHAB AND HEALTHCARE CENTER
Overall rating 2
2
Nursing Home Staffing 4
4
Registered Nurses only 4
4
Health Inspections 1
1
Quality Measures 4
4
Nursing Home Staffing Info: CHARLTON PLACE REHAB AND HEALTHCARE CENTER
National AverageAlabama AverageCHARLTON PLACE REHAB AND HEALTHCARE CENTER
Overall staff rating NA NA 4
4
Registered Nurses only rating NANA 4
4
Total Number of Residents NA NA 49
Total Number of Nurse Staff Hours per Resident per Day 4.11 hours 4.34 hours 4.34 hours
Total Number of Licensed Nurse Staff Hours per Resident per Day 1.64 hours 1.69 hours 1.93 hours
Registered Nurses Hours per Residents per Day 0.81 hours 0.64 hours 0.72 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 0.83 hours 1.05 hours 1.21 hours
Certified Nursing Assistants Hours per Residents per Day 2.47 hours 2.65 hours 2.41 hours
Physical Therapy Staffing Hours per Resident Per Day 0.1 hours 0.05 hours 0.14 hours
Health Survey: CHARLTON PLACE REHAB AND HEALTHCARE CENTER
Heath Survey Summary on 2013-10-31
Total Number of Health Deficiencies 12
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Heath Survey Summary on 2012-10-25
Total Number of Health Deficiencies 2
Scope and Severity of most Severe Health Deficiency Isolated/Minimal harm or potential for actual harm
Heath Survey Summary on 2011-10-13
Total Number of Health Deficiencies 5
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Health Survey Details: CHARLTON PLACE REHAB AND HEALTHCARE CENTER
Inspection Results: 10/31/2013
Corrected Deficiency Scope and Severity
12/05/2013 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Isolated/Minimal harm or potential for actual harm
12/05/2013 Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Isolated/Minimal harm or potential for actual harm
12/05/2013 Ensure services provided by the nursing facility meet professional standards of quality. Isolated/Minimal harm or potential for actual harm
12/05/2013 Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. Isolated/Minimal harm or potential for actual harm
12/05/2013 Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern/Minimal harm or potential for actual harm
12/05/2013 Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. Isolated/Minimal harm or potential for actual harm
12/05/2013 Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. Pattern/Minimal harm or potential for actual harm
12/05/2013 Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated/Minimal harm or potential for actual harm
12/05/2013 Keep all essential equipment working safely. Isolated/Minimal harm or potential for actual harm
12/05/2013 Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. Widespread /Minimal harm or potential for actual harm
12/05/2013 Store, cook, and serve food in a safe and clean way. Widespread /Minimal harm or potential for actual harm
12/05/2013 Have a program that investigates, controls and keeps infection from spreading. Isolated/Minimal harm or potential for actual harm
Inspection Results: 10/25/2012
Corrected Deficiency Scope and Severity
11/29/2012 Provide care by qualified persons according to each resident's written plan of care. Isolated/Minimal harm or potential for actual harm
11/29/2012 Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated/Minimal harm or potential for actual harm
Inspection Results: 10/13/2011
Corrected Deficiency Scope and Severity
11/17/2011 Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Isolated/Minimal harm or potential for actual harm
11/17/2011 Upon the death of a resident, convey the residents personal funds and an accounting of those funds to the appropriate party. Isolated/Minimal harm or potential for actual harm
11/17/2011 Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients. Isolated/Minimal harm or potential for actual harm
11/17/2011 Post nurse staffing information/data on a daily basis. Widespread/Potential for minimal harm
11/17/2011 Store, cook, and serve food in a safe and clean way. Widespread /Minimal harm or potential for actual harm

Fire Safety Survey: CHARLTON PLACE REHAB AND HEALTHCARE CENTER
Fire Safety Survey Summary on 2013-11-06
Total Number of Fire SafetyDeficiencies 10
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2012-10-31
Total Number of Fire SafetyDeficiencies 5
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2011-10-19
Total Number of Fire SafetyDeficiencies 6
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Fire Safety Survey: CHARLTON PLACE REHAB AND HEALTHCARE CENTER
Fire Safety Survey Results: 11/06/2013
Corrected Deficiency Severity
12/10/2013 Properly located and lighted "Exit" signs. Pattern/Minimal harm or potential for actual harm
12/10/2013 A fire alarm system that can be heard throughout the facility. Pattern/Minimal harm or potential for actual harm
12/10/2013 Automatic sprinkler systems that have been maintained in working order. Isolated/Minimal harm or potential for actual harm
12/10/2013 Portable fire extinguishers. Pattern/Minimal harm or potential for actual harm
12/10/2013 Posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Pattern/Minimal harm or potential for actual harm
12/10/2013 Properly protected cooking facilities. Isolated/Minimal harm or potential for actual harm
12/10/2013 Proper medical gas storage and administration areas. Pattern/Minimal harm or potential for actual harm
12/10/2013 No-smoking signs where oxygen is used. Pattern/Minimal harm or potential for actual harm
12/10/2013 Weekly inspections and monthly testing of generators. Pattern/Minimal harm or potential for actual harm
12/10/2013 A separate and independent backup electrical power source. Pattern/Minimal harm or potential for actual harm
Fire Safety Survey Results: 10/31/2012
Corrected Deficiency Severity
12/05/2012 Corridor and hallway doors that block smoke. Pattern/Minimal harm or potential for actual harm
12/05/2012 Horizontal exits. Pattern/Minimal harm or potential for actual harm
12/05/2012 Properly protected cooking facilities. Isolated/Minimal harm or potential for actual harm
12/05/2012 A separate and independent backup electrical power source. Pattern/Minimal harm or potential for actual harm
12/05/2012 Properly installed electrical wiring and equipment. Isolated/Minimal harm or potential for actual harm
Fire Safety Survey Results: 10/19/2011
Corrected Deficiency Severity
11/23/2011 Smoke barrier doors that can resist smoke for at least 20 minutes. Isolated/Minimal harm or potential for actual harm
11/23/2011 Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. Pattern/Minimal harm or potential for actual harm
11/23/2011 Exits that are accessible at all times. Pattern/Minimal harm or potential for actual harm
11/23/2011 Properly protected cooking facilities. Isolated/Minimal harm or potential for actual harm
11/23/2011 Other fire safety features required by fire safety codes. Pattern/Minimal harm or potential for actual harm
11/23/2011 Properly installed electrical wiring and equipment. Pattern/Minimal harm or potential for actual harm

Resident Complaints: CHARLTON PLACE REHAB AND HEALTHCARE CENTER
Date Complaint Substantiated: 08/04/2011
CorrectedCategoryDeficiencySeverity
08/04/2011Keep accurate, complete and organized clinical records on each resident that meet professional standards. D
08/04/2011Provide necessary care and services to maintain or improve the highest well being of each resident . D
07/31/2011Ensure services provided by the nursing facility meet professional standards of quality. D

Quality Measures: CHARLTON PLACE REHAB AND HEALTHCARE CENTER
Quality Measures National Average Alabama Average CHARLTON PLACE REHAB AND HEALTHCARE CENTER
Overall quality rating NA NA 4
4
Long-Stay Residents
Percent of Long Stay Residents Whose Need for Help with ADLs has Increased 15.4% 12.8% 26.4%
Percent of Long Stay Residents Who Self Report Moderate to Severe Pain 8.3% 7.1% 10.7%
Percent of High Risk Long Stay Residents With Pressure Ulcers 6.1% 5.4% 5.0%
Percent of Long Stay Residents Who Lose Too Much Weight 7.2% 8.3% 8.6%
Percent of Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 43.9% 38.0% 69.8%
Percent of Long Stay Residents with a Catheter Inserted and Left in Their Bladder 3.2% 2.8% 4.6%
Percent of Long Stay Residents With a Urinary Tract Infection 6.2% 5.1% 4.7%
Percent of Long Stay Residents Who Have Depressive Symptoms 6.3% 1.9% 1.7%
Percent of Long Stay Residents Who Were Physically Restrained 1.4% 1.4% 0.0%
Percent of Long Stay Residents Experiencing One or More Falls with Major Injury 3.2% 3.0% 3.9%
Percent of Long Stay Residents Assessed and Appropriately Given the Seasonal Influenza Vaccine 92.7% 93.6% 95.3%
Percent of Long Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 94.3% 93.7% 100.0%
Percent of Long Stay Residents Who Received an Antipsychotic Medication 20.7% 22.4% 22.0%
Short-Stay Residents
Percent of Short Stay Residents Who Self Report Moderate to Severe Pain 19.2% 17.0% 29.7%
Percent of Short Stay Residents With Pressure Ulcers That Are New or Worsened 1.2% 0.8% 0.0%
Percent of Short Stay Residents Who Were Assessed and Appropriately Given the Seasonal Influenza Vaccine 83.4% 86.1% 96.3%
Percent of Short Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 82.4% 84.9% 95.1%
Percent of Short Stay Residents Who Newly Received an Antipsychotic Medication 2.6% 2.8% 2.4%

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