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Health Inspection Summary

Charlotte Hall Veterans Home

29449 Charlotte Hall Road

Charlotte Hall, MD 20622

(301) 884-8171

Deficiency Category	Inspection Date: 8/15/22 Complaint Reporting Period: 4/1/24 - 3/31/25	Inspection Date: 12/4/18 Complaint Reporting Period: 4/1/23 - 3/31/24	Inspection Date: 8/10/17 Complaint Reporting Period: 4/1/22 - 3/31/23
Freedom from Abuse, Neglect, and Exploitation Deficiencies	2	0	5
Quality of Life and Care Deficiencies	1	3	3
Infection Control Deficiencies	0	0	1
Resident Assessment and Care Planning Deficiencies	0	2	3
Nursing and Physician Services Deficiencies	2	0	0
Resident Rights Deficiencies	3	1	0
Nutrition and Dietary Deficiencies	2	0	0
Pharmacy Service Deficiencies	2	2	1
Environmental Deficiencies	1	0	2
Administration Deficiencies	0	1	1

Detailed result for inspection on 8/15/22

Date of last standard health inspection:	8/15/22Read the full report (PDF)
Date(s) of complaint inspection(s) between 4/1/24 - 3/31/25	No complaint inspections
Date(s) of infection control inspection(s) between 4/1/24 - 3/31/25	No infection control inspections
Total number of Health Deficiencies for this nursing home:	13
Average number of Health Deficiencies in Maryland:	18.8
Average number of Health Deficiencies in the United States:	9.6

Freedom from Abuse, Neglect, and Exploitation Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Respond appropriately to all alleged violations.	8/15/22	10/10/22	2 - Minimal harm or potential for actual harm	Some
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.	8/15/22	10/10/22	3 - Actual harm	Few

Quality of Life and Care Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Provide safe and appropriate respiratory care for a resident when needed.	8/15/22	10/10/22	2 - Minimal harm or potential for actual harm	Few

Infection Control Deficiencies
No Infection Control Deficiencies were found during this inspection period.

Resident Assessment and Care Planning Deficiencies
No Resident Assessment and Care Planning Deficiencies were found during this inspection period.

Nursing and Physician Services Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.	8/15/22	10/10/22	2 - Minimal harm or potential for actual harm	Some
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.	8/15/22	10/10/22	2 - Minimal harm or potential for actual harm	Few

Resident Rights Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.	8/15/22	10/10/22	2 - Minimal harm or potential for actual harm	Few
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	8/15/22	10/10/22	2 - Minimal harm or potential for actual harm	Few
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.	8/15/22	10/10/22	2 - Minimal harm or potential for actual harm	Few

Nutrition and Dietary Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.	8/15/22	10/10/22	2 - Minimal harm or potential for actual harm	Few
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.	8/15/22	10/10/22	2 - Minimal harm or potential for actual harm	Few

Pharmacy Service Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
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.	8/15/22	10/10/22	4 - Immediate jeopardy to resident health or safety	Few
Ensure that residents are free from significant medication errors.	8/15/22	10/10/22	2 - Minimal harm or potential for actual harm	Few

Environmental Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.	8/15/22	10/10/22	2 - Minimal harm or potential for actual harm	Few

Administration Deficiencies
No Administration Deficiencies were found during this inspection period.

Detailed result for inspection on 12/4/18

Date of last standard health inspection:	12/4/18Read the full report (PDF)
Date(s) of complaint inspection(s) between 4/1/23 - 3/31/24	No complaint inspections
Date(s) of infection control inspection(s) between 4/1/23 - 3/31/24	No infection control inspections
Total number of Health Deficiencies for this nursing home:	9
Average number of Health Deficiencies in Maryland:	14.4
Average number of Health Deficiencies in the United States:	9.4

Freedom from Abuse, Neglect, and Exploitation Deficiencies
No Freedom from Abuse, Neglect, and Exploitation Deficiencies were found during this inspection period.

Quality of Life and Care Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Provide or obtain dental services for each resident.	12/4/18	2/9/19	2 - Minimal harm or potential for actual harm	Few
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	12/4/18	10/20/18	4 - Immediate jeopardy to resident health or safety	Few
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.	12/4/18	2/9/19	2 - Minimal harm or potential for actual harm	Few

Infection Control Deficiencies
No Infection Control Deficiencies were found during this inspection period.

Resident Assessment and Care Planning Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	12/4/18	4/2/19	2 - Minimal harm or potential for actual harm	Few
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	12/4/18	2/9/19	3 - Actual harm	Some

Nursing and Physician Services Deficiencies
No Nursing and Physician Services Deficiencies were found during this inspection period.

Resident Rights Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Reasonably accommodate the needs and preferences of each resident.	12/4/18	2/9/19	2 - Minimal harm or potential for actual harm	Some

Nutrition and Dietary Deficiencies
No Nutrition and Dietary Deficiencies were found during this inspection period.

Pharmacy Service Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	12/4/18	2/9/19	2 - Minimal harm or potential for actual harm	Few
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.	12/4/18	2/9/19	2 - Minimal harm or potential for actual harm	Few

Environmental Deficiencies
No Environmental Deficiencies were found during this inspection period.

Administration Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Provide timely, quality laboratory services/tests to meet the needs of residents.	12/4/18	2/9/19	2 - Minimal harm or potential for actual harm	Few

Detailed result for inspection on 8/10/17

Date of last standard health inspection:	8/10/17Read the full report (PDF)
Date(s) of complaint inspection(s) between 4/1/22 - 3/31/23	2/17/23Read the full report (PDF) 8/15/22Read the full report (PDF)
Date(s) of infection control inspection(s) between 4/1/22 - 3/31/23	8/15/22Read the full report (PDF)
Total number of Health Deficiencies for this nursing home:	16
Average number of Health Deficiencies in Maryland:	12
Average number of Health Deficiencies in the United States:	8.7

Freedom from Abuse, Neglect, and Exploitation Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.	2/17/23	4/21/23	3 - Actual harm	Few
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.	2/17/23	4/21/23	3 - Actual harm	Few
Develop and implement policies and procedures to prevent abuse, neglect, and theft.	2/17/23	4/21/23	2 - Minimal harm or potential for actual harm	Few
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	2/17/23	4/21/23	2 - Minimal harm or potential for actual harm	Some
Respond appropriately to all alleged violations.	2/17/23	4/21/23	2 - Minimal harm or potential for actual harm	Some

Quality of Life and Care Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Provide for the safe, appropriate administration of IV fluids for a resident when needed.	2/17/23	4/21/23	2 - Minimal harm or potential for actual harm	Few
Provide care and assistance to perform activities of daily living for any resident who is unable.	2/17/23	4/21/23	2 - Minimal harm or potential for actual harm	Few
Provide appropriate pressure ulcer care and prevent new ulcers from developing.	2/17/23	4/21/23	3 - Actual harm	Few

Infection Control Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Provide and implement an infection prevention and control program.	2/17/23	4/3/23	2 - Minimal harm or potential for actual harm	Some

Resident Assessment and Care Planning Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	2/17/23	4/21/23	2 - Minimal harm or potential for actual harm	Few
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	8/10/17	9/15/17	2 - Minimal harm or potential for actual harm	Few
Conduct initial and periodic assessments of each resident's functional capacity.	8/10/17	9/15/17	1 - Potential for minimal harm	Some

Nursing and Physician Services Deficiencies
No Nursing and Physician Services Deficiencies were found during this inspection period.

Resident Rights Deficiencies
No Resident Rights Deficiencies were found during this inspection period.

Nutrition and Dietary Deficiencies
No Nutrition and Dietary Deficiencies were found during this inspection period.

Pharmacy Service Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.	8/10/17	9/15/17	2 - Minimal harm or potential for actual harm	Some

Environmental Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Have a program that investigates, controls and keeps infection from spreading.	8/10/17	9/15/17	2 - Minimal harm or potential for actual harm	Few
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.	2/17/23	4/21/23	2 - Minimal harm or potential for actual harm	Few

Administration Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Administer the facility in a manner that enables it to use its resources effectively and efficiently.	2/17/23	4/21/23	3 - Actual harm	Few

Complaints and facility-reported incidents in the past 3 years
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Respond appropriately to all alleged violations.	8/15/22	10/10/22	2 - Minimal harm or potential for actual harm	Some
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.	8/15/22	10/10/22	3 - Actual harm	Few
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.	8/15/22	10/10/22	2 - Minimal harm or potential for actual harm	Few
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.	2/17/23	4/21/23	3 - Actual harm	Few
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.	2/17/23	4/21/23	3 - Actual harm	Few
Develop and implement policies and procedures to prevent abuse, neglect, and theft.	2/17/23	4/21/23	2 - Minimal harm or potential for actual harm	Few
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	2/17/23	4/21/23	2 - Minimal harm or potential for actual harm	Some
Respond appropriately to all alleged violations.	2/17/23	4/21/23	2 - Minimal harm or potential for actual harm	Some
Provide for the safe, appropriate administration of IV fluids for a resident when needed.	2/17/23	4/21/23	2 - Minimal harm or potential for actual harm	Few
Provide care and assistance to perform activities of daily living for any resident who is unable.	2/17/23	4/21/23	2 - Minimal harm or potential for actual harm	Few
Provide appropriate pressure ulcer care and prevent new ulcers from developing.	2/17/23	4/21/23	3 - Actual harm	Few
Provide and implement an infection prevention and control program.	2/17/23	4/3/23	2 - Minimal harm or potential for actual harm	Some
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	2/17/23	4/21/23	2 - Minimal harm or potential for actual harm	Few
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.	2/17/23	4/21/23	2 - Minimal harm or potential for actual harm	Few
Administer the facility in a manner that enables it to use its resources effectively and efficiently.	2/17/23	4/21/23	3 - Actual harm	Few

Infection control inspection deficiencies in the past 3 years
This nursing home has not been cited for any deficiencies on infection control inspections in the last 3 years.

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