Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

CHARLTON PLACE REHAB AND HEALTHCARE CENTER

DEATSVILLE, AL · 65 certified beds · Last Life Safety survey December 10, 2020

CMS Certification Number 015460 · first certified November 2007

Ownership

Operated by TUTERA SENIOR LIVING & HEALTH CARE · For profit - Corporation

No change of ownership on CMS record since January 1, 2016, when the records begin.

8
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
1
Tags cited more than once
Across separate surveys
3
Inspection & testing records
Of the citations on file

Position within AL

8 citations — more than 37% of the 224 certified nursing homes in AL. Compared within AL rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 2 citations; the earlier surveys in the window averaged 3. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Well past the typical window (December 2021 to May 2022), and past the point by which nine in ten US facilities have been surveyed. This facility’s last Life Safety survey was December 2020. Nursing homes nationally are typically surveyed 12–17 months after the last one (median 14), measured over 19,385 consecutive surveys in the last two years of CMS records. AL has too few recent surveys to measure on its own, so the national interval is used.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

1 inspection-and-testing tag has been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

1 of the 8 citations on file is Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

How that compares

Citations on file over three years

Compared with the median facility in AL, and nationally. Surveyors differ markedly between states, so the AL figure is the meaningful one.

This facility8AL median9National median11
Citations on file over three years, compared
MeasureCitations
This facility8
Median facility in AL9
Median facility nationally11

Survey history

Citations at each Life Safety survey
32019-0332020-0322020-12
Citations at each Life Safety survey
Survey dateCitations
March 14, 20193
March 12, 20203
December 10, 20202

Most-cited tags

Most-cited tags at this facility
K-03532K-03431K-07411K-02111K-03511E-00041K-09181
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0353Inspect, test, and maintain automatic sprinkler systems.22020-12-10
K-0343Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.12019-03-14
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.12020-03-12
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.12020-03-12
K-0351Install an approved automatic sprinkler system.12020-12-10
E-0004Develop and maintain an Emergency Preparedness Program (EP).12020-03-12
K-0918Have generator or other power source capable of supplying service within 10 seconds.12019-03-14

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 4
  • Emergency Preparedness Deficiencies 1
  • Gas, Vacuum, and Electrical Systems Deficiencies 1
  • Egress Deficiencies 1
  • Other 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies4
Emergency Preparedness Deficiencies1
Gas, Vacuum, and Electrical Systems Deficiencies1
Egress Deficiencies1
Miscellaneous Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

December 10, 2020 — 2 citations

Citations issued on December 10, 2020
TagWhat the surveyor checksStatus
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (February 9, 2021)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (February 9, 2021)

March 12, 2020 — 3 citations

Citations issued on March 12, 2020
TagWhat the surveyor checksStatus
E-0004Develop and maintain an Emergency Preparedness Program (EP).Deficient, Provider has date of correction (November 3, 2020)
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (November 3, 2020)
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.Deficient, Provider has date of correction (November 3, 2020)

March 14, 2019 — 3 citations

Citations issued on March 14, 2019
TagWhat the surveyor checksStatus
K-0343Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.Deficient, Provider has date of correction (April 23, 2019)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (April 23, 2019)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (April 23, 2019)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.