Chariton Specialty Care

In the surveyor’s words

From the most serious findings on record at Chariton Specialty Care, in the surveyor’s own words.

• Immediate jeopardy, isolatedF684Sep 14, 2023

  Based on clinical record review, physician, family and staff interviews and policy review, the facility failed to provide necessary assessment, treatment, and services to promote healing of skin injuries, prevent infection, and prevent additional skin damage. The facility failed to implement appropriate interventions with follow-up measures for wound care and physician notification. The facility failed to seek a higher level of care to provide treatment for the wounds that failed to heal. Resident #1 obtained a puncture to the left posterior calf identified on 6/1/23, progressed to a large venous ulceration that became infected with bacteria with purulent green drainage and a strong odor and the right lower leg wound became infected with bacteria as well. […]

• Immediate jeopardy, isolatedF686Nov 22, 2021

  Based on staff interview, clinical record review, and facility policy review, the facility failed to prevent the development and worsening of a facility acquired pressure ulcer which required transfer to the hospital for fever, wound check, and excisional debridement of an unstageable pressure ulcer down to the ischial tuberosity for 1 of 4 residents reviewed (Resident #36) for pressure ulcers. The failures resulted in Immediate Jeopardy to the health, safety, and security of the residents. The facility reported a census of 37 residents. Findings include: The Minimum Data Set (MDS) assessment dated [DATE] documented the resident scored 11 out of 15 on a Brief Interview for Mental Status (BIMS) exam, which indicated the resident had moderately cognitive impairments. […]

• No harm, potential for more than minimal, patternF804Sep 18, 2025

  Based on observation, food temperatures during food service and resident interview, the facility failed to serve food at an acceptable temperature during one of three meals sampled. The facility reported census was 40. Findings include:The Minimum Data Set for Resident #5 dated 8/18/25 documented a Brief Interview of Mental Status score of 15 indicating intact cognition.Observation on 9/18/25 at 12:30 p.m. a sample tray, consisting of a grilled cheeseburger, macaroni salad and potato salad was provided to this surveyor. The hamburger patty was served well done, at room temperature and with a slice of cold cheese on a bun. The macaroni salad and potato salad was served cold and had good flavor.In an interview on 9/18/25 at 10:50 a.m. […]

• No harm, potential for more than minimal, patternF656Jan 30, 2025

  Based on record review, staff interviews, and policy review, the facility failed to develop a personalized Care Plan for 4 of 12 residents (#2, #7, #16, and #24) reviewed for Care Plans. The facility reported a census of 32 residents. Findings include: 1. On 1/27/25, a record review of Resident #2's Electronic Health Record (EHR) revealed she received antipsychotic and antidepressant medications. The Minimum Data Set (MDS) dated [DATE] revealed a Brief Interview for Mental Status (BIMS) score of 15 out of 15 which indicated completely intact cognition. It included diagnoses of End-Stage Renal Disease (ESRD), Diabetes Mellitus (DM), Non-Alzheimer's Dementia, Bipolar Disorder, and depression. […]

• No harm, potential for more than minimal, patternF812Jan 30, 2025

  Based on observation, staff interview, guidance from the 2022 US Food and Drug Administration (FDA) Food Code, and facility policy review, the facility failed to use proper sanitation and glove use during lunch service. The facility reported a census of 32 residents. Findings include: The facility's posted menu for lunch on 1/29/25 identified the menu to be: Pulled pork sandwich Broccoli Banana Cream Pie Continuous observation of lunch service began on 1/29/25 at 11:30 am. The Dietary Services Manager (DSM) first prepared pureed broccoli for the residents who required a pureed diet. After this task, the then stated she would puree the pulled pork. The DSM placed gloves on her hands. She picked up the food processor bowl and carried it to the counter. […]