Charlestown Place at New Albany

In the surveyor’s words

From the most serious findings on record at Charlestown Place at New Albany, in the surveyor’s own words.

• Immediate jeopardy, isolatedF686Mar 20, 2026

  Based on interview, and record review, the facility failed to prevent a Stage 4 pressure ulcer development (a severe, full-thickness wound extending to muscle, tendon, or bone, featuring deep tissue loss, often with slough, tunneling, and high infection risk) for a resident who was admitted without a skin impairment to the bilateral buttocks and sacrum, was identified by the facility to be at risk for the development of a pressure ulcer, who had co-morbidities, frequent moisture, and total dependence on staff for repositioning. […]

• Actual harm, isolatedF686Aug 29, 2025

  Based on observation, record review and interview, the facility failed to ensure care plan interventions and treatments were in place or completed as ordered by the physician for 5 of 7 residents reviewed for pressure wounds (Residents 2, 52, 64, 14, 73). This deficient practice resulted in a resident acquired bilateral unstageable heel wounds (Resident 2). Findings include:1.During an observation on 8/26/25 at 10:30 a.m., Resident 2 was sitting up in his wheelchair with his feet resting on the foot pedals. The resident was assisted back to bed for wound dressing changes to the right and left heels. The wound Nurse Practitioner (NP) removed the old dressings. The resident had pressure wounds to the right and left heels. […]

• Actual harm, isolatedF580Jul 31, 2023

  Based on record review and interview, the facility failed to ensure prompt notification to the physician of rectal bleeding for a resident on an anticoagulant, which resulted in the resident's hospitalization for anemia and acute blood loss. The resident had to have a blood transfusion for 1 of 3 resident's reviewed for physician notification. (Resident 82) Findings include: The clinical record for Resident 82 was reviewed on 7/26/23 at 10:16 a.m. The diagnoses included but were not limited to, iron deficiency anemia secondary to blood loss, hemorrhage of anus and rectum, diverticulosis of intestine without perforation or abscess without bleeding, acute posthemorrhagic anemia, presence of cardiac implants and grafts, chronic atrial fibrillation, heart disease, and left ventricular… […]

• Actual harm, isolatedF686Jul 31, 2023

  Based on record review and interview, the facility failed to ensure the appropriate interventions were in place to prevent the development of two unstageable pressure ulcers for 1 of 7 residents reviewed for pressure ulcers. This deficient practice resulted in a Stage 3 heel and Stage 3 sacrum pressure ulcer. (Resident 34) Findings include: The record for Resident 34 was reviewed on 7/28/23 at 9:15 a.m. The diagnoses included, but were not limited to, lack of coordination, unsteadiness on feet, muscle weakness, type 2 Diabetes Mellitus, hyperglycemia, dysphagia following cerebral infarction, left flaccid hemiplegia, Stage 3 pressure ulcers, vascular dementia, cognitive communication deficit, osteoarthritis, and the presence of tendon and bone implants. […]

• Actual harm, isolatedF740Jul 31, 2023

  Based on record review and interview, the facility failed to ensure residents received behavioral health services as required for 1 of 3 resident's reviewed for behavioral health services. This deficient practice resulted in a resident with ineffective behavior interventions and uncontrollable behaviors. (Resident 86) Findings Include: The record for Resident 86 was reviewed on 7/26/23 at 11:37 a.m. The diagnoses included, but were not limited to, developmental disorder of speech and language, anxiety disorder, altered mental status, and lack of expected normal physiological development in childhood. The Quarterly MDS (Minimum Data Set) assessment, dated 6/15/23, indicated the resident was moderately cognitively impaired. […]