Charlestown Community Inc
Charlestown Community Inc in CATONSVILLE, MD — inspection on September 19, 2025.
Found 9 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
The surveyor made DON #2 aware that if a nurse is assigned a resident who is prescribed psychotropic medication they are required to monitor the resident for behaviors and extrapyramidal side effect.
The prescribing clinician should have that information available to determine if the medication is working or needs to be adjusted.
On 09/17/2025 at 3:37 PM the surveyor reported to Administrator #1 the nurses are not monitoring residents prescribed psychotropic medications for extrapyramidal side effects and not monitoring the resident for behaviors.
Administrator #1 verbalized they have high risk rounds weekly which include residents who are prescribed psychotropic medications.
They are going to work on having more precise documentation instead of generic documentation.
On 09/18/2025 at 11:05 AM DON #2 verbalized the resident goes to see a Neurologist at John Hopkins Hospital for Huntington's Disease and the Neurologist made the recommendation to increase the medication to Seroquel 37.5 mg R/T moderate Dementia with psychotic disturbance.
The surveyor asked what warranted the increase of the medication. DON #2 verbalized the resident was having hallucinations; they don't have documentation specific to that nature.
Yes, they could have had documentation.
They meet on a weekly basis and talk about the residents who are prescribed psychotropic medications.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
09/19/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Charlestown Community Inc
719 Maiden Choice Lane Catonsville, MD 21228
SUMMARY STATEMENT OF DEFICIENCIES
The surveyor requested a copy of the staffing sheets for the date and shift when the alleged incident occurred. At 12:00 PM a review of the staffing sheet for [NAME] Overlook 2 dated 03/10/25 3:00 pm - 11:00 pm revealed Geriatric Nursing Assistants #8, #9, #10, and #11 were included on the staffing sheet but a statement from the GNA's were not included with the investigation. On 09/16/25 at 2:48 PM the surveyor reported to Assistant Nursing Home Administrator #3 there were not statements from all the staff who worked on 03/10/25 during the 3:00 pm - 11:00 pm shift when the alleged allegation of abuse was reported.
Assistant Nursing Home Administrator #3 verbalized statements are taken on a case-by-case basis & they use a clinical rationale for everything.
Often the staff may not have a statement, and they were more concerned about getting a summarization of interviews.
The surveyor verbalized there were no statements from four GNA's and 1 nurse who worked in the neighborhood when the alleged incident occurred.
There were interviews from seven other staff who were not included on the assignment sheet. On 09/18/25 at 10:31 AM a review of the facility's investigation related to the Facility Reported Incident (FRI) #325310 related to an allegation of abuse concerning Resident #98 revealed, a statement from all the staff who worked on [NAME] Overlook 2 on 07/13/23 during 7:00 am - 3:30 pm was not included in the investigation.
There was not a statement from Licensed Practical Nurse (LPN) #30 who was assigned to the resident nor was there a statement from GNA #31 who worked when the alleged incident occurred. On 09/18/25 at 11:46 am the surveyor reported to Administrator #1 a thorough investigation was not completed because all the staff who worked during the alleged incident were not interviewed.
Facility ID:
Federal health inspectors cited Charlestown Community Inc in CATONSVILLE, MD for a deficiency under regulatory tag F-F0628 during a standard health inspection conducted on 2025-09-19.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 9 deficiencies cited during this inspection of Charlestown Community Inc.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-05.
Federal health inspectors cited Charlestown Community Inc in CATONSVILLE, MD for a deficiency under regulatory tag F-F0641 during a standard health inspection conducted on 2025-09-19.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Ensure each resident receives an accurate assessment.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 9 deficiencies cited during this inspection of Charlestown Community Inc.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-05.
Federal health inspectors cited Charlestown Community Inc in CATONSVILLE, MD for a deficiency under regulatory tag F-F0657 during a standard health inspection conducted on 2025-09-19.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 9 deficiencies cited during this inspection of Charlestown Community Inc.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-05.
Federal health inspectors cited Charlestown Community Inc in CATONSVILLE, MD for a deficiency under regulatory tag F-F0676 during a standard health inspection conducted on 2025-09-19.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 9 deficiencies cited during this inspection of Charlestown Community Inc.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-05.
Federal health inspectors cited Charlestown Community Inc in CATONSVILLE, MD for a deficiency under regulatory tag F-F0695 during a standard health inspection conducted on 2025-09-19.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide safe and appropriate respiratory care for a resident when needed.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 9 deficiencies cited during this inspection of Charlestown Community Inc.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-05.
Federal health inspectors cited Charlestown Community Inc in CATONSVILLE, MD for a deficiency under regulatory tag F-F0740 during a standard health inspection conducted on 2025-09-19.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 9 deficiencies cited during this inspection of Charlestown Community Inc.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-05.
Federal health inspectors cited Charlestown Community Inc in CATONSVILLE, MD for a deficiency under regulatory tag F-F0812 during a standard health inspection conducted on 2025-09-19.
Category: Nutrition and Dietary Deficiencies
The facility was found deficient in the following area: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 9 deficiencies cited during this inspection of Charlestown Community Inc.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-05.