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Complaint Investigation

Charlotte Hall Veterans Home

April 4, 2025 · Charlotte Hall, MD · 29449 Charlotte Hall Road
Citations 2
CMS Rating 5/5
Beds 286
Provider ID 215161
Healthcare Facility
Charlotte Hall Veterans Home
Charlotte Hall, MD  ·  View full profile →
Inspection Summary

Charlotte Hall Veterans Home in CHARLOTTE HALL, MD — inspection on April 4, 2025.

Found 2 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.

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Inspection Findings

FF584
Actual harm headache/dizziness, nausea or vomiting and confusion/loss of consciousness. Actions for staff to take Few plenty of fluids to drink and notify the provider of any change in a resident's condition. affected

Review of facility's Code Purple timeline and documentation revealed on 4/29/24 the cooling tower which serviced the A and B wings was taken out of service for scheduled maintenance and which impacted Resident #9's unit (3A). On 4/30/2024, outside temperatures rose and portable cooling units were unable to keep up with the demand to keep the building cool.

After temperatures above 81 degrees were recorded for more than four hours, a Code Purple was enacted at 4:00 PM on 4/30/24.

Upon request, the facility could not provide temperature monitoring/logs from 4/30/24 and prior to 4:30 PM on 5/1/24.

From 4:30 PM on 5/1/24 until 10:30 AM on 5/2/24, hourly temperatures were recorded during 18 opportunities on unit 3A; of the 18 recorded temperatures, 16 of the temperatures recorded to be above 81 degrees. On 5/1/24 temperatures in the evening hours on Unit 3A reached over 90 degrees.

215161

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 215161 B.

Wing 04/04/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Charlotte Hall Veterans Home 29449 Charlotte Hall Road Charlotte Hall, MD 20622

Review of facility's Code Purple timeline and documentation revealed the following:

On 4/29/24 the cooling tower which serviced the A and B wings was taken out of service for scheduled maintenance.

Since this was a planned outage, portable cooling units had been rented and placed on the impacted wings.

On 4/30/2024, outside temperatures rose and the portable units on the units were unable to keep up with the demand to keep the building cool.

After temperatures in the building were above 81 degrees for more than four hours in the building a Code Purple was enacted at 4:00 PM.

Maintenance and security staff were assigned to check/monitor temperatures for the impacted areas.

Upon request, the facility could not provide temperature monitoring logs from 4/30/24 and prior to 4:30 PM on 5/1/24.

Review of temperatures logs from 4:30 PM on 5/1/24 until 10:30 AM on 5/2/24, revealed hourly temperatures were recorded to be consistently above 81 degrees on the 2nd and 3rd floor care units on the A and B wings.

On 5/1/24 at 9:18 AM, the facility notified the County EMA of the Code Purple.

215161

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 215161 B.

Wing 04/04/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Charlotte Hall Veterans Home 29449 Charlotte Hall Road Charlotte Hall, MD 20622

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in CHARLOTTE HALL, MD, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Charlotte Hall Veterans Home or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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