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Inspection visit

Routine inspection

ST. CHARLES GUEST HOMELicense 2772092779 citations on this visit
9 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analysts (LPA)'s Shawna Doucette and Sarah Hurt arrived at the facility unannounced to conduct the Required Annual Inspection. LPA's met with Administrator Janette Lapitan. LPAs toured the facility inside and out. LPAs observed adequate food supply. Smoke detectors and carbon monoxide detector were tested and are in working order.Fire extinguishers were serviced 7/10/25. Water temperature measured at 105 F. Facility was clean. Bedrooms had all appropriate furnishings. Facility bathrooms had skid mats and grab bars. LPA's reviewed staff and resident records. Staff had current CPR/First Aid. Medications were reviewed. LPAs observed the following deficiencies: S1 did not have staff training. All staff did not have hospice or home health training for R1 and R2. R1 did not have a completed pre appraisal for R1. R1 did not have a home health care plan. R2 did not a hospice care plan . Medications were not being stored in their original containers. R2 had full bed rails with no physician order. Facility staff are injecting R1 with R1's prescribed medication. Facility does not have a sharps container to store used needles. Refer to 809d A copy of this report was provided with appeal rights and plans of correction.

Citations

9 citations recorded*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

  • 87628(a)Type A

    Allowing diabetic residents based on self-management ability

    Based on (interview) (record review)], the licensee did not comply with the section cited above in Staff are injecting R1 with insulin, which poses an immediate health, safety or personal rights risk to persons in care.

  • 87608(a)(5)(B)Type A

    Based on (interview) (record review)], the licensee did not comply with the section cited above in R2 did not have a prescription for full bedrails which poses an immediate health, safety or personal rights risk to persons in care.

  • 87633(b)(6)(B)Type B

    Based on (interview) (record review)], the licensee did not comply with the section cited above in Licensee did not have a hospice care plan for R2, which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87705(b)(1)Type B

    Based on (interview) (record review)], the licensee did not comply with the section cited above in Licensee did not have training for staff from hospice on how to care for R2 which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 1569.625(b)(2)Type B

    Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in Licensee does not have proof of training for S1, which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 1569.725(a)Type B

    Based on (interview) (record review)], the licensee did not comply with the section cited above in Licensee did not have any home health information or a home health care plan for R1 who is receiving home health, which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87465(h)(5)Type B

    Keep prescriptions in original containers

    Based on [(observation) (interview) , the licensee did not comply with the section cited above in Licensee is storing all 4 residents medications in a container that is not the original container of the medication, which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87506(b)(15)Type B

    Maintain admission agreement and appraisal

    Based on (interview) (record review)], the licensee did not comply with the section cited above in Licensee did not have a pre admissions appraisal for R1, which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87628(b)(2)Type A

    Based on (interview), the licensee did not comply with the section cited above in Licensee is throwing needles in the trash and not in a sharps container, which poses an immediate health, safety or personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the November 7, 2025 inspection of ST. CHARLES GUEST HOME?

This was an inspection of ST. CHARLES GUEST HOME on November 7, 2025. 9 citations were issued: 3 Type A (serious) and 6 Type B.

Were any citations issued to ST. CHARLES GUEST HOME on November 7, 2025?

Yes, 9 citations were issued (3 Type A, 6 Type B). The first citation was for: "Based on (interview) (record review)], the licensee did not comply with the section cited above in Staff are injecting R..."

What type of inspection was this?

This was an inspection. Inspections are conducted by CCLD as part of their licensing oversight.

SourceView on CCLDView original report

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Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.