Inspection Reports for
Charter Senior Living of Danvers

Incident reporting: The Residence filed 16 incident reports greater than 24 hours after the occurrence of the incident during the period reviewed (repeat finding).

Emergency call response · Food and dietary services: The dietary review lacked required language that menus meet minimum dietary standards and seven records were missing staff initials or documentation for medication management (repeat finding).

Quality assurance program: The Residence was missing clear findings, target dates, and responsible staff for follow-up in 2023 and 2024, and had medication storage issues including over the counter medications without pharmacy labels (repeat finding).

Resident screening and assessment · Resident care plans: Documentation confirming residents can independently navigate around bed rails was missing for 9 residents in 2023 and 2024 (repeat finding).

Resident records: The Residence did not consistently document all significant information in the 90-day Correspondence Log necessary for continuity of care (repeat finding).

Staff training: Documentation was missing for Introductory Visits and biannual medication management and skills evaluations for some staff.

Medication assistance and care coordination: There were 466 emergency call response times over ten minutes in December 2023 and July 2024, and documentation of hourly safety checks was not auditable.

Staff health screening: Two personnel records were missing documentation to confirm receipt or declination of the seasonal influenza vaccine (repeat finding).

Reports filed with the state: The Residence did not submit required notification of change in Assisted Living Residence Manager within ten business days.