Deficiency Records for Clarion Wellness and Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Clarion Wellness and Rehabilitation Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-07-20 | 2023-08-20 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-07-20 | 2023-08-16 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2023-07-20 | 2023-08-16 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-07-20 | 2023-08-16 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-07-20 | 2023-08-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-07-20 | 2023-08-16 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-07-20 | 2023-08-16 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-07-20 | 2023-08-16 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2023-07-20 | 2023-08-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-20 | 2023-08-16 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-07-20 | 2023-08-16 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-07-20 | 2023-08-16 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-07-20 | 2023-08-16 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-07-20 | 2023-08-16 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-20 | 2023-08-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-20 | 2023-08-16 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-07-20 | 2023-08-16 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-07-20 | 2023-08-16 | Y |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-07-20 | 2023-07-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-07-20 | 2023-07-27 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2023-07-20 | 2023-07-26 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-07-20 | 2023-07-26 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-07-20 | 2023-07-26 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-07-20 | 2023-07-21 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-09-07 | 2022-10-07 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-09-07 | 2022-10-07 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-09-07 | 2022-10-07 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2022-09-07 | 2022-10-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-09-04 | 2022-10-06 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-09-04 | 2022-10-06 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-09-04 | 2022-10-06 | N |
| Dispose of garbage and refuse properly. | Health | 2022-09-04 | 2022-10-06 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-09-04 | 2022-10-06 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-09-04 | 2022-10-06 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-04 | 2022-10-06 | Y |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2022-09-04 | 2022-09-27 | Y |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2022-09-07 | 2022-09-22 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2022-09-07 | 2022-09-22 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-09-07 | 2022-09-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-09-07 | 2022-09-15 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-09-07 | 2022-09-09 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-09-07 | 2022-09-09 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-09-07 | 2022-09-07 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-12-29 | 2022-01-05 | Y |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2021-04-13 | 2021-05-10 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-04-13 | 2021-05-10 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2021-04-13 | 2021-05-10 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-04-13 | 2021-05-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-04-13 | 2021-05-10 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-04-13 | 2021-05-10 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-04-13 | 2021-05-10 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-04-13 | 2021-05-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-04-13 | 2021-05-10 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2021-04-13 | 2021-05-10 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-04-13 | 2021-05-10 | Y |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2021-04-05 | 2021-05-04 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-04-05 | 2021-04-29 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2021-04-13 | 2021-04-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-04-05 | 2021-04-16 | N |
| Provide rooms that can be unlocked from inside without a key. | Fire Safety | 2021-04-05 | 2021-04-15 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2021-04-05 | 2021-04-15 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2021-04-05 | 2021-04-13 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-04-05 | 2021-04-13 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2021-04-05 | 2021-04-06 | N |
