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Deficiency Records for Clara Manor Nursing Home
View the most recent health deficiencies and inspection results for Clara Manor Nursing Home. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Clara Manor Nursing Home. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-11-20 | 2026-01-02 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-11-20 | 2026-01-02 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2025-10-17 | 2025-11-30 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2025-10-17 | 2025-11-30 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2025-10-17 | 2025-11-30 | 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 | 2025-10-17 | 2025-11-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-10-17 | 2025-11-30 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2025-10-17 | 2025-11-30 | 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 | 2025-10-17 | 2025-11-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-10-17 | 2025-11-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-10-17 | 2025-11-30 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2025-10-17 | 2025-11-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-10-17 | 2025-11-30 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2025-10-17 | 2025-11-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-10-17 | 2025-11-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-10-17 | 2025-11-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-10-17 | 2025-11-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-10-17 | 2025-11-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-10-17 | 2025-11-30 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2025-10-17 | 2025-11-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-10-17 | 2025-11-30 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-06-27 | 2025-08-14 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-11-22 | 2025-03-26 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2025-02-26 | 2025-03-26 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2025-01-14 | 2025-03-26 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2024-11-22 | 2025-03-26 | Y |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2024-11-22 | 2025-02-22 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-11-22 | 2025-02-22 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-01-14 | 2025-02-22 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2025-01-14 | 2025-02-22 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2025-01-14 | 2025-02-22 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-11-22 | 2025-02-22 | 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 | 2024-11-22 | 2025-02-22 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2024-11-22 | 2025-02-22 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2024-11-22 | 2025-02-22 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-11-22 | 2025-02-22 | Y |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-11-22 | 2025-02-22 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-11-22 | 2025-02-22 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-11-22 | 2025-01-05 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-11-22 | 2025-01-05 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-11-22 | 2025-01-05 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-11-22 | 2025-01-05 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2024-11-22 | 2025-01-05 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2024-11-22 | 2025-01-05 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-11-22 | 2025-01-05 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-11-22 | 2025-01-05 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-11-22 | 2025-01-05 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2024-11-22 | 2025-01-05 | N |
| Post nurse staffing information every day. | Health | 2024-11-22 | 2025-01-05 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2024-11-22 | 2025-01-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-11-22 | 2025-01-05 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-11-22 | 2025-01-05 | N |
| Dispose of garbage and refuse properly. | Health | 2024-11-22 | 2025-01-05 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2024-11-22 | 2025-01-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-11-22 | 2025-01-05 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2024-11-22 | 2025-01-05 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2024-11-22 | 2025-01-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-11-22 | 2025-01-05 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-11-22 | 2025-01-05 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-11-22 | 2025-01-05 | N |
| 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 | 2024-11-22 | 2025-01-05 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-11-22 | 2025-01-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-11-22 | 2025-01-05 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-11-22 | 2025-01-05 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-11-22 | 2025-01-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-11-22 | 2025-01-05 | 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 | 2024-11-22 | 2025-01-05 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2024-11-22 | 2025-01-05 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-11-22 | 2025-01-05 | N |
| Use approved construction type or materials. | Fire Safety | 2024-11-22 | 2025-01-05 | 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 | 2024-11-22 | 2025-01-05 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-11-22 | 2025-01-05 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-07-31 | 2024-09-26 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-07-31 | 2024-09-26 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-07-31 | 2024-09-26 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2024-07-31 | 2024-09-26 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2024-02-15 | 2024-03-29 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-02-15 | 2024-03-29 | Y |
| Post nurse staffing information every day. | Health | 2023-04-28 | 2023-07-12 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-04-28 | 2023-07-12 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-04-28 | 2023-07-12 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2023-04-28 | 2023-07-12 | N |
| Ensure that sources of ignition are removed from patients receiving respiratory therapy. | Fire Safety | 2023-04-28 | 2023-06-15 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-04-28 | 2023-06-11 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-04-28 | 2023-06-11 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-04-28 | 2023-06-11 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-04-28 | 2023-06-11 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-04-28 | 2023-06-11 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-04-28 | 2023-06-11 | 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 | 2023-04-28 | 2023-06-11 | N |
| Provide or obtain dental services for each resident. | Health | 2023-04-28 | 2023-06-11 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2023-04-28 | 2023-06-11 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-04-28 | 2023-06-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-04-28 | 2023-06-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-28 | 2023-06-11 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2023-04-28 | 2023-06-11 | N |
| Dispose of garbage and refuse properly. | Health | 2023-04-28 | 2023-06-11 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-04-28 | 2023-06-11 | N |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2023-04-28 | 2023-06-11 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-04-28 | 2023-06-11 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2023-04-28 | 2023-06-11 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-04-28 | 2023-06-11 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2023-04-28 | 2023-06-11 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2023-04-28 | 2023-06-11 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2023-04-28 | 2023-06-11 | 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 | 2023-04-28 | 2023-06-11 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-04-28 | 2023-06-11 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2023-04-28 | 2023-06-11 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-04-28 | 2023-06-11 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2023-04-28 | 2023-06-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-28 | 2023-06-11 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-04-28 | 2023-06-11 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2023-04-28 | 2023-06-11 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2023-04-28 | 2023-06-11 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-04-28 | 2023-06-11 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-04-28 | 2023-06-11 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-04-28 | 2023-06-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-04-28 | 2023-06-11 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-04-28 | 2023-06-11 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-04-28 | 2023-06-11 | 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 | 2023-04-28 | 2023-06-11 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-04-28 | 2023-06-11 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-04-28 | 2023-06-11 | N |
| Respond appropriately to all alleged violations. | Health | 2023-04-28 | 2023-06-11 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2023-04-28 | 2023-06-11 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-04-28 | 2023-06-11 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-04-28 | 2023-06-11 | N |