Deficiency Records for Clover Meadows Healthcare and Rehabilitation Cente
Updated as of March 01, 2024
A list of the most recent deficiencies for Clover Meadows Healthcare and Rehabilitation Cente. 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-10-31 | 2023-12-13 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2023-10-31 | 2023-12-13 | N |
| Respond appropriately to all alleged violations. | Health | 2023-10-31 | 2023-12-13 | N |
| 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 | 2023-10-31 | 2023-12-13 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-10-31 | 2023-12-13 | N |
| Assess the resident when there is a significant change in condition | Health | 2023-10-31 | 2023-12-13 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-10-31 | 2023-12-13 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-10-31 | 2023-12-13 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-10-31 | 2023-12-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-31 | 2023-12-13 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-10-31 | 2023-12-13 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-10-31 | 2023-12-13 | 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 | 2023-10-31 | 2023-12-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-31 | 2023-12-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-31 | 2023-12-13 | 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 | 2023-10-31 | 2023-12-13 | 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 | 2023-10-31 | 2023-12-13 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-10-31 | 2023-12-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-10-31 | 2023-12-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-10-31 | 2023-12-13 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-08-27 | 2021-10-10 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-08-27 | 2021-10-10 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-08-27 | 2021-10-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-06-25 | 2021-08-30 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-04-19 | 2021-06-02 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-09-19 | 2019-10-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-09-19 | 2019-10-11 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-09-19 | 2019-10-11 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-09-19 | 2019-10-11 | N |
