Deficiency Records for Clapp's Convalescent Nursing Home Inc
Updated as of April 01, 2024
A list of the most recent deficiencies for Clapp's Convalescent Nursing Home Inc. 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? |
|---|---|---|---|---|
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-07-11 | 2023-07-19 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-07-11 | 2023-07-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-07-11 | 2023-07-19 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-07-11 | 2023-07-19 | N |
| Post nurse staffing information every day. | Health | 2021-11-04 | 2021-11-15 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-07-21 | 2021-07-29 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2019-09-05 | 2019-09-10 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-07-25 | 2019-08-22 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-07-25 | 2019-08-22 | 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 | 2019-07-25 | 2019-08-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-07-25 | 2019-08-22 | N |
| Post nurse staffing information every day. | Health | 2019-07-25 | 2019-08-22 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-07-25 | 2019-08-22 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2019-07-25 | 2019-08-22 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-07-25 | 2019-08-22 | N |
