Deficiency Records for Clovernook Health Care and Rehabilitation Center
Updated as of April 01, 2022
This is not the most recent data for Clovernook Health Care and Rehabilitation Center. For the most recent information, click here.
A list of the most recent deficiencies for Clovernook Health Care 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-01-10 | 2022-02-04 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-01-10 | 2022-02-04 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-01-10 | 2022-02-04 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-01-10 | 2022-02-04 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-01-10 | 2022-02-04 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-01-10 | 2022-02-04 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-01-10 | 2022-02-04 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-12-22 | 2022-02-04 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-11-19 | 2021-12-09 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-11-19 | 2021-12-09 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-11-19 | 2021-12-09 | Y |
| 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 | 2021-11-19 | 2021-12-09 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-11-19 | 2021-12-09 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-11-10 | 2021-12-09 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2021-11-10 | 2021-12-09 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2021-11-10 | 2021-12-09 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-10-28 | 2021-12-09 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-10-28 | 2021-12-09 | Y |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2021-09-14 | 2021-09-29 | Y |
| 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 | 2021-09-14 | 2021-09-29 | Y |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2021-07-15 | 2021-08-03 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-07-15 | 2021-08-03 | Y |
| 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 | 2021-07-15 | 2021-08-03 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2021-06-22 | 2021-07-09 | Y |
| 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 | 2021-02-09 | 2021-03-01 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-02-09 | 2021-03-01 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-10-08 | 2020-11-06 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-10-08 | 2020-11-06 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2020-10-08 | 2020-11-06 | Y |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2020-10-08 | 2020-11-06 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2020-10-08 | 2020-11-06 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-10-08 | 2020-11-06 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-10-08 | 2020-11-06 | Y |
| Report COVID19 data to residents and families. | Health | 2020-10-08 | 2020-11-06 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-07-07 | 2020-07-24 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-09-26 | 2019-10-31 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2019-09-26 | 2019-10-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-09-26 | 2019-10-31 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2019-10-22 | 2019-10-31 | Y |
| Use approved construction type or materials. | Fire Safety | 2019-09-23 | 2019-10-31 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2019-09-23 | 2019-10-31 | N |
| Have horizontal exits used in accordance with safety requirements. | Fire Safety | 2019-09-23 | 2019-10-31 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2019-09-23 | 2019-10-31 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-09-23 | 2019-10-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-06-12 | 2019-06-28 | Y |
| 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 | 2019-06-12 | 2019-06-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2019-06-12 | 2019-06-28 | Y |
| 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 | 2018-08-16 | 2018-10-02 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-08-16 | 2018-10-02 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-08-16 | 2018-10-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-08-14 | 2018-10-02 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2018-08-14 | 2018-10-02 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2017-06-15 | 2017-07-26 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-06-15 | 2017-07-26 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-06-15 | 2017-07-26 | N |
| Post nurse staffing information/data on a daily basis. | Health | 2017-06-15 | 2017-07-26 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-06-15 | 2017-07-26 | N |
| Provide or obtain dental services for each resident. | Health | 2017-06-15 | 2017-07-26 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-06-15 | 2017-07-26 | N |
| Put firmly secured handrails on each side of hallways. | Health | 2017-06-15 | 2017-07-26 | N |
| Use approved construction type or materials. | Fire Safety | 2017-06-12 | 2017-07-26 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2017-06-12 | 2017-07-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-06-12 | 2017-07-26 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-06-12 | 2017-07-26 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-06-12 | 2017-07-26 | N |
