CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for St Clare Commons
View the most recent health deficiencies and inspection results for St Clare Commons. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for St Clare Commons. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-12-01 | 2026-01-06 | 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 | 2025-12-01 | 2026-01-06 | 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 | 2025-12-01 | 2026-01-06 | Y |
| Help the resident with transportation to and from laboratory services outside of the facility. | Health | 2025-12-01 | 2026-01-06 | Y |
| 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 | 2025-12-01 | 2026-01-06 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-06-26 | 2025-08-15 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-06-26 | 2025-08-15 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-06-26 | 2025-08-15 | N |
| Provide appropriate foot care. | Health | 2025-06-26 | 2025-08-15 | N |
| Ensure that residents are free from significant medication errors. | Health | 2025-06-26 | 2025-08-15 | 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 | 2025-06-26 | 2025-08-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-06-26 | 2025-08-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-06-26 | 2025-08-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-06-26 | 2025-08-15 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2025-06-26 | 2025-08-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-06-26 | 2025-08-15 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-04-03 | 2025-04-17 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-04-03 | 2025-04-17 | 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 | 2024-07-08 | 2024-07-26 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-07-08 | 2024-07-26 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-25 | 2024-05-24 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-04-25 | 2024-05-24 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2024-04-25 | 2024-05-24 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-10-11 | 2023-11-04 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-11 | 2023-11-04 | 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 | 2023-10-11 | 2023-11-04 | 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 | 2023-10-11 | 2023-11-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-11 | 2023-11-04 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2023-10-11 | 2023-11-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-11 | 2023-11-04 | N |
| 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 | 2023-10-11 | 2023-11-04 | 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 | 2023-10-11 | 2023-11-04 | 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 | 2023-10-11 | 2023-11-04 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-10-11 | 2023-11-04 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-10-11 | 2023-11-04 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-10-11 | 2023-11-04 | Y |
| Provide activities to meet all resident's needs. | Health | 2023-10-11 | 2023-11-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-11 | 2023-11-04 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2023-10-11 | 2023-11-04 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-10-11 | 2023-11-04 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-10-11 | 2023-11-04 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2023-10-11 | 2023-11-04 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-05 | 2023-07-21 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2021-05-04 | 2021-06-11 | 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 | 2021-05-04 | 2021-06-11 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-05-04 | 2021-06-11 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-05-04 | 2021-06-11 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-05-04 | 2021-06-11 | 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 | 2021-05-04 | 2021-06-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-05-04 | 2021-06-11 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2026-03-26 | Not Fixed | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2026-03-26 | Not Fixed | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2026-03-26 | Not Fixed | Y |
| Respond appropriately to all alleged violations. | Health | 2026-03-26 | Not Fixed | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2026-03-26 | Not Fixed | 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 | 2026-03-26 | Not Fixed | Y |
| 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 | 2026-03-26 | Not Fixed | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2026-03-26 | Not Fixed | Y |