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Deficiency Records for Cliveden Nursing and Rehabilitation Center
View the most recent health deficiencies and inspection results for Cliveden Nursing and Rehabilitation Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Cliveden Nursing and Rehabilitation Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2026-04-14 | 2026-05-05 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2026-03-05 | 2026-05-04 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2026-03-05 | 2026-05-04 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2025-09-02 | 2025-10-01 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-09-02 | 2025-10-01 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-08-14 | 2025-10-01 | 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 | 2025-08-14 | 2025-10-01 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-06-13 | 2025-08-01 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-06-13 | 2025-08-01 | N |
| 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 | 2025-06-13 | 2025-08-01 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2025-06-13 | 2025-08-01 | 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 | 2025-06-13 | 2025-08-01 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2025-06-13 | 2025-08-01 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | Health | 2025-06-13 | 2025-08-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-06-13 | 2025-08-01 | N |
| Implement a program that monitors antibiotic use. | Health | 2025-06-13 | 2025-08-01 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2025-06-13 | 2025-08-01 | 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 | 2025-06-13 | 2025-08-01 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2025-06-13 | 2025-08-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-06-13 | 2025-08-01 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-06-13 | 2025-08-01 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-06-13 | 2025-08-01 | N |
| Respond appropriately to all alleged violations. | Health | 2025-06-13 | 2025-08-01 | 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 | 2025-06-13 | 2025-08-01 | N |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2025-06-13 | 2025-08-01 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2025-01-31 | 2025-02-27 | Y |
| 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 | 2025-01-31 | 2025-02-27 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2024-08-30 | 2024-10-29 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2024-08-30 | 2024-10-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-08-30 | 2024-10-14 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-08-30 | 2024-10-14 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2024-08-30 | 2024-10-14 | 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 | 2024-08-30 | 2024-10-14 | 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 | 2024-08-30 | 2024-10-14 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-08-30 | 2024-10-14 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-08-30 | 2024-10-14 | N |
| 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 | 2024-08-30 | 2024-10-14 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-08-30 | 2024-10-14 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-08-30 | 2024-10-14 | 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 | 2024-08-30 | 2024-10-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-08-30 | 2024-10-14 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-08-30 | 2024-10-14 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-08-30 | 2024-10-14 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2024-08-30 | 2024-10-14 | 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 | 2024-08-30 | 2024-10-14 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2024-08-30 | 2024-10-14 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-08-30 | 2024-10-14 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-08-30 | 2024-10-14 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-05-08 | 2024-06-06 | 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 | 2023-11-17 | 2024-01-16 | Y |
| 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 | 2023-11-17 | 2024-01-16 | Y |
| Put firmly secured handrails on each side of hallways. | Health | 2023-11-17 | 2024-01-16 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-11-17 | 2024-01-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-17 | 2024-01-16 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-11-17 | 2024-01-16 | 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 | 2023-11-17 | 2024-01-16 | N |
| 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 | 2023-11-17 | 2024-01-16 | N |
| 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 | 2023-11-17 | 2024-01-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-17 | 2024-01-16 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-12-26 | 2024-01-16 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-12-26 | 2024-01-16 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-27 | 2023-10-24 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2025-06-26 | Not Fixed | Y |