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Deficiency Records for Clepper Manor
View the most recent health deficiencies and inspection results for Clepper Manor. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Clepper Manor. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Meet other general requirements. | Fire Safety | 2025-04-04 | 2025-06-25 | N |
| Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. | Fire Safety | 2025-04-04 | 2025-06-25 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2025-04-04 | 2025-06-25 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2025-04-04 | 2025-05-15 | N |
| Use approved construction type or materials. | Fire Safety | 2025-04-04 | 2025-05-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-04-04 | 2025-05-15 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2025-04-04 | 2025-05-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-04-04 | 2025-05-13 | N |
| 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 | 2025-04-04 | 2025-05-13 | 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 | 2024-05-17 | 2024-07-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-05-17 | 2024-06-28 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2024-05-17 | 2024-06-28 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2024-05-17 | 2024-06-28 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-05-17 | 2024-06-28 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-05-17 | 2024-06-28 | N |
| Establish emergency prep training and testing. | Fire Safety | 2024-05-17 | 2024-06-28 | N |
| Meet other general requirements. | Fire Safety | 2024-05-17 | 2024-06-28 | N |
| Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. | Fire Safety | 2024-05-17 | 2024-06-28 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-05-17 | 2024-06-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-17 | 2024-06-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-05-17 | 2024-06-28 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2024-05-17 | 2024-06-28 | N |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2023-12-13 | 2024-01-05 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-12-13 | 2024-01-05 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-12-13 | 2024-01-05 | Y |
| Provide family notifications of emergency plan. | Fire Safety | 2023-06-02 | 2023-07-01 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2023-06-02 | 2023-07-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-02 | 2023-07-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-06-02 | 2023-07-01 | N |
| Establish emergency prep training and testing. | Fire Safety | 2023-06-02 | 2023-07-01 | N |
| Respond appropriately to all alleged violations. | Health | 2023-06-02 | 2023-06-30 | 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 | 2023-06-02 | 2023-06-30 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-06-02 | 2023-06-30 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-06-02 | 2023-06-30 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-06-02 | 2023-06-30 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2023-06-02 | 2023-06-30 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-05-19 | 2023-06-21 | Y |