Deficiency Records for Clepper Manor
Updated as of March 01, 2023
This is not the most recent data for Clepper Manor. For the most recent information, click here.
A list of the most recent deficiencies for Clepper Manor. 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? |
---|---|---|---|---|
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-07-18 | 2022-10-17 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-07-18 | 2022-09-16 | N |
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-07-15 | 2022-08-24 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-07-15 | 2022-08-24 | N |
Ensure that residents are free from significant medication errors. | Health | 2022-07-15 | 2022-08-24 | N |
Provide and implement an infection prevention and control program. | Health | 2022-07-15 | 2022-08-24 | N |
Provide and implement an infection prevention and control program. | Health | 2022-02-03 | 2022-03-01 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-08-09 | 2021-10-01 | 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 | 2021-08-09 | 2021-10-01 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-08-09 | 2021-10-01 | 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 | 2021-08-09 | 2021-10-01 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-08-09 | 2021-10-01 | 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 | 2021-08-09 | 2021-10-01 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-08-09 | 2021-10-01 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-08-09 | 2021-10-01 | N |
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2021-08-09 | 2021-10-01 | N |
Provide and implement an infection prevention and control program. | Health | 2021-08-09 | 2021-10-01 | N |
Perform COVID19 testing on residents and staff. | Health | 2021-08-09 | 2021-10-01 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-08-09 | 2021-10-01 | Y |
Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-08-12 | 2021-10-01 | N |
Provide a means of sharing information on occupancy/needs. | Fire Safety | 2021-08-12 | 2021-10-01 | N |
Use approved construction type or materials. | Fire Safety | 2021-08-12 | 2021-10-01 | N |
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2021-08-12 | 2021-10-01 | N |
Have exits that are accessible at all times. | Fire Safety | 2021-08-12 | 2021-10-01 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-08-12 | 2021-10-01 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-08-12 | 2021-10-01 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2021-08-12 | 2021-10-01 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-08-12 | 2021-10-01 | N |
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 | 2021-06-25 | 2021-07-21 | Y |
Provide and implement an infection prevention and control program. | Health | 2021-06-25 | 2021-07-21 | Y |
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2021-06-25 | 2021-07-21 | Y |
Report COVID19 data to residents and families. | Health | 2021-06-25 | 2021-07-21 | Y |
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-05-21 | 2021-06-21 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-04-22 | 2021-05-06 | 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 | 2021-04-22 | 2021-04-30 | Y |
Reasonably accommodate the needs and preferences of each resident. | Health | 2020-12-16 | 2020-12-31 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-12-16 | 2020-12-31 | Y |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-03-02 | 2020-04-27 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-03-02 | 2020-04-27 | 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 | 2020-02-28 | 2020-04-14 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2023-02-02 | Not Fixed | N |
Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | Health | 2023-02-02 | Not Fixed | N |