A list of the most recent deficiencies for Clairidge House. 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 request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2023-11-29 | 2023-12-29 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-11-29 | 2023-12-29 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2023-11-29 | 2023-12-29 | Y |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-08-30 | 2023-10-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-28 | 2023-10-05 | Y |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-08-30 | 2023-09-30 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-08-28 | 2023-09-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-28 | 2023-09-24 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-08-28 | 2023-09-24 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-08-28 | 2023-09-24 | Y |
| 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 | 2023-08-28 | 2023-09-24 | 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 | 2023-08-28 | 2023-09-24 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-08-28 | 2023-09-24 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-08-28 | 2023-09-24 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2023-08-28 | 2023-09-24 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2023-08-28 | 2023-09-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-28 | 2023-09-24 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-08-28 | 2023-09-24 | Y |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2023-08-28 | 2023-09-24 | Y |
| Keep all essential equipment working safely. | Health | 2023-08-28 | 2023-09-24 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-30 | 2023-09-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-08-30 | 2023-08-30 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-05-02 | 2022-07-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-02 | 2022-07-29 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-05-02 | 2022-07-29 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2022-05-02 | 2022-07-26 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-05-02 | 2022-07-26 | N |
| Respond appropriately to all alleged violations. | Health | 2022-05-02 | 2022-07-26 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-05-02 | 2022-07-26 | 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 | 2022-05-02 | 2022-07-26 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-05-02 | 2022-07-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-05-02 | 2022-07-26 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2022-05-02 | 2022-07-26 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2022-05-02 | 2022-07-26 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-05-02 | 2022-07-26 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2022-05-02 | 2022-07-26 | 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 | 2022-05-02 | 2022-07-26 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-05-02 | 2022-07-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-02 | 2022-07-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-05-02 | 2022-07-26 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-05-02 | 2022-07-26 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-05-02 | 2022-05-03 | N |
| Use approved construction type or materials. | Fire Safety | 2022-04-13 | 2022-05-03 | 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 | 2022-04-13 | 2022-05-03 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-04-13 | 2022-05-03 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2022-04-13 | 2022-05-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-13 | 2022-05-03 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-04-13 | 2022-05-03 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-04-13 | 2022-05-03 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2022-04-13 | 2022-05-03 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-04-13 | 2022-05-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-28 | 2022-01-28 | Y |
| 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 | 2020-03-02 | 2020-04-01 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2020-03-02 | 2020-04-01 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-03-02 | 2020-04-01 | N |
| Respond appropriately to all alleged violations. | Health | 2020-03-02 | 2020-04-01 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2020-03-02 | 2020-04-01 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2020-03-02 | 2020-04-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-03-02 | 2020-04-01 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2020-03-02 | 2020-04-01 | N |
