Deficiency Records for Claremont Manor Care Center
Updated as of September 01, 2021
This is not the most recent data for Claremont Manor Care Center. For the most recent information, click here.
A list of the most recent deficiencies for Claremont Manor Care Center. 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? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2021-03-11 | 2021-04-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-08-05 | 2019-08-16 | 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 | 2019-08-05 | 2019-08-16 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2019-08-05 | 2019-08-16 | 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 | 2019-03-22 | 2019-05-02 | 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 | 2019-03-22 | 2019-05-02 | 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 | 2019-03-22 | 2019-05-02 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-03-22 | 2019-05-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-03-22 | 2019-05-02 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-03-22 | 2019-05-02 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-03-20 | 2019-04-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-03-20 | 2019-04-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-27 | 2019-04-09 | Y |
| Respond appropriately to all alleged violations. | Health | 2019-02-05 | 2019-02-20 | Y |
| Address patient/client population and determine types of services needed. | Fire Safety | 2018-03-21 | 2018-04-23 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2018-03-21 | 2018-04-23 | N |
| Provide emergency officials' contact information. | Fire Safety | 2018-03-21 | 2018-04-23 | N |
| Implement emergency and standby power systems. | Fire Safety | 2018-03-21 | 2018-04-23 | N |
| Enure that solid fuel-burning fireplaces are not in patient sleeping areas. | Fire Safety | 2018-03-21 | 2018-04-23 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-03-21 | 2018-04-23 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-03-21 | 2018-04-23 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-03-17 | 2018-04-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-03-17 | 2018-04-10 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-03-17 | 2018-04-10 | N |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2018-03-17 | 2018-04-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-03-17 | 2018-04-10 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2018-03-17 | 2018-04-10 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-03-17 | 2018-04-10 | 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 | 2018-03-17 | 2018-04-10 | 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 | 2018-03-17 | 2018-04-10 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-03-17 | 2018-04-10 | 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 | 2018-03-17 | 2018-04-10 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2018-03-17 | 2018-04-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-03-17 | 2018-04-10 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2017-04-30 | 2017-05-31 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2017-04-30 | 2017-05-31 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2017-04-30 | 2017-05-31 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-04-30 | 2017-05-31 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2017-04-30 | 2017-05-22 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2017-04-30 | 2017-05-22 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-04-30 | 2017-05-22 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-04-30 | 2017-05-22 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-04-30 | 2017-05-22 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-04-30 | 2017-05-22 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-04-30 | 2017-05-22 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-04-30 | 2017-05-22 | N |
| Train all employees on what to do in an emergency, and carry out unannounced staff drills. | Health | 2017-04-30 | 2017-05-22 | N |
