Deficiency Records for Clarewood House Extended Care Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Clarewood House Extended 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? |
|---|---|---|---|---|
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-08-17 | 2023-08-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-17 | 2023-08-24 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-08-22 | 2023-08-23 | 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 | 2022-06-23 | 2022-07-13 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-06-23 | 2022-07-11 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-06-23 | 2022-07-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-03-18 | 2021-04-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-03-18 | 2021-04-09 | 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 | 2021-03-18 | 2021-03-21 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-05-22 | Not Fixed | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-05-22 | Not Fixed | Y |
| Establish staff and initial training requirements. | Fire Safety | 2023-05-22 | Not Fixed | Y |
