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Deficiency Records for Claridge Healthcare Center
A list of the most recent deficiencies for Claridge Healthcare Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Claridge Healthcare 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? |
|---|---|---|---|---|
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-06-20 | 2024-10-31 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2024-06-20 | 2024-10-31 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2024-06-20 | 2024-10-31 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2024-06-20 | 2024-10-31 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2024-06-20 | 2024-10-31 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2024-06-20 | 2024-10-31 | N |
| Establish staff and initial training requirements. | Fire Safety | 2024-06-20 | 2024-10-31 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-06-20 | 2024-10-31 | 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 | 2024-06-06 | 2024-09-06 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-08-13 | 2024-08-30 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-08-13 | 2024-08-30 | Y |
| Ensure the activities program is directed by a qualified professional. | Health | 2024-06-06 | 2024-08-30 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2024-06-06 | 2024-08-30 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2024-06-06 | 2024-08-30 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2024-06-20 | 2024-07-23 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-06-06 | 2024-07-22 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2024-06-06 | 2024-07-22 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-06-06 | 2024-07-22 | N |
| Provide activities to meet all resident's needs. | Health | 2024-06-06 | 2024-07-22 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-06-06 | 2024-07-22 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-06-06 | 2024-07-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-06-06 | 2024-07-22 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-06-06 | 2024-07-22 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-06-06 | 2024-07-22 | 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 | 2024-06-06 | 2024-07-22 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2024-06-06 | 2024-07-22 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-06-06 | 2024-07-22 | 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 | 2024-06-06 | 2024-07-22 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2024-06-06 | 2024-07-22 | 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 | 2024-06-06 | 2024-07-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-06-06 | 2024-07-22 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2024-06-06 | 2024-07-22 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2024-06-06 | 2024-07-22 | N |
| Hire a qualified full-time social worker in a facility with more than 120 beds. | Health | 2024-06-06 | 2024-07-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-06-06 | 2024-07-22 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-06-06 | 2024-07-22 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2024-06-20 | 2024-07-15 | 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 | 2024-06-20 | 2024-07-15 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2024-06-20 | 2024-07-15 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2024-06-20 | 2024-07-15 | 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 | 2024-06-20 | 2024-07-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-06-20 | 2024-07-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-06-20 | 2024-07-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-06-20 | 2024-07-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-06-20 | 2024-07-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-06-20 | 2024-07-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-06-20 | 2024-07-15 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2024-06-20 | 2024-07-15 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-05-14 | 2024-06-10 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-04-02 | 2024-05-08 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-04-02 | 2024-05-08 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-07-12 | 2023-09-26 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-07-12 | 2023-08-25 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-07-12 | 2023-08-25 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-07-12 | 2023-08-25 | N |
| Respond appropriately to all alleged violations. | Health | 2023-07-12 | 2023-08-25 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-07-12 | 2023-08-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-12 | 2023-08-25 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2023-07-12 | 2023-08-25 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-07-12 | 2023-08-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-12 | 2023-08-25 | 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 | 2023-07-12 | 2023-08-25 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-07-12 | 2023-08-25 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-07-12 | 2023-08-25 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-07-12 | 2023-08-25 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-07-12 | 2023-08-25 | 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 | 2023-07-12 | 2023-08-25 | N |
| Provide or obtain dental services for each resident. | Health | 2023-07-12 | 2023-08-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-12 | 2023-08-25 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2023-07-12 | 2023-08-25 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2023-07-12 | 2023-08-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-07-12 | 2023-08-25 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-07-12 | 2023-08-25 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-05-31 | 2023-07-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-31 | 2023-07-14 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-05-01 | 2023-06-30 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-05-01 | 2023-06-30 | Y |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2023-05-01 | 2023-06-30 | Y |
| Report COVID19 data to residents and families. | Health | 2023-04-03 | 2023-04-21 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2022-11-17 | 2022-12-10 | 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 | 2022-10-06 | 2022-10-19 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-08 | 2022-10-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-08 | 2022-10-07 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2022-07-28 | 2022-08-19 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2022-07-28 | 2022-08-19 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-07-28 | 2022-08-19 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2022-07-28 | 2022-08-19 | Y |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2022-07-28 | 2022-08-19 | Y |
| Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2022-07-28 | 2022-08-19 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-05-11 | 2022-06-17 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-05-11 | 2022-06-17 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2022-05-11 | 2022-06-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-11 | 2022-06-17 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-05-11 | 2022-06-17 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-05-11 | 2022-06-17 | 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 | 2022-05-11 | 2022-06-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-05-11 | 2022-06-17 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-01-18 | 2022-02-08 | Y |
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