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Deficiency Records for Elm Wood Center at Claremont
A list of the most recent deficiencies for Elm Wood Center at Claremont. 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 Elm Wood Center at Claremont. 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? |
|---|---|---|---|---|
| Conduct testing and exercise requirements. | Fire Safety | 2024-06-12 | 2024-08-01 | 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 | 2024-06-12 | 2024-08-01 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-06-12 | 2024-08-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-06-12 | 2024-08-01 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-06-13 | 2024-07-25 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2024-06-13 | 2024-07-22 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-06-13 | 2024-07-19 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-06-13 | 2024-07-19 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-06-13 | 2024-07-19 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-06-13 | 2024-07-19 | 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 | 2024-06-13 | 2024-04-01 | N |
| 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 | 2023-05-02 | 2023-07-13 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-05-02 | 2023-07-13 | N |
| Keep all essential equipment working safely. | Health | 2023-05-02 | 2023-07-13 | 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 | 2023-05-02 | 2023-07-10 | 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 | 2023-05-02 | 2023-07-06 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-05-02 | 2023-07-01 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-05-02 | 2023-07-01 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-05-02 | 2023-07-01 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2023-05-02 | 2023-06-29 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-05-02 | 2023-06-28 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-05-02 | 2023-06-27 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-05-02 | 2023-06-27 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-05-02 | 2023-06-27 | 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 | 2023-05-02 | 2023-06-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-01 | 2023-06-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-01 | 2023-06-02 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-05-02 | 2023-05-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-07-25 | 2022-09-15 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2022-07-25 | 2022-09-15 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-07-27 | 2022-09-13 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-07-27 | 2022-09-13 | 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 | 2022-07-27 | 2022-09-13 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-07-27 | 2022-09-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-07-27 | 2022-08-19 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-07-27 | 2022-08-12 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-04-06 | 2022-05-04 | Y |
| 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 | 2022-04-06 | 2022-05-04 | Y |
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