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Deficiency Records for Clovis Healthcare and Rehabilitation Center
A list of the most recent deficiencies for Clovis Healthcare and Rehabilitation 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 Clovis Healthcare and Rehabilitation 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 timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-09-26 | 2024-11-05 | 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 | 2024-09-26 | 2024-11-05 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-09-26 | 2024-11-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-09-26 | 2024-11-05 | 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 | 2024-09-26 | 2024-11-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-09-24 | 2024-10-21 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-05-16 | 2024-07-11 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2024-05-16 | 2024-07-11 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-05-16 | 2024-07-11 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-05-16 | 2024-07-11 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-05-16 | 2024-07-11 | Y |
| 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 | 2024-05-16 | 2024-07-11 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-05-16 | 2024-07-11 | Y |
| 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 | 2024-05-16 | 2024-07-11 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2024-05-16 | 2024-07-11 | 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 | 2024-02-22 | 2024-04-16 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-02-22 | 2024-04-16 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-02-22 | 2024-04-16 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-18 | 2023-09-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-18 | 2023-09-26 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-08-18 | 2023-09-26 | 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 | 2023-08-18 | 2023-09-26 | 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 | 2023-08-18 | 2023-09-26 | 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 | 2023-08-18 | 2023-09-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-18 | 2023-09-26 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-08-18 | 2023-09-26 | 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 | 2023-08-18 | 2023-09-26 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-08-16 | 2023-09-26 | 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 | 2023-08-16 | 2023-09-26 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-08-16 | 2023-09-26 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-08-16 | 2023-09-26 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-08-16 | 2023-09-26 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-09-16 | 2022-10-24 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-09-16 | 2022-10-24 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2022-09-16 | 2022-10-24 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2022-09-16 | 2022-10-24 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-09-16 | 2022-10-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-09-16 | 2022-10-24 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-09-16 | 2022-10-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-16 | 2022-10-24 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-09-16 | 2022-10-24 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-09-16 | 2022-10-24 | 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 | 2022-09-16 | 2022-10-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-09-16 | 2022-10-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-09-16 | 2022-10-24 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-09-16 | 2022-10-24 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-09-16 | 2022-10-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-08-23 | 2022-09-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-23 | 2022-09-20 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-08-23 | 2022-09-20 | N |
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