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Deficiency Records for Clayton Rehabilitation and Healthcare Center

A list of the most recent deficiencies for Clayton Rehabilitation and 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 Clayton Rehabilitation and 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?
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-07-30 2024-08-14 Y
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2024-07-30 2024-08-14 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2024-07-30 2024-07-30 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2022-07-21 2022-09-27 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2022-07-21 2022-09-27 N
Provide and implement an infection prevention and control program. Health 2022-07-21 2022-09-27 N
Ensure medication error rates are not 5 percent or greater. Health 2022-08-31 2022-09-27 Y
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2022-08-16 2022-09-27 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2022-08-16 2022-09-27 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-08-16 2022-09-27 N
Reasonably accommodate the needs and preferences of each resident. Health 2022-07-21 2022-08-31 N
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2022-07-21 2022-08-31 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2022-07-21 2022-08-31 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-07-21 2022-08-31 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-07-21 2022-08-31 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-07-21 2022-08-31 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-07-21 2022-08-31 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 2022-07-21 2022-08-31 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 2022-07-21 2022-08-31 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 2022-07-21 2022-08-31 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-07-21 2022-08-31 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-12-10 2022-01-04 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2021-07-21 2021-08-02 N
Keep residents' personal and medical records private and confidential. Health 2021-07-21 2021-08-02 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2021-07-21 2021-08-02 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 2021-07-21 2021-08-02 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 2021-07-21 2021-08-02 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-07-21 2021-06-26 N

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