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Deficiency Records for Cliveden Nursing and Rehabilitation Center

A list of the most recent deficiencies for Cliveden Nursing 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 Cliveden Nursing 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?
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2024-05-08 2024-06-06 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-12-26 2024-01-16 Y
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2023-12-26 2024-01-16 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-11-17 2024-01-16 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 2023-11-17 2024-01-16 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 2023-11-17 2024-01-16 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 2023-11-17 2024-01-16 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-11-17 2024-01-16 N
Provide and implement an infection prevention and control program. Health 2023-11-17 2024-01-16 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2023-11-17 2024-01-16 N
Put firmly secured handrails on each side of hallways. Health 2023-11-17 2024-01-16 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 2023-11-17 2024-01-16 Y
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 2023-11-17 2024-01-16 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-09-27 2023-10-24 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-03-15 2023-04-26 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-01-04 2023-02-20 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-01-12 2023-02-20 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 2023-01-12 2023-02-20 N
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Health 2023-01-12 2023-02-20 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2023-01-12 2023-02-20 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 2023-01-12 2023-02-20 N
Ensure each resident receives an accurate assessment. Health 2023-01-12 2023-02-20 N
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2023-01-12 2023-02-20 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2023-01-12 2023-02-20 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-01-12 2023-02-20 N
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Health 2023-01-12 2023-02-20 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-01-12 2023-02-20 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-01-12 2023-02-20 N
Assist a resident in gaining access to vision and hearing services. Health 2023-01-12 2023-02-20 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-01-12 2023-02-20 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 2023-01-12 2023-02-20 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 2023-01-12 2023-02-20 N
Provide enough food/fluids to maintain a resident's health. Health 2023-01-12 2023-02-20 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 2023-01-12 2023-02-20 N
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. Health 2023-01-12 2023-02-20 N
Provide routine and 24-hour emergency dental care for each resident. Health 2023-01-12 2023-02-20 N
Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. Health 2023-01-12 2023-02-20 N
Provide and implement an infection prevention and control program. Health 2023-01-12 2023-02-20 N
Implement a program that monitors antibiotic use. Health 2023-01-12 2023-02-20 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2023-01-12 2023-02-20 N
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. Health 2023-01-12 2023-02-20 N
Make sure that a working call system is available in each resident's bathroom and bathing area. Health 2023-01-12 2023-02-20 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 2023-01-12 2023-02-20 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-01-12 2023-02-20 Y
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2023-01-12 2023-02-20 Y
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-12-05 2023-01-03 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-05-06 2022-06-17 Y
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2022-05-06 2022-06-17 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-05-06 2022-06-17 Y
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Health 2022-03-04 2022-04-07 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-03-04 2022-04-07 N
Assist a resident in gaining access to vision and hearing services. Health 2022-03-04 2022-04-07 N
Provide for the safe, appropriate administration of IV fluids for a resident when needed. Health 2022-03-04 2022-04-07 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 2022-03-04 2022-04-07 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-03-04 2022-04-07 N
Provide enough food/fluids to maintain a resident's health. Health 2022-03-04 2022-04-07 Y
Provide timely, quality laboratory services/tests to meet the needs of residents. Health 2022-03-04 2022-04-07 Y
Provide or obtain dental services for each resident. Health 2022-03-04 2022-04-07 Y
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2022-01-31 2022-03-02 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2021-11-30 2022-01-12 Y
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 2021-11-30 2022-01-12 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2021-11-10 2021-12-10 Y

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