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Deficiency Records for Clairidge House

A list of the most recent deficiencies for Clairidge House. 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 Clairidge House. 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?
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 2023-11-29 2023-12-29 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-11-29 2023-12-29 Y
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. Health 2023-11-29 2023-12-29 Y
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2023-08-30 2023-10-25 N
Provide and implement an infection prevention and control program. Health 2023-08-28 2023-10-05 Y
Have an enclosure around a vertical opening shaft. Fire Safety 2023-08-30 2023-09-30 N
Plan the resident's discharge to meet the resident's goals and needs. Health 2023-08-28 2023-09-24 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-08-28 2023-09-24 N
Implement a program that monitors antibiotic use. Health 2023-08-28 2023-09-24 N
Reasonably accommodate the needs and preferences of each resident. Health 2023-08-28 2023-09-24 Y
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 2023-08-28 2023-09-24 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 2023-08-28 2023-09-24 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-08-28 2023-09-24 Y
Respond appropriately to all alleged violations. Health 2023-08-28 2023-09-24 Y
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. Health 2023-08-28 2023-09-24 Y
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Health 2023-08-28 2023-09-24 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-08-28 2023-09-24 Y
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2023-08-28 2023-09-24 Y
Provide or get specialized rehabilitative services as required for a resident. Health 2023-08-28 2023-09-24 Y
Keep all essential equipment working safely. Health 2023-08-28 2023-09-24 Y
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-08-30 2023-09-20 N
Ensure proper usage of power strips and extension cords. Fire Safety 2023-08-30 2023-08-30 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2022-05-02 2022-07-29 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-05-02 2022-07-29 N
Provide enough food/fluids to maintain a resident's health. Health 2022-05-02 2022-07-29 N
Ensure residents have reasonable access to and privacy in their use of communication methods. Health 2022-05-02 2022-07-26 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2022-05-02 2022-07-26 N
Respond appropriately to all alleged violations. Health 2022-05-02 2022-07-26 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2022-05-02 2022-07-26 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 2022-05-02 2022-07-26 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2022-05-02 2022-07-26 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-05-02 2022-07-26 N
Plan the resident's discharge to meet the resident's goals and needs. Health 2022-05-02 2022-07-26 N
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. Health 2022-05-02 2022-07-26 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2022-05-02 2022-07-26 N
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Health 2022-05-02 2022-07-26 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 2022-05-02 2022-07-26 N
Ensure medication error rates are not 5 percent or greater. Health 2022-05-02 2022-07-26 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-05-02 2022-07-26 N
Provide and implement an infection prevention and control program. Health 2022-05-02 2022-07-26 N
Allow residents to self-administer drugs if determined clinically appropriate. Health 2022-05-02 2022-07-26 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-05-02 2022-05-03 N
Use approved construction type or materials. Fire Safety 2022-04-13 2022-05-03 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 2022-04-13 2022-05-03 N
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2022-04-13 2022-05-03 N
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. Fire Safety 2022-04-13 2022-05-03 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-04-13 2022-05-03 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2022-04-13 2022-05-03 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2022-04-13 2022-05-03 N
Meet requirements for the installation and maintenance of electrical systems. Fire Safety 2022-04-13 2022-05-03 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2022-04-13 2022-05-03 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-12-28 2022-01-28 Y
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 2020-03-02 2020-04-01 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2020-03-02 2020-04-01 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2020-03-02 2020-04-01 N
Respond appropriately to all alleged violations. Health 2020-03-02 2020-04-01 N
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2020-03-02 2020-04-01 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2020-03-02 2020-04-01 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2020-03-02 2020-04-01 N
Provide enough food/fluids to maintain a resident's health. Health 2020-03-02 2020-04-01 N

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