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Deficiency Records for Clearwater Healthcare Center
A list of the most recent deficiencies for Clearwater 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 Clearwater 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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-07-11 | 2024-07-19 | Y |
| 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 | 2024-03-04 | 2024-04-04 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-03-04 | 2024-04-04 | Y |
| Provide enough space and equipment to meet each resident's needs | Health | 2024-03-04 | 2024-04-04 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-12 | 2024-03-13 | Y |
| Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2024-01-12 | 2024-03-13 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-03 | 2023-12-27 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-10-27 | 2023-11-27 | 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 | 2023-10-27 | 2023-11-27 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-10-27 | 2023-11-27 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-10-27 | 2023-11-27 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-07-27 | 2023-08-19 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-03-20 | 2023-04-28 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-03-23 | 2023-04-23 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-12-28 | 2023-01-04 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-08-25 | 2022-09-16 | Y |
| 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 | 2022-08-25 | 2022-09-16 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2022-09-01 | 2022-09-11 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-07-26 | 2022-08-26 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-07-26 | 2022-08-26 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-06-07 | 2022-06-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-07 | 2022-06-30 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-05-05 | 2022-05-30 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-03-30 | 2022-04-30 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2021-12-27 | 2022-01-05 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-07-15 | 2021-08-13 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-07-15 | 2021-08-13 | 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 | 2021-07-15 | 2021-08-13 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-07-15 | 2021-08-13 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-07-15 | 2021-08-13 | 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 | 2021-07-15 | 2021-08-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-07-15 | 2021-08-13 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-07-15 | 2021-08-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-07-15 | 2021-08-13 | N |
| Keep all essential equipment working safely. | Health | 2021-07-15 | 2021-08-13 | N |
| Provide emergency officials' contact information. | Fire Safety | 2021-07-22 | 2021-08-04 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2021-07-22 | 2021-08-04 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-07-22 | 2021-08-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-07-22 | 2021-08-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-07-22 | 2021-08-04 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-07-22 | 2021-08-04 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2019-05-23 | 2019-06-12 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-05-23 | 2019-06-12 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-05-23 | 2019-06-12 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2019-05-23 | 2019-06-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-05-23 | 2019-06-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-05-23 | 2019-06-12 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-05-23 | 2019-06-12 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-05-23 | 2019-06-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-05-23 | 2019-06-12 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-05-23 | 2019-06-12 | 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 | 2019-04-05 | 2019-05-02 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-04-05 | 2019-05-02 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-04-05 | 2019-05-02 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-04-05 | 2019-05-02 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2019-04-05 | 2019-05-02 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-04-05 | 2019-05-02 | 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 | 2019-04-05 | 2019-05-02 | 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 | 2019-04-05 | 2019-05-02 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-04-05 | 2019-05-02 | 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 | 2019-04-05 | 2019-05-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-04-05 | 2019-05-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-05 | 2019-05-02 | N |
| Implement emergency and standby power systems. | Fire Safety | 2018-05-01 | 2018-05-15 | 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 | 2018-05-01 | 2018-05-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-05-01 | 2018-05-15 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-05-01 | 2018-05-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-05-01 | 2018-05-15 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-05-01 | 2018-05-15 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-05-01 | 2018-05-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-05-01 | 2018-05-15 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-04-13 | 2018-05-08 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-04-13 | 2018-05-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-04-13 | 2018-05-08 | N |
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