Claiborne Health and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Claiborne Health and Rehabilitation Center, in the surveyor’s own words.

• No harm, potential for more than minimal, isolatedF552Nov 20, 2025

  Based on facility policy review, medical record review, and interviews, the facility failed to obtain consent for administration of a psychotropic medication for 1 resident (Resident #3) of 5 sampled residents reviewed for unnecessary medications.The findings include: Review of the undated facility policy titled, Use of Psychotropic medications, revealed .The facility will document that the resident or resident representative was informed in advance of the risks and benefits of the proposed care, the treatment alternatives or other options and the preferred option to accept or decline in a format the facility deems to use .written consent form, narrative note . […]

• No harm, potential for more than minimal, isolatedF558Nov 20, 2025

  Based on medical record review, observation, and interview the facility failed to ensure call lights were in reach for 2 residents (Resident #15 and #58) of 61 residents observed.The findings include:Review of the medical record revealed Resident #15 was admitted to the facility on [DATE] with diagnoses including Reduced Mobility, Adult Failure to Thrive, Dementia, and Anxiety.Review of a comprehensive plan for Resident #15's dated 4/11/2023, revealed a care plan for Activities of Daily Living (ADL) deficit related to diagnosis of Dementia. Interventions included .Keep call light in reach while in room .Review of a quarterly Minimum Data Set (MDS) assessment dated [DATE], revealed Resident #15 had severe cognitive impairment. […]

• No harm, potential for more than minimal, isolatedF604Nov 20, 2025

  Based on facility policy review, medical record review, video surveillance footage review, facility documentation review, and interview, the facility failed to ensure residents were free from physical restraints for 1 resident (Resident #15) of 24 resident reviewed for restraints.The findings include:Review of the facility's policy titled, Restraint Free Environment, revised 1/2020, revealed .Each resident shall attain and maintain his/her highest practicable well-being in an environment that prohibits the use of restraints for discipline or convenience .A physical restraint is defined as any manual method or physical or mechanical device, material .attached or adjacent [next to] the resident's body that the individual cannot remove easily, which restricts freedom of movement or normal… […]

• No harm, potential for more than minimal, isolatedF609Nov 20, 2025

  Based on facility policy review, medical record review, facility investigation, observation, and interviews, the facility staff failed to ensure an allegation of sexual abuse was reported within 2 hours as required for 1 resident (Resident #83) of 3 residents reviewed for abuse. The findings include: Review of the undated facility policy titled Abuse, Neglect, and Exploitation revealed, .Reporting of all alleged violations to the Administrator, state agency, adult protective services and to all other required agencies within specified timeframes .Immediately, but not later than 2 hours after the allegation is made, if the events that cause the allegation involve abuse or result in serious bodily injury .Review of the medical record revealed Resident #83 was admitted to the facility on… […]

• No harm, potential for more than minimal, isolatedF610Nov 20, 2025

  Based on facility policy review, medical record review, and interview, the facility failed to investigate an allegation of abuse timely for 1 resident (Resident #83) of 3 reviewed for abuse.The findings include:Review of the facility's policy titled, Abuse, Neglect, and Exploitation. Revised 2/2023, revealed .Investigation of Alleged Abuse, Neglect, and Exploitation A. An immediate investigation is warranted when suspicion of abuse, neglect or exploitation, or reports of abuse, neglect or exploitation occur. B. Written procedures for investigations include: 1. Identifying staff responsible for investigations. 2. Exercising caution in handling evidence that could be used in a criminal investigation. 3. Investigating different types of alleged violations. 4. […]