Clara Manor Nursing Home

In the surveyor’s words

From the most serious findings on record at Clara Manor Nursing Home, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600Nov 20, 2025

  Based on observation, interview, and record review, the facility failed to ensure one resident (Resident #1) was free from physical abuse when Certified Medication Technician (CMT) A put the palm of his/her hand over the resident's mouth and squeezed really hard, resulting in a scratch on the resident's right cheek, a circular bruise on the resident's left cheek, and the resident stating he/she was scared to death. The resident told two staff members and the facility failed to protect the resident by allowing CMT A to continue working his/her shift until 9:00 P.M. Twelve residents were selected for review. The facility census was 89 residents. The Administrator was notified on 11/18/25 at 1:20 P.M. of Immediate Jeopardy (IJ) which began on 11/12/25. The IJ was removed on 11/19/25. […]

• Immediate jeopardy, isolatedF600Jun 27, 2025

  Based on interview and record review, the facility failed to protect one out of six sampled residents (Resident # 1) from physical abuse. On 6/22/25, around 1:30 A.M., Certified Nurse Aide A became aware of Resident #1 and #2 getting into an altercation at the 2nd floor nursing station. Resident #1 wanted to get some ice and Resident #2 blocked the area with his/her wheelchair and would not let him enter. Resident #1 stated he cursed and threw a small amount of the remaining water in his water pitcher on Resident #2. Resident #2 yelled at Resident #1 and stated Resident #1 had called him/her racial names and threw water at him/her. Resident #1 went back to his own room. After Resident #1 left, Resident #2 told CNA A he/she was going to call his/her cousin and put a wood under his/her ass. […]

• Actual harm, isolatedF600Jan 14, 2025

  Refer to F600 Event ID 66SW12 Based on observation, interview, and record review, the facility failed to ensure one sampled resident (Resident #69) was free from physical abuse, when on 1/10/25 at approximately 10:00 P.M., Resident #76 willfully hit Resident #69 on his/her face, resulting in swelling and pain. Resident #72 stated Resident #76 had threatened to beat up people and was violent. The facility census was 86 residents. An Abuse/Neglect policy was requested from the facility, but was not provided. Review of the facility's Abuse and Neglect Educational Material; Policy Regarding Abuse and Neglect of Facility Residents, undated showed: -Resident rights protected them from physical and mental abuse. -Abuse was defined as a willful infliction of injury. […]

• Actual harm, isolatedF740Jan 14, 2025

  Refer to F740 Event ID 66SW12 Based on observation, interview and record review, the facility failed to effectively manage behaviors by not providing appropriate behavior interventions for one sampled resident (Resident #76) when the resident physically assaulted and injured Resident #69 by hitting him/her in the face causing pain, swelling, and redness. The facility census was 86 residents. Review of the facility's Behavior Management Program, undated, showed: -A behavior symptom was defined as an indication or characteristic of a negative physical or psychosocial outcome which may have resulted in disturbing of others. -A behavior could also inhibit the resident in attaining or maintaining his/her highest practical well-being. […]

• Actual harm, isolatedF600Nov 22, 2024

  Based on observation, interview, and record review, the facility failed to ensure one sampled resident (Resident #69) was free from physical abuse, when on 1/10/25 at approximately 10:00 P.M., Resident #76 willfully hit Resident #69 on his/her face, resulting in swelling and pain. Resident #72 stated Resident #76 had threatened to beat up people and was violent. The facility census was 86 residents. An Abuse/Neglect policy was requested from the facility, but was not provided. Review of the facility's Abuse and Neglect Educational Material; Policy Regarding Abuse and Neglect of Facility Residents, undated showed: -Resident rights protected them from physical and mental abuse. -Abuse was defined as a willful infliction of injury. […]