Claremont Care Center

In the surveyor’s words

From the most serious findings on record at Claremont Care Center, in the surveyor’s own words.

• Actual harm, isolatedF684Aug 12, 2022

  Based on interview and record review, the facility ' s Licensed Vocational Nurse 3 (LVN 3) failed to identify signs and symptoms of a change in condition (COC, a sudden clinically important deviation from a patient's baseline in physical, cognitive, behavioral, or functional domains), and provide needed care and services for one of six sampled residents (Resident 3), as indicated in the facility ' s policy and procedure. On [DATE], at 5:03 am, Resident 3 complained she could not breathe, felt very tired, and anxious (experiencing worry). LVN 3 told Resident 3 to stay in bed, close her eyes, relax, and left Resident 3 ' s bedside. […]

• Actual harm, isolatedF689Aug 12, 2022

  Based on interview and record review, the facility failed to ensure one of three sampled residents (Resident 1) received one on one supervision (1:1, one staff supervising 1 resident) to prevent fall (move downward, typically rapidly and freely without control, from a higher to a lower level) as indicated in Resident 1 ' s Fall Care Plan and the facility ' s policy on Fall Management System. On 7/20/2022 at 9 PM, Certified Nurse Assistant 3 (CNA 3) left Resident 1 unsupervised on the bed to go to the restroom. As a result, Resident 1 fell from her bed and sustained a refracture [a break along the line of a previous fracture (break in the continuity of a bone)] of a healing right hip fracture. […]

• No harm, potential for more than minimal, patternF550Feb 13, 2026

  Based on observation, interview, and record review, the facility failed to ensure five of five sampled residents (Resident 21, 61, 116, 117, and 35), were treated with dignity when:a. Licensed Vocational Nurse (LVN) 2 failed to knock on Resident 21 and 61, 116 and 117's doors prior to entering the resident's rooms.b. LVN 3 failed to draw (close) Resident 35's privacy curtains completely around Resident 35's bed during insulin (a medication, hormone that removes excess sugar from the blood, can be produced by the body or given artificially via medication) administration in Resident 35's abdomen (belly). […]

• No harm, potential for more than minimal, patternF684Feb 13, 2026

  Based on interview and record review, the facility failed to ensure quality of care for three of three sampled residents (Residents 2, 66 and 35) by failing:A. To follow physician's order when the license nurses administered insulin (a medication that removes excess sugar from the blood.) on one of three sample residents (Resident 2)'s left arm with a shunt. (a surgically created access point on the body for dialysis [a treatment to clean your blood when your kidney can't do it well.]) B. […]

• No harm, potential for more than minimal, patternF842Feb 13, 2026

  Based on interview and record review, the facility failed to ensure the clinical record was complete and accurate for three of three sampled residents (Resident 2, Resident 66, and Resident 113).This failure had the potential to result in inaccurate assessments, inconsistent and/or inaccurate treatments provided to the residents and negatively impact Resident 2 and 66, and Resident 113's physical well-being. Findings: 1a(i). During a review of Resident 2's Face Sheet (admission record), the face sheet indicated the facility initially admitted a [AGE] year-old female on 5/27/2023 and re-admitted on [DATE], with the diagnoses that included but not limited to end stage renal disease (irreversible kidney failure) , dependence on renal dialysis (a treatment to cleanse the blood of wastes and… […]