Clarence Care Center

In the surveyor’s words

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

• Actual harm, isolatedF744Jan 25, 2024

  Based on observation, interview and record review, the facility failed to provide one resident (Resident #3), in a sample of eight residents, with appropriate care and services to promote the highest possible level of functioning and well being for a resident with dementia, by recognizing and thoroughly addressing the resident's mental and psychosocial needs. The facility did not attempt gradual dose reductions to ensure the resident was on the lowest amount of medication possible, did not document attempts at finding the root cause of behaviors, or evaluate and attempt new interventions, did not provide adequate monitoring of the resident to prevent the resident from leaving the building, from having falls inside and outside the facility (falling in a ditch), or wandering in and out of… […]

• Actual harm, isolatedF744Jan 25, 2024

  Based on observation, interview and record review, the facility failed to provide one resident (Resident #3), in a sample of eight residents, with appropriate care and services to promote the highest possible level of functioning and well being for a resident with dementia, by recognizing and thoroughly addressing the resident's mental and psychosocial needs. The facility did not attempt gradual dose reductions to ensure the resident was on the lowest amount of medication possible, did not document attempts at finding the root cause of behaviors, or evaluate and attempt new interventions, did not provide adequate monitoring of the resident to prevent the resident from leaving the building, from having falls inside and outside the facility (falling in a ditch), or wandering in and out of… […]

• Actual harm, isolatedF600Jul 1, 2021

  Based on observation, interview, and record review, the facility failed to ensure one resident (Resident #3), in a review of nine sampled residents, was free from intimidation and physical abuse when a staff member insisted the resident change his/her shirt, there became a struggle, and the staff hit the resident in the groin. The resident was upset, angry and tearful when discussing the incident two days after it occurred. The resident expressed he was fearful and afraid to go to sleep while the staff member worked in the facility. […]

• No harm, potential for more than minimal, widespreadF812Jan 29, 2026

  Based on observation, interview, and record review, the facility failed to ensure the ice machine, the range hood and the ceiling vents were free of a buildup of debris and failed to ensure staff wore beard restraints during beverage preparation and clean dishware handling. The facility census was 31. 1. Review of the Dietary Sanitation Evaluation, dated 11/14/25, conducted by the consultant dietitian, showed the ice machine was not clean. Observation on 1/27/26 at 9:35 A.M. showed the ice machine in the dining room had a heavy buildup of black debris in the upper corners inside the unit over the accumulated ice below. Black debris located in the upper right-hand corner was in direct contact with the accumulated ice that had not yet fallen into the storage bin. […]

• No harm, potential for more than minimal, widespreadF812Jan 25, 2024

  Based on observation, interview, and record review, the facility failed to store and prepare food and beverages in accordance with professional standards for food service safety. Staff failed to ensure foods were stored per the manufacturer's instructions and failed to ensure conduct proper handwashing, hairnet usage, and surface sanitization practices. The facility census was 30. 1. Review of the facility policy, Food Receiving and Storage, revised 11/2022, showed the following: -Foods shall be received and stored in a manner that complies with safe food handling practices; -Food services, or other designated staff, will maintain clean and temperature/humidity-appropriate food storage areas at all times; -Potentially Hazardous Foods (PHF) and Time/Temperature Control for Safety (TCS)… […]