Clarendon Nursing Home

In the surveyor’s words

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

• Actual harm, isolatedF689Nov 13, 2023

  Based on observation, interview, and record review the facility failed to ensure that each resident receives adequate supervision and assistance devices to prevent accidents for 1 (Resident #1) of 6 residents reviewed for accidents and hazards. Resident #1 was left alone in the shower, fell , and was injured on 10/13/23. Resident #1 was coded as needing assistance by one staff person for bathing in his MDS completed 08/08/23. This failure could place residents requiring assistance with ADLs in danger of injury. […]

• No harm, potential for more than minimal, widespreadF812Oct 30, 2024

  Based on observation, interview, and record review the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety in 1 of 1 kitchen reviewed for food service safety. The facility failed to label and date food in the refrigerator, freezer, and pantry. The facility failed to keep food in the refrigerator and freezer sealed. The facility failed to maintain cleanliness in the pantry. The facility failed to store all food at least 6 inches off the floor in the pantry. These failures could put residents at risk of food and pest borne illnesses. […]

• No harm, potential for more than minimal, widespreadF812Aug 31, 2023

  Based on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with the professional standards for food service safety for 1 of 1 kitchen reviewed for kitchen sanitation. 1. The facility failed to ensure the freezer was free from dirt, debris and rust. Freezer items were not properly stored, labeled, and dated. 2. The facility failed to ensure refrigerator and pantry foods were properly stored, labeled, and dated. 3. The facility failed to ensure general cleanliness was maintained in the kitchen. These failures could place residents who ate food served by the kitchen at risk of food-borne illness. Findings include: Observation of the freezer on 8/29/23 @ 9:10 AM revealed the following: 1. […]

• No harm, potential for more than minimal, widespreadF812Apr 28, 2021

  Based on observation, interview, and record review, the facility failed to store, prepare, and serve food under sanitary conditions in 1 of 1 kitchen when they failed to: A. Ensure stored food was properly labeled, dated and stored B. Ensure proper hand hygiene was performed. C. Ensure general cleanliness was maintained. Findings include: Observations on 4/26/21 at 9:50 am on initial kitchen rounds revealed the following: In the small white freezer the following were observed: 1. 4 bags of frozen potatoes, not in original box, no label or date. One bag of potatoes was torn and open to air. 2. 1 package meat patties, not in original box, no label or date 3. 2 plastic bags of frozen pancakes, not in original box, no label or date. One package of pancakes was open to air and not secured. […]

• No harm, potential for more than minimal, patternF755Jan 15, 2026

  Based on observation, interview, and record review, the facility failed to provide pharmaceutical service to include accurate dispensing and administering of biologicals for 1 of 3 medication storage areas reviewed to meet the needs of each resident. The facility had 8 inulin medications expired according to the date documented on the bottle/pen of when it was opened. This failure could result in ineffective treatment resulting in exacerbation of residents' disease processes.Findings included: During an observation on [DATE] at 11:08 AM (with LVN A present) of the facility's medication room noted there were 8 insulins that revealed the following:2-Humulog insulin bottles marked with an open/accessed date of [DATE]. […]