Claridge Healthcare Center

In the surveyor’s words

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

• Immediate jeopardy, patternF801Jun 6, 2024

  Based on observation, interview, and record review, the facility failed to ensure dietary staff were supervised and trained by a qualified dietary manager resulting in R6, R53, R21, and R65 receiving incorrect physician prescribed diets and resulted in R6 choking, requiring the Heimlich maneuver. R6 required hospitalization for aspiration pneumonia and remains at risk for further episodes of choking and aspiration due to continuing receiving the incorrect diet. This failure applies to 4 of 4 residents (R6, R53, R21, and R65) reviewed for mechanical soft diets in the sample of 20. This failure resulted in an Immediate Jeopardy. The Immediate Jeopardy began on [DATE], when the facility failed to ensure residents were served a mechanically soft diet as prescribed by their physician. […]

• Immediate jeopardy, patternF803Jun 6, 2024

  I. Based on observation, interview, and record review the facility failed to ensure residents with a history for choking and at risk for choking were served the correct physician prescribed diets. This failure resulted in R6 choking, requiring the Heimlich maneuver, going to the hospital, and being treated for aspiration pneumonia. R6 returned to the facility and continued to be served the incorrect diet putting him at risk to choke again. The facility also failed to ensure R21, R53, and R65 were served the correct physician prescribed diets putting them at risk to choke. This applies to 4 of 20 residents (R6, R21, R53, R65) reviewed for menus in the sample of 20. […]

• Immediate jeopardy, patternF880Mar 3, 2021

  Based on observation, interview, and record review, the facility failed to implement infection control policies and recommendations from the Centers of Disease Control (CDC) regarding isolation of new admissions and re- admissions to the facility that were under investigation for possible exposure to COVID-19 for four of four residents (R191, R291, R1, R50) reviewed for transmission based precautions in the sample of 18. This failure has the potential to infect high risk residents with COVID-19 and spread the disease of COVID-19 to negative residents. This failure resulted in an Immediate Jeopardy. The Immediate Jeopardy began on February 25, 2021 when R191 was admitted to the facility and not placed on transmission-based precautions. The Immediate Jeopardy was identified on 3/1/2021. […]

• Immediate jeopardy, isolatedF689Jun 15, 2026

  Based on observation, interview and record review the facility failed to ensure a severely cognitively impaired resident with a known history of wandering and exit seeking behaviors was supervised to prevent elopement. This failure resulted in R1 eloping from a secure unit through her 2nd floor window and plummeting to the ground below. R1 was found approximately 20 feet from her window with her personal belongings scattered outside on the ground. R1 was sent to the local hospital sustaining multiple fractures, C1 fracture, Pneumothorax and a Subarachnoid and Subdural Hemorrhage (brain bleed). The Immediate Jeopardy began on 6/6/26 when R1 could not be located in the facility. R1 eloped from a secured unit out her 2nd floor window and plummeted to the ground below. […]

• Immediate jeopardy, isolatedF689Mar 19, 2026

  Based on observation, interview, and record review, the facility failed to ensure a resident with a history of elopement and identified as high risk for elopement was provided adequate supervision to prevent elopement and failed to ensure an exit door alarm was alarmed. This failure resulted in R1 eloping from the facility without being witnessed on 3/11/26 being found about 1.6 miles away having crossed three busy heavily traveled roads. This applies to 1 of 3 residents (R1) reviewed for safety supervision in the sample of 3. This failure resulted in immediate jeopardy. The Immediate Jeopardy began on 3/11/26 when staff were unable to locate R1. V1 (Administrator) was notified of Immediate Jeopardy on 3/17/26 at 3:15 PM. […]