Claru Deville Nursing Center

In the surveyor’s words

From the most serious findings on record at Claru Deville Nursing Center, in the surveyor’s own words.

• Immediate jeopardy, patternF600Jan 17, 2025

  Based on observation, interview, and record review, the facility failed to protect residents on the secured behavioral unit from abuse through deprivation of goods or services that are necessary to attain or maintain physical, mental, and psychosocial well-being. This deficiency affected three sampled residents (Resident #11, #61, and #68) on the secured behavioral unit, resulting in humiliation and embarrassment for those residents and back pain for Resident #68 from sleeping on a mattress on the floor and had the potential to affect all residents on the secured behavioral unit. […]

• Immediate jeopardy, isolatedF689Feb 28, 2025

  Based on interview, observation, and record review, the facility failed to provide protective oversight for two residents (Resident #1 and #3) with psychiatric diagnoses and a history of self harm who resided on the secured behavioral unit. On 02/25/25, Resident #3, who had and had a history of ingesting batteries, swallowed two AA batteries, which resulted in transfer to the emergency room (ER) and a procedure to remove the battery. On 02/26/25 at 12:44 P.M., Resident #1 became agitated and made threats of self harm by swallowing items. Resident #1 was placed on 15 minute checks, continued to make self harm threats, and ingested two AA batteries at 3:49 P.M., which resulted in an ER transfer. […]

• Immediate jeopardy, isolatedF600May 11, 2023

  Based on observation, interview and record review, the facility failed to ensure one resident (Resident #1) was free from neglect when the staff failed to assess and provide prompt medical treatment when the resident complained of pain after a fall that resulted in fractures to the resident's tibia and fibula (the two long bones in the lower leg) and to the left humeral (upper arm bone) bones. The facility census was 68. The Administration was notified on 05/11/2023 at 3:00 P.M. of a Past Non-compliance Immediate Jeopardy (IJ) which occurred on 04/28/2023. Staff informed the facility administration of the incident on 04/30/2023 at which time the facility started an investigation. The investigation resulted in the termination of Licensed Practical Nurse (LPN) A. […]

• Actual harm, isolatedF550Jan 17, 2025

  Based on observation, interview, and record review, the facility failed to ensure and promote an environment that promoted maintenance or enhancement of each resident's quality of life, recognizing each resident's rights, failed to protect and promote the rights of the resident, failed to allow the resident to exercise his or her rights as a resident of the facility without coercion, interference, discrimination, or reprisal from the facility, and failed to ensure the residents were able to exercise their rights as a resident of the facility and were free of restraints when 3 of 22 residents (Residents #11, #61 and #68) were placed in a secured unit without evaluation for appropriate placement and their resident rights were removed per the guardians' directions, based on a list of actions… […]

• Actual harm, isolatedF742Jan 17, 2025

  Based on observation, record review and interview, the facility failed to provide the necessary behavioral health care and services to attain or maintain the highest practicable physical, mental and psychosocial well-being in accordance with the comprehensive assessment and plan of care for three sampled residents (Residents #11, #61 and #68) out of 22 residents who reside on the secured behavior unit. The facility failed to care plan resident specific interventions and did not assess the affect of the use of an actions/consequences list requested by the guardian. The facility did not develop a behavior plan or crisis intervention plan for residents as indicated by the pre-admission behavioral health screening. […]