Claymont Health and Rehabilitation

In the surveyor’s words

From the most serious findings on record at Claymont Health and Rehabilitation, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Dec 5, 2024

  Based on observation, record review, facility policy review, and interviews, the facility failed to date and label food items removed from the original packaging in the kitchen freezer, failed to date and remove expired food items from the resident's nourishment room refrigerator, and failed to have clean air returns and heater vents in the ceiling of the kitchen. This deficient practice had the potential to affect all residents residing in the facility and affected one resident (#38) having food items stored in the nourishment room refrigerator. The facility's census was 47. Findings Include: 1. Observation on [DATE] from 8:15 A.M. to 8:35 A.M. revealed in the kitchen freezer a small personal pizza in an undated zip lock bag on the top shelf of the freezer. […]

• No harm, potential for more than minimal, patternF880Dec 5, 2024

  Based on medical record review, observation, interview, and policy review, the facility failed to ensure residents with chronic wounds (pressure ulcers) were placed under enhanced barrier precautions (EBP) and failed to ensure personal protective equipment (PPE) was available on the 300 Hall. This affected three residents (#19, #38 and #44) and had the potential to affect an additional 27 residents who resided on the same halls as the affected residents. Findings included: 1. Medical record review revealed Resident #19 was admitted to the facility on [DATE] with diagnoses including fracture of left humerus, severe protein-calorie malnutrition, heart disease, chronic kidney disease, anemia, need for assistance with personal care, cirrhosis, and diabetes. […]

• No harm, potential for more than minimal, isolatedF690Apr 22, 2026

  Based on medical record review, observation, interview and facility policy review the facility failed to provide appropriate indwelling urinary catheter care. This deficient practice affected one resident (Resident #14) of two residents reviewed for indwelling urinary catheter. The facility census was 51.Findings Include: Review of Resident #14's medical record revealed an admission date 05/02/25 with diagnoses including but not limited to stoke, epilepsy, neuromuscular dysfunction of the bladder, and major depression.Review of Resident #14's alteration in elimination care plan dated 05/05/25 revealed foley (indwelling urinary) catheter care every shift.Review of Resident #14's physician orders revealed an order dated 05/06/25 for catheter care every shift for maintenance and an order… […]

• No harm, potential for more than minimal, isolatedF684Dec 23, 2025

  Based on observation, medical record review, interview, and policy review, the facility failed to ensure incontinence barrier cream was applied as ordered. This affected one resident (#17) out of four residents (#3, #10, #17, and #32) reviewed for incontinence care. The facility census was 52. Findings Include: Review of the medical record for Resident #17 revealed an admission date of 01/13/25. Diagnoses included major depression disorder, dementia, chronic obstructive pulmonary disease (COPD), and dysphagia. Review of Resident #17's quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed the resident was frequently incontinent of bladder and occasionally incontinent of bowel. […]

• No harm, potential for more than minimal, isolatedF880Dec 23, 2025

  Based on observation, medical record review, interview, and policy review, the facility failed to ensure Resident #17 was provided adequate assistance after an incontinent episode, and facility staff maintained proper infection control techniques while providing the care. This affected one resident (#17) out of four residents (#3, #10, #17, and #32) reviewed for incontinence care. The facility census was 52. Findings Include: Review of the medical record for Resident #17 revealed an admission date of 01/13/25. Diagnoses included major depression disorder, dementia, chronic obstructive pulmonary disease (COPD), and dysphagia. […]