Clearview

In the surveyor’s words

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

• Actual harm, isolatedF689Aug 7, 2025

  Based on interview and record review, the facility did not ensure that the resident environment remains as free of accident hazards as is possible for 1 or 6 residents (R9) reviewed for falls. R9 had a fall from bed, sustaining fractures (fx.) of left clavicle (collar bone) and left ribs 3-6, when CNA J (Certified Nursing Assistant) rolled R9 away from CNA J while performing cares. The facility did not have contemporaneous evidence CNA J, an agency CNA, received education to prevent future incidents from occurring. […]

• Actual harm, isolatedF689Jun 21, 2024

  Based on observation, interview, and record review, the facility did not ensure a resident's environment remained free of accident hazards and each resident received adequate supervision and assistive devices to prevent accidents for 1 of 1 resident (R) reviewed for accidents (R14). Facility staff did not ensure R14's reclining chair remote was out of her reach per R14's care plan. R14 lifted the chair without staff present and fell resulting in a fracture. Evidenced by: The facility's Policy and Procedure entitled Fall Prevention and Management with a last reviewed date of 4/11/23 documents, in part: .Each resident be reviewed on admission, quarterly and with major change of condition for the potential fall risks, and preventative interventions taken when necessary. […]

• No harm, potential for more than minimal, widespreadF880Jun 21, 2024

  Based on interview and record review, the facility has not established an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections. This has the potential to affect all 52 residents. The staff line lists contain signs/symptoms (s/sx) such as something I ate, sick, ill, cold sx. They are not specific. The staff line lists were missing some Date last Symptom occurred dates. The facility's COVID summary not complete or accurate. This is evidenced by: The facility policy entitled Nursing Services/Infection Control: Infections: Reporting, Interventions, and Surveillance, dated 2/10/24, states, in part: . […]

• No harm, potential for more than minimal, patternF880Mar 3, 2021

  Based on observation, staff interviews, and record review, the facility did not ensure social distancing practices were followed to help prevent the spread of COVID-19 infection for 6 Residents (R) (R8, R23, R40, R61, R63, and R84) of 19 residents residing on Unit B2. The facility did not incorporate appropriate social distancing practices for R8, R23, R40, R61, R63, and R84 during communal dining or transit through dining areas during mealtime observed on 3/1/21, 3/2/21, and 3/3/21. Findings include: The Centers for Medicare & Medicaid Services (CMS) memo QSO-20-39-NH, dated 9/17/20, states, While adhering to the core principles of COVID-19 infection prevention, communal activities and dining may occur. […]

• No harm, potential for more than minimal, isolatedF684Aug 7, 2025

  Based on interview and record review, the facility did not ensure that residents receive treatment and care in accordance with professional standards of practice for 1 or 16 residents (R9) reviewed for change of condition.R9 went to the hospital for evaluation following a fall from bed. R9 sustained fractures (fx) of left clavicle (collar bone) and left ribs 3-6 and nursing assessments were not performed on return to the facility.Evidenced by:The facility's Fall Prevention and Management policy, dated 2/28/25, states, in part: .Definitions Fall: The Centers for Medicare and Medicaid Services (CMS) defines a fall as an unintentional change in position that results in someone landing on the ground or a lower surface. Procedure .6. Responding to a fall .l. […]