Clermont Health and Rehabilitation Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF761Jun 30, 2021

  Based on observation, interview, and record review the facility failed to ensure that all drugs and biologicals used in the facility were stored and labeled in accordance with current professional standards in 7 out of 7 medication carts reviewed. Findings: During an observation on [DATE] at 9:05 AM of Medication Cart #1 on the first floor with Staff C, Licensed Practical Nurse (LPN), there was one [MEDICATION(S)] with a date of expiration of [DATE]; one opened [MEDICATION(S)] insulin with no date opened or expiration date; one opened multidose vial of [MEDICATION(S)] 20% (a medication used to help clear mucous in the lungs) with no resident identifier, no date opened and not in the original pharmacy packaging; one opened [MEDICATION(S)] 0.005% ophthalmic solution with no date opened or… […]

• No harm, potential for more than minimal, patternF684Aug 7, 2025

  Based on observation, interview, and record review, the facility failed to ensure insulin was administered as ordered by physician for 4 of 8 residents reviewed for unnecessary medications (Residents #1, #183, #72, and #102), and failed to ensure hypotensive medication was administered as per the parameters ordered by physician for 1 of 8 residents reviewed (Resident #27). Findings include: 1) Review of Resident #1's physician order dated 2/24/2025 read, Insulin Glargine-yfgn Subcutaneous Solution 100 UNIT/ML [milliliters] (Insulin Glargine-yfgn), Inject 30 unit subcutaneously two times a day for DM [Diabetes Mellitus] Give in morning and HS [Hour of Sleep]. […]

• No harm, potential for more than minimal, patternF641May 2, 2024

  Based on record review and interview, the facility failed to ensure Minimum Data Set (MDS) was accurate for 2 of 3 residents reviewed for discharge, Residents #174 and #175. Findings include: 1. Review of Resident #174's records showed the resident was discharged on [DATE] to home. Review of Resident #174's Discharge Return Not Anticipated MDS dated [DATE] showed the resident was discharged to short-term general hospital. During an interview on 5/2/2024 at 12:00 PM, the MDS Director stated the documented discharge of Resident #174 to short term general hospital was incorrect and Resident #174's discharge should have been documented as to community. 2. […]

• No harm, potential for more than minimal, patternF695May 2, 2024

  Based on observation, interview, and record review, the facility failed to ensure residents received oxygen as per physician order for 2 of 3 residents reviewed for respiratory care, Residents #139, and #154. Findings include: 1. During an observation on 4/29/2024 at 11:01 AM, Resident #139 was in bed, receiving oxygen via nasal canula at 3 liters per minute (LPM). During an observation on 4/30/2024 at 9:53 AM, Resident #139 was in bed, receiving oxygen via nasal canula at 3 LPM. Review of Resident #139's physician orders showed the order dated 4/8/2024 for administration of oxygen at 2 LPM via nasal cannula as needed for shortness of breath. During an interview on 4/30/2024 at 9:55 AM, Resident #139 stated, The nurse turns my oxygen on and off for me. […]

• No harm, potential for more than minimal, patternF812Jan 6, 2023

  Based on observation, interview, and record review, the facility failed to ensure foods in the refrigerator/freezer were covered, dated, labeled, and shelved to allow circulation, failed to ensure the equipment was in good condition, and failed to ensure the kitchen and food service equipment were clean. Findings include: On [DATE] at 8:46 AM, during a tour of four nourishment rooms including C-1, C-2, C-3, and post-acute areas with the Registered Dietician (RD), there were outdated or undated open products of juices, milk, nutritional drinks, and thickened water (Photographic evidence obtained). On [DATE] at 9:16 AM, during an initial tour of the refrigerator, freezer and stock-room located in the kitchen with the RD, the following were observed: 1. […]