Elm Wood Center at Claremont

In the surveyor’s words

From the most serious findings on record at Elm Wood Center at Claremont, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF550Aug 1, 2025

  Based on observation and interview, it was determined that the facility failed to treat the residents with dignity by not serving the whole table together in the dining room in 5 of 5 meals observed (Resident identifiers are #12, #32, #41, #42, and #46).Findings include: Observation on 7/30/25 from approximately 8:20 a.m. until 8:40 a.m. of the Main Dining Room revealed Resident #41 and Resident #32 seated at the same table. Resident #41 was almost done with his/her breakfast and Resident #32 did not have any food or drink. Another table had Resident #64 eating his/her breakfast and Resident #46 was seated at the same table without any food or drink. Interview on 7/30/25 at approximately 8:40 a.m. […]

• No harm, potential for more than minimal, patternF685Jun 13, 2024

  Based on observation, interview and record review, it was determined that the facility failed to ensure that a resident received proper treatment to maintain hearing abilities by ensuring audiology appointments were made for 1 of 1 residents reviewed for Communication-Sensory in a final sample of 17 residents (Resident identifier is #36). Findings include: Interview on 6/11/24 at 10:38 a.m. with Resident #36 revealed that he/she was very hard of hearing and that his/her hearing aids were not working well. Resident #36 stated that he/she had been waiting a long time to see the hearing doctor and was not sure the status of the referral. Review on 6/11/24 of Resident #36's care plan revealed that the resident had impaired communication related to impaired hearing in both ears. […]

• No harm, potential for more than minimal, patternF725Jun 13, 2024

  Based on interview and record review, it was determined that the facility failed to provide sufficient staff to meet residents' needs on Saturdays and Sundays in January 2024, February 2024, and March 2024. Findings include: Review of the facility's Payroll Based Journal (PBJ) Staffing Data Report for Fiscal Year Quarter 2 2024 (January 1 - March 31) revealed that the facility triggered for excessively low weekend staffing. Interview on 6/13/ 24 at 8:30 a.m. with Staff B (Unit Manager) revealed that during the winter months especially in January, February and March, short staffing was a real concern on the weekends. […]

• No harm, potential for more than minimal, patternF759May 2, 2023

  Based on observation, interview, and record review it was determined that the facility failed to ensure a medication error rate less than 5 percent (%) (Resident Identifiers are #40, #117 and #169). Findings include: Resident #169 Observation on 4/30/23 at approximately 11:00 a.m. of the Gastrostomy (G) Tube medication administration with Resident #169 and Staff B (Licensed Practical Nurse LPN)) revealed the following medications were administered: Aspirin 81 milligrams (mg) Folic Acid 1 mg Lamotrigine 25 mg Levetiracetam 1000 mg Rosuvastatin Calcium 10 mg Thiamine 100 mg Tizanidine 2 mg Further observation revealed Staff B flushed the G Tube with 5 milliliters (mls) of Normal Saline 0.9% in between each medication being administered. […]

• No harm, potential for more than minimal, patternF881Jul 27, 2022

  Based on record review and interview, it was determined that the facility failed to follow antibiotic use protocols related to the appropriate use of antibiotic monitoring, tracking and reviewing antibiotic use for 6 out of 6 months reviewed for antibiotic use. Finding include: Review on 7/27/22 at approximately 8:00 a.m. of the facility antibiotic/ infection tracking revealed some tracking for of antibiotic use for January 2022 through June 2022. Interview on 7/27/22 at approximately 10:00 a.m. with Staff E (Infection Preventionist) revealed that only the residents that meet McGeer's criteria for infection are tracked on the monthly infection forms. […]