Nazareth Home Clifton

In the surveyor’s words

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

• No harm, potential for more than minimal, isolatedF761May 8, 2025

  Based on observation, record review, and interview the facility failed to ensure all drugs used in the facility were labeled and stored in accordance with professional standards. Observations during survey revealed medication in 2 separate unlabeled and unattended medication cups on top of 1 of 7 medication carts and 1 of 4 treatment carts was unlocked and unattended, with no staff in sight of the treatment cart The findings include: Review of facility policy #1495, Medication Administration, effective last reviewed 3/2021 revealed the facility administered medications adhering to the seven rights (right drug, right resident, right time, right dose, right dosage form, right route, and right to refuse. […]

• No harm, potential for more than minimal, isolatedF550Nov 22, 2023

  Based on interview, record review and review of the facility's policy, it was determined the facility failed to protect resident rights for one (1) out of twelve (12) sampled residents. (Resident #7) On [DATE] CNA #2 reported Licensed Practical Nurse (LPN) #5 took Resident #7's cell phone from the Resident's hands against the Resident wishes. Resident #7 expired on [DATE]. The findings include: Review of the facility's policy titled Resident Rights revised on ,d+[DATE] revealed the purpose of the policy was to ensure the resident had rights to a dignified existence, self-determination, communication with, and access to persons and services inside and outside the facility. Further review of the policy revealed Resident's had the right to privacy including personal property. […]

• No harm, potential for more than minimal, isolatedF600Nov 22, 2023

  Based on observation, interview, record review and review of the facility's policy, it was determined the facility failed to ensure an environment that was free from abuse involving one (1) of fourteen (14) sampled residents (Resident #9). On [DATE], Resident #2 placed his/her arm around the neck of Resident #9 and stated, I'll get him/her out of here, I'll choke him/her. The findings include: Review of the facility's policy titled, Resident Abuse/Neglect, revised on ,d+[DATE], revealed it was the organization's intention to not knowingly or willingly compromise the health, safety, or welfare of residents for anyone or anything. Furthermore, the policy revealed all residents had the right to be free from abuse, neglect, misappropriation of resident property, and exploitation. […]

• No harm, potential for more than minimal, isolatedF602Nov 22, 2023

  Based on interview, record review, and review of the facility's policy, it was determined the facility failed to protect residents from Misappropriation of property for three (3) of twelve (12) sampled Residents. (R#3, R#8, R#10). a.) On [DATE] Resident #8's family member dropped off gifts and twenty (20) dollars in lottery tickets, the lottery tickets were missing. b.) On [DATE] Resident #10's cell phone was missing. c.) On [DATE] Resident #8 alleged thirty (30) dollars was missing from his/her room. d.) On [DATE] Resident #3 had three (3) rings missing from his/her room. e.) On [DATE] Resident #10's family reported he/she had three (3) rings missing from his/her hands when he/she expired. […]

• No harm, potential for more than minimal, isolatedF656Nov 22, 2023

  Based on interview and record review, it was determined the facility failed to develop and implement a comprehensive person-centered care plan for each resident that included a focused problem with measurable objectives to meet the resident's mental and psychosocial needs which are identified in the comprehensive assessment for two (2) of fourteen (14) sampled residents (Resident #9 and Resident #12). a.) On 12/04/2021, the facility failed to implement and update Resident #9's Comprehensive Care Plan after resident-to-resident altercation. b.) Staff failed to implement Resident #12's Care Plan by providing feeding assistance, and obtaining daily weights as ordered to maintain nutritional status and prevent weight loss. […]