Suites at Clermont Park Care Center, The

In the surveyor’s words

From the most serious findings on record at Suites at Clermont Park Care Center, The, in the surveyor’s own words.

• Actual harm, isolatedF692Sep 15, 2022

  Based on observations, record review and interviews, the facility failed to ensure one (#30) of two out of 26 sample residents received the care and services necessary to meet their nutrition needs to maintain their highest level of physical well-being. Resident #30 was admitted to the facility on [DATE] with a diagnosis [MEDICAL RECORD OR PHYSICIAN ORDER] . Upon admission Resident #30 reported he thought he had lost approximately 20 pounds (lbs) during the food preferences assessment. The resident weighed 164 lbs on 7/29/22. The facility failed to implement a nutritional intervention upon admission, despite the resident reporting weight loss prior to admission. On 8/2/22 the facility obtained a physician order for [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• No harm, potential for more than minimal, widespreadF880Jul 22, 2021

  Based on observations and interviews, the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment to help prevent the development and likelihood of transmission of communicable diseases and infections, including coronavirus disease (COVID-19). Specifically, the facility failed to: -Ensure staff encouraged residents to wear a mask when out of their rooms; -Ensure proper cleaning of personal (staff) vital sign equipment, (cloth-covered wrist cuff); -Ensure contaminated medication was not administered to a resident; -Ensure alcohol based hand rub (ABHR), used by residents and staff, was not expired on one of two floors and the main entrance; -Offer hand sanitizer to residents prior to meals;… […]

• No harm, potential for more than minimal, patternF565Jan 11, 2024

  Based on record review and interviews, the facility failed to provide a response, action and rationale to residents involved in group grievances. Specifically, the facility failed to follow up with residents' concerns regarding call light response times that were brought up by the resident council during regular meetings. Findings include: I. Facility policy The Grievance Management policy, which was undated, was provided by nurse consultant (NC) #2 on 1/10/24 at 6:02 p.m. It read in pertinent part: The community upholds and supports resident rights and seeks to address any alleged violation of such rights in a timely and effective manner. […]

• No harm, potential for more than minimal, patternF561Sep 15, 2022

  Based on interviews and record review the facility failed to honor resident choices for three (#16, #17 and #26) of four reviewed for self-determination, out of 26 sampled residents. Specifically, the facility failed to ensure dependent Residents #16, #17 and #26 received showers consistently according to their preference. Findings include: I. Facility policy and procedure The Activities of Daily Living (ADL) policy was requested by the nursing home administrator (NHA) and director of nursing (DON) on 9/15/22 at 12:45 p.m. The DON said the facility did not utilize an ADL policy, but instead utilized a standard of practice competency. The Standard of Practice Giving a Tub Bath/Shower Competency was provided by the NHA on 9/15/22 at 12:30 p.m. […]

• No harm, potential for more than minimal, patternF761Sep 15, 2022

  Based on observations and interviews the facility failed to ensure two out of two medication refrigerators stored and secured drugs and biologicals in accordance with accepted professional principles. Specifically, the facility failed to: -Ensure multi-dose vials of [MEDICATION(S)] were dated when first opened; -Ensure alcohol for drinking was not stored with medications; -Ensure food and medications were not stored together; and, -Ensure expired medications were removed from the medication rooms. Findings include: I. Professional reference According to the [MEDICATION(S)] package insert, retrieved on 9/19/22 from https://www.fda.gov/media/ /download, A vial of [MEDICATION(S)] which has been entered and in use for 30 days should be discarded. II. […]