Inspection Reports for
Clement Manor Inc

3939 S 92ND STREET, GREENFIELD, WI, 53228

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Deficiencies (last 5 years)

Deficiencies (over 5 years) 0.8 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

83% better than Wisconsin average
Wisconsin average: 4.6 deficiencies/year

Deficiencies per year

4 3 2 1 0
2022
2023
2024
2025
2026

Occupancy

Latest occupancy rate 96% occupied

Based on a February 2026 inspection.

Occupancy rate over time

84% 88% 92% 96% 100% 104% Apr 2023 Jun 2023 Mar 2024 Feb 2025 Feb 2026

Inspection Report

Abbreviated Survey
Census: 45 Deficiencies: 0 Date: Feb 16, 2026

Visit Reason
The surveyor conducted an abbreviated survey and one complaint investigation at Clement Manor Inc.

Complaint Details
One complaint was investigated and found to be unsubstantiated.
Findings
No new deficiencies were identified during the abbreviated survey, and the one complaint investigated was unsubstantiated.

Inspection Report

Complaint Investigation
Census: 44 Deficiencies: 0 Date: Feb 14, 2025

Visit Reason
Surveyor conducted a complaint investigation at Clement Manor Inc.

Complaint Details
The complaint was unsubstantiated.
Findings
No deficiencies were identified. The complaint was unsubstantiated.

Inspection Report

Deficiencies: 0 Date: Dec 12, 2024

Visit Reason
The document is a statement of deficiencies and plan of correction for Clement Manor Health Care Center, summarizing the findings of a regulatory survey completed on December 12, 2024.

Findings
No health deficiencies were found during the survey.

Inspection Report

Abbreviated Survey
Census: 44 Deficiencies: 0 Date: Mar 22, 2024

Visit Reason
Surveyor conducted an abbreviated survey and 2 complaint investigations at Clement Manor.

Complaint Details
Two complaints were investigated and found to be unsubstantiated.
Findings
No deficient practices were identified and 2 complaints were unsubstantiated.

Inspection Report

Deficiencies: 4 Date: Oct 25, 2023

Visit Reason
The inspection was conducted to evaluate compliance with regulatory requirements related to resident care, medication management, hospice services, and assistive device use at Clement Manor Health Care Center.

Findings
The facility was found deficient in ensuring proper use and management of hearing aides for a resident, monitoring and care planning for anticoagulant medication, monitoring psychotropic medication effectiveness, and coordinating hospice care documentation and communication.

Deficiencies (4)
F0685: The facility did not ensure a resident received proper treatment and assistive device management for hearing aides, resulting in communication difficulties and resident frustration.
F0757: The facility did not ensure a resident's drug regimen was free from unnecessary drugs by failing to adequately monitor anticoagulant use and lacking a specific care plan for the medication.
F0758: The facility did not always ensure psychotropic medications were given with adequate monitoring, as a resident was administered Sertraline without identified targeted behaviors for effectiveness monitoring.
F0849: The facility did not ensure coordination of care and hospice communication processes were followed, including lack of updated hospice documentation, care plans, progress notes, and attendance at care conferences.
Report Facts
Residents affected: 1 Residents affected: 1 Residents affected: 1 Residents affected: 1 Residents reviewed for anticoagulant: 5 Residents reviewed for psychotropic medications: 5 Hospice care conferences documented: 4

Employees mentioned
NameTitleContext
LPN-DLicensed Practical NurseNamed in hearing aide management deficiency for not offering hearing aides daily
LPN-ELicensed Practical NurseNamed for assisting resident with hearing aides
NHA-ANursing Home AdministratorInformed surveyor about lack of policy for assistive devices and hospice documentation issues
DON-BDirector of NursingInformed surveyor about care plan follow-up and hospice documentation issues
SW-CSocial WorkerReported hospice IDT non-attendance at care conferences and lack of hospice documentation monitoring

Inspection Report

Complaint Investigation
Census: 45 Deficiencies: 0 Date: Jun 22, 2023

Visit Reason
Surveyor conducted a complaint investigation at Clement Manor Inc.

Complaint Details
One complaint was unsubstantiated.
Findings
No deficiencies were identified. One complaint was unsubstantiated.

Inspection Report

Complaint Investigation
Census: 43 Deficiencies: 0 Date: Apr 26, 2023

Visit Reason
Surveyor conducted a complaint investigation at Clement Manor Inc.

Complaint Details
One complaint was unsubstantiated.
Findings
No deficiencies were identified. One complaint was unsubstantiated.

Inspection Report

Deficiencies: 0 Date: Jul 7, 2022

Visit Reason
The document is a statement of deficiencies and plan of correction for Clement Manor Health Care Center following a survey completed on July 7, 2022.

Findings
No health deficiencies were found during the survey.

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