Inspection Reports for
Clement Manor Inc
3939 S 92ND STREET, GREENFIELD, WI, 53228
Back to Facility Profile8 Reports
Inspection Report — Feb 16, 2026
Abbreviated Survey State
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 — Feb 14, 2025
Complaint Investigation State
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 — Dec 12, 2024
CMS
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 — Mar 22, 2024
Abbreviated Survey State
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 — Oct 25, 2023
CMS
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
| Name | Title | Context |
|---|---|---|
| LPN-D | Licensed Practical Nurse | Named in hearing aide management deficiency for not offering hearing aides daily |
| LPN-E | Licensed Practical Nurse | Named for assisting resident with hearing aides |
| NHA-A | Nursing Home Administrator | Informed surveyor about lack of policy for assistive devices and hospice documentation issues |
| DON-B | Director of Nursing | Informed surveyor about care plan follow-up and hospice documentation issues |
| SW-C | Social Worker | Reported hospice IDT non-attendance at care conferences and lack of hospice documentation monitoring |
Inspection Report — Jun 22, 2023
Complaint Investigation State
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 — Apr 26, 2023
Complaint Investigation State
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 — Jul 7, 2022
CMS
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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