Deficiencies (last 3 years)
Deficiencies (over 3 years)
1.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
72% better than Wisconsin average
Wisconsin average: 4.6 deficiencies/yearDeficiencies per year
4
3
2
1
0
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Dec 12, 2024
Visit Reason
The inspection was conducted as a routine annual survey of Clement Manor Health Care Center to assess compliance with health and safety regulations.
Findings
No health deficiencies were found during the inspection.
Inspection Report
Annual Inspection
Deficiencies: 4
Date: Oct 25, 2023
Visit Reason
The inspection was conducted as part of the facility's annual survey to assess compliance with regulatory requirements related to resident care, medication management, hospice services, and assistive devices.
Findings
The facility was found deficient in multiple areas including failure to ensure proper use and management of hearing aides for a resident, inadequate monitoring and care planning for a resident on anticoagulant therapy, lack of targeted behavior monitoring for a resident on psychotropic medication, and failure to coordinate hospice care documentation and communication for a resident receiving hospice services.
Deficiencies (4)
Failure to ensure a resident received proper treatment and assistive device to maintain hearing abilities, including inconsistent provision of hearing aides.
Failure to ensure a resident's drug regimen was free from unnecessary drugs due to inadequate monitoring of anticoagulant therapy and lack of a specific care plan.
Failure to ensure psychotropic medication was administered with adequate monitoring of targeted behaviors to determine medication effectiveness.
Failure to ensure coordination of hospice care and communication process, including lack of updated hospice documentation, care plans, and attendance at care conferences.
Report Facts
Residents affected: 1
Residents affected: 1
Residents affected: 1
Residents affected: 1
Falls: 2
Medication dose: 5
Psychotropic medication dose: 50
Care conference dates: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN-D | Licensed Practical Nurse | Named in hearing aide deficiency for Resident R10; admitted not offering hearing aides daily |
| LPN-E | Licensed Practical Nurse | Named in hearing aide deficiency for Resident R10; stated working with R10 for several years |
| NHA-A | Nursing Home Administrator | Informed surveyor about lack of policy for assistive devices and hospice documentation issues |
| DON-B | Director of Nursing | Acknowledged concerns about anticoagulant care plan and hospice documentation |
| SW-C | Social Worker | Reported hospice IDT does not communicate or attend care conferences for Resident R25 |
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Jul 7, 2022
Visit Reason
The inspection was conducted as a standard annual survey of Clement Manor Health Care Center to assess compliance with health regulations.
Findings
No health deficiencies were found during the inspection, and the level of harm and residents affected were unknown.
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