Inspection Reports for
Clover Health Care

The facility was determined to be in substantial compliance with 42 CFR 483, Sub-part B-Requirements for Long Term Care Facilities. No deficiencies were cited.

Clover Health Care was found to be in substantial compliance with 42 CFR Part 483, Subpart B – Requirements for Long Term Care Facilities. No deficiencies were cited.

Clover Health Care was determined to be in compliance with 42 CFR Part 483, Subpart B, Requirements for Long Term Care Facilities. No deficiencies were cited during this follow-up survey.

No regulatory deficiencies were identified as a result of the 1/13/26 complaint investigation.

Complaint #2703771

No regulatory deficiencies were identified as a result of the 1/8/26 investigation.

The complaint investigation focused on Resident #1, who exhibited aggressive behaviors and was refused readmission by the facility until a safety plan was established. The investigation found the facility did not have physician documentation justifying the refusal and failed in medication management and consent procedures.

The facility was found to have violated a resident's right to be free from discrimination and coercion by refusing readmission without a safety plan. The facility failed to ensure proper physician orders for psychotropic medications, obtain written informed consent for psychotropic and opioid medications, and monitor behaviors related to medication use.

The complaint investigation was substantiated. The facility reported an incident where Resident #1 fell from bed and was transferred to the Emergency Department, later dying. The investigation found failures in care plan implementation, supervision, and safety protocols.

The facility failed to implement a resident's care plan for falls, resulting in a resident falling from bed and later dying. The facility also failed to provide adequate supervision and safety measures, including leaving a resident unattended in a high bed without rails. Additionally, the facility lacked behavioral health training for multiple Certified Nursing Assistants.

The facility was re-cited for failure to complete neurological assessments for residents after unwitnessed falls and failure to maintain the kitchen in a clean and sanitary manner with properly labeled and dated foods. The Quality Assurance Committee failed to ensure the effectiveness of the Plan of Correction from the prior survey.

No regulatory deficiencies were identified as a result of the 6/16/25 investigation.

The facility was found deficient in multiple areas including resident dignity during meals, failure to provide written information on advance directives, inadequate housekeeping and maintenance, failure to monitor PASRR evaluations, incomplete baseline and comprehensive care plans, failure to follow physician orders and monitor residents after falls, unsafe hot water temperatures creating immediate jeopardy, improper medication storage and self-administration procedures, unsanitary kitchen conditions, inadequate infection control practices, incomplete documentation of resident care, and lack of staff training on quality assurance.

The facility failed to follow physician orders for urine collection prior to surgery, resulting in surgery cancellation for one resident. Neurological monitoring was not adequately performed after unwitnessed falls for another resident. Medication storage and self-administration procedures were not properly followed, and clinical records for one resident were incomplete.

The facility was found not in substantial compliance with multiple regulatory requirements including emergency preparedness, fire safety, electrical systems, and smoking regulations. Deficiencies included failure to conduct annual reviews and testing of emergency plans, improper fire door maintenance, obstructed means of egress, missing fire safety signage, and unsafe storage of oxygen cylinders.

Clover Health Care was determined to be in substantial compliance with 42 CFR 483, Sub-part B-Requirements for Long Term Care Facilities.

Clover Health Care was determined to be in compliance with 42 CFR Part 483, Subpart B, Requirements for Long Term Care Facilities.

The facility was found deficient in maintaining resident dignity, environmental cleanliness and safety, adequate staffing levels, proper food temperature and dietary management, and infection control practices related to linen handling. All deficiencies were assessed as causing minimal harm or potential for actual harm.

Clover Health Care was found to be in substantial compliance with 42 CFR 483, Sub-part B-Requirements for Long Term Care Facilities. No deficiencies were cited.

Clover Health Care was found to be in compliance with 42 CFR Part 483, Subpart B, Requirements for Long Term Care Facilities, with no deficiencies cited.

No regulatory deficiencies were identified as a result of the 3/19/2024 investigation.

The facility was found deficient in multiple areas including failure to serve residents meals simultaneously, inadequate accommodations for resident needs, improper notification of Medicare coverage changes, privacy violations, poor housekeeping and maintenance, incomplete investigations of medication diversion, failure to provide timely bed hold notices, incomplete care plans, improper respiratory equipment maintenance, failure to post nurse staffing information, inadequate pharmaceutical record keeping, expired medications in use, failure to provide dental care, dietary deficiencies, infection control lapses, and incomplete nurse aide training.

This document is the facility's plan of correction for the Federal Survey dated 02/06/2024. It addresses deficiencies related to hazardous areas enclosure, fire drills, soiled linen and trash containers, and maintenance, inspection, and testing of fire doors.

The facility was found not in compliance with several regulatory requirements including resident dignity during meal service, reasonable accommodations for resident needs, Medicaid/Medicare coverage notices, personal privacy, safe and sanitary environment, investigation of alleged medication diversion, bed hold policy notices, comprehensive care planning, respiratory care, nurse staffing posting, pharmacy services, dental services, dietary services, infection prevention and control, and nurse aide training.

Clover Health Care was found to be in substantial compliance with 42 CFR 483, Sub-part B-Requirements for Long Term Care Facilities. No deficiencies were cited.

The facility was found deficient in developing complete care plans for residents at risk of wandering, maintaining kitchen sanitation and proper food labeling, monitoring dishwasher rinse temperatures, and ensuring mandatory training for nurse aides in dementia care and abuse prevention.

The facility was found non-compliant with regulations concerning resident readmission rights and psychotropic medication consent and administration. Deficiencies involved failure to readmit a resident following hospitalization due to behavioral issues and lack of documented informed consent for psychotropic medications.

Clover Healthcare is in substantial compliance with 42 CFR Part 483.73 for Emergency Preparedness but is not in substantial compliance with NFPA 101 Life Safety Code requirements related to hazardous areas, fire drills, soiled linen and trash containers, and fire door maintenance.

This plan of correction addresses numerous deficiencies cited in the prior survey, including issues related to dining practices, resident care plans, environmental safety, medication storage, infection control, and staff training. Completion dates for corrective actions are set for 06/11/2025.