Inspection Reports for
The Oaks of Clearwater

The facility has been inspected 63 times with 21 visits citing deficiencies and 27 clean visits. There are 56 total deficiencies recorded, including 1 serious deficiency, and 11 legal actions with fines totaling $14,550.

The facility had multiple deficiencies including failure to provide Notice of Medicare Non-Coverage to residents, inadequate cleanliness and maintenance of resident equipment and environment, failure to obtain required PASARR screenings, unsafe access to a functioning stove, medication errors exceeding 5%, unsanitary kitchen conditions with pest issues, incomplete resident documentation, and lack of a water management plan for Legionella prevention.

The complaint was related to the facility's failure to investigate and document a grievance voiced by Resident #3's family member. The grievance involved concerns about care and the behavior of another resident. The complaint was substantiated as the facility did not file a grievance or conduct an investigation.

The facility failed to document or investigate a grievance raised by Resident #3's family member about care concerns. The Nursing Home Administrator did not file a grievance or provide documentation of an investigation, and grievance logs showed no record of the complaint.

The complaint investigation involved Resident #1 with alleged abuse and mistreatment. The investigation was still open at the time of the survey, with incomplete staff interviews and unclear conclusions regarding injury or abuse.

The facility failed to ensure a timely and thorough investigation of an injury of unknown origin for Resident #1. Interviews and record reviews revealed incomplete investigation steps, including failure to interview all involved staff and unclear determination of abuse or injury cause.

The facility was found deficient in multiple areas including failure to provide dignified dining experiences, maintain confidentiality of resident information, ensure a safe and homelike environment, accurate resident assessments, care planning, accommodations for visual impairment, nail care, respiratory care, food safety, infection control, and call light accessibility.

The facility failed to provide timely written notifications to residents or their representatives regarding transfers and bed hold policies for two residents. Staffing information postings lacked actual hours worked on two of three days observed. Behavioral monitoring related to psychotropic medications was incomplete for one resident. Food safety violations included improper cold and hot food holding temperatures and unclean kitchen utensils.