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Clemmons Nursing & Rehab Center
3905 CLEMMONS ROAD
Clemmons, NC 27012
(336) 766-9158
General
Ratings
Deficiencies
Resident Stats
Staff Stats
| Certified Beds: | 120 |
| Number of Residents: | 71 |
| Percent of Occupied Beds: | 59% |
| Sprinkler Status: | Fully Sprinklered |
| Program Participation: | Medicare and Medicaid |
| Type of Ownership: | For profit - Corporation |
| Located Within a Hospital? | No |
| Multi Nursing Home Ownership? | Yes |
| Resident and Family Councils? | Resident |
| Continuing Care Retirement Community? | No |
| Quality Indicator Survey? | Yes |
| Special Focus Facility? | No |
| Overall: |  |
| Health Inspection: |  |
| Nurse Staffing: |  |
| Quality Measures: | |
| RN Only: |  |
| Date | Type | Category | Deficiency | Scope | Level of Harm | Date of Correction |
| 20080529 | Health | Resident Rights Deficiencies | Keep each resident's personal and medical records private and confidential. | Isolated | Minimal harm or potential for actual harm | 20080626 |
| 20080529 | Health | Mistreatment Deficiencies | Protect residents from mistreatment, neglect, and/or theft of personal property. | Isolated | Actual harm | 20080626 |
| 20080529 | Health | Mistreatment Deficiencies | 1) Hire only people who have no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Isolated | Minimal harm or potential for actual harm | 20080626 |
| 20080529 | Health | Mistreatment Deficiencies | Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. | Isolated | Minimal harm or potential for actual harm | 20080626 |
| 20080529 | Health | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | Isolated | Actual harm | 20080626 |
| 20080529 | Health | Quality Care Deficiencies | Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. | Isolated | Minimal harm or potential for actual harm | 20080626 |
| 20081205 | Health | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | Isolated | Immediate jeopardy to resident health or safety | 20090115 |
| 20100527 | Health | Pharmacy Service Deficiencies | 1) Make sure that residents who take drugs are not given too many doses or for too long; 2) make sure that the use of drugs is carefully watched; or 3) stop or change drugs that cause unwanted effects. | Isolated | Immediate jeopardy to resident health or safety | 20100616 |
| 20100527 | Health | Environmental Deficiencies | Have a program to keep infection from spreading. | Pattern | Minimal harm or potential for actual harm | 20100616 |
| 20100527 | Health | Administration Deficiencies | Be administered in a way that leads to the highest possible level of well being for each resident. | Isolated | Immediate jeopardy to resident health or safety | 20100616 |
| 20100527 | Health | Mistreatment Deficiencies | Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. | Isolated | Immediate jeopardy to resident health or safety | 20100616 |
| 20100527 | Health | Quality Care Deficiencies | Give each resident care and services to get or keep the highest quality of life possible. | Isolated | Immediate jeopardy to resident health or safety | 20100616 |
| 20100527 | Health | Mistreatment Deficiencies | 1) Hire only people who have no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Isolated | Immediate jeopardy to resident health or safety | 20100616 |
| 20100527 | Health | Mistreatment Deficiencies | Protect each resident from all abuse, physical punishment, and being separated from others. | Isolated | Immediate jeopardy to resident health or safety | 20100616 |
| 20100527 | Health | Resident Rights Deficiencies | Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged. | Isolated | Immediate jeopardy to resident health or safety | 20100616 |
| 20100527 | Health | Quality Care Deficiencies | Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. | Isolated | Minimal harm or potential for actual harm | 20100616 |
| Value | Notes | |
| Percent of long-stay residents given influenza vaccination during the flu season: | 93 | |
| Percent of long-stay residents who were assessed and given pneumococcal vaccination: | 98 | |
| Percent of long-stay residents whose need for help with daily activities has increased: | 33 | |
| Percent of long-stay residents who have moderate to severe pain: | 1 | |
| Percent of high-risk long-stay residents who have pressure sores: | 9 | |
| Percent of low-risk long-stay residents who have pressure sores: | Not Available - The number of residents is too small to report. Call the facility to discuss this quality measure. | |
| Percent of long-stay residents who were physically restrained: | 6 | |
| Percent of long-stay residents who are more depressed or anxious: | 29 | |
| Percent of low-risk long-stay residents who lose control of their bowels or bladder: | 83 | |
| Percent of long-stay residents who have/had a catheter inserted and left in their bladder: | 6 | |
| Percent of long-stay residents who spend most of their time in bed or in a chair: | 20 | |
| Percent of long-stay residents whose ability to move about in and around their room got worse: | 27 | |
| Percent of long-stay residents who had a urinary tract infection: | 16 | |
| Percent of long-stay residents who lose too much weight: | 16 | |
| Percent of short-stay residents given influenza vaccination during the flu season: | 81 | |
| Percent of short-stay residents who were assessed and given pneumococcal vaccination: | 83 | |
| Percent of short-stay residents who have delirium: | 0 | |
| Percent of short-stay residents who had moderate to severe pain: | 13 | |
| Percent of short-stay residents who have pressure sores: | 4 | |
| # of Residents: | 71 |
| # RN Hours per Resident: | 2.3 |
| # LPN Hours per Resident: | Unknown |
| # CNA Hours per Resident: | 2.41 |
| Total Staff Hours per Resident: | 2.3 |
