Facility profile · CCN 515142
Clay Healthcare Center
34 federal citations on record , including 1 at the Immediate Jeopardy level, and 1 federal enforcement actions totaling $16,149.
Record summary
Federal record · Q1 202634
Total citations
24
Last 3 years
1
Actual harm+
1
Federal penalties
$16,149
Total fines
2
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
34 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| May 22, 2025 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint |
| May 22, 2025 | F919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Standard |
| May 22, 2025 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| May 22, 2025 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard |
| May 22, 2025 | F814 | Dispose of garbage and refuse properly. | D | Standard |
| May 22, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard |
| May 22, 2025 | F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard |
| May 22, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| May 22, 2025 | F645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard |
| Nov 1, 2023 | F881 | Implement a program that monitors antibiotic use. | D | Standard |
| Nov 1, 2023 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard |
| Nov 1, 2023 | F776 | Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | D | Standard |
| Nov 1, 2023 | F758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Standard |
| Nov 1, 2023 | F757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard |
| Nov 1, 2023 | F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | F | Standard |
| Nov 1, 2023 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard |
| Nov 1, 2023 | F679 | Provide activities to meet all resident's needs. | D | Standard |
| Nov 1, 2023 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard |
| Nov 1, 2023 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
| Nov 1, 2023 | F644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard |
| Nov 1, 2023 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard |
| Nov 1, 2023 | F584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Standard |
| Nov 1, 2023 | F583 | Keep residents' personal and medical records private and confidential. | D | Standard |
| Nov 1, 2023 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard |
| Jun 29, 2022 | F868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | E | Standard |
| Jun 29, 2022 | F742 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | D | Standard |
| Jun 29, 2022 | F725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Standard |
| Jun 29, 2022 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard |
| Jun 29, 2022 | F692 | Provide enough food/fluids to maintain a resident's health. | D | Standard |
| Jun 29, 2022 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| Jun 29, 2022 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard |
| Jun 29, 2022 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
| Jun 29, 2022 | F645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard |
| Jun 29, 2022 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard |
Federal enforcement history
Federal regulators have imposed 1 enforcement actions against this facility, including 1 civil money penalties totaling $16,149 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| May 22, 2025 | Fine | $16,149 | — |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
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