Claremont Heights Post Acute
CLAREMONT HEIGHTS POST ACUTE in CLAREMONT, CA — inspection on January 3, 2025.
Found 5 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
During an interview on 1/3/2025 at 9:21 a.m. with Resident 3, Resident 3 stated the facility shower rooms made Resident 3 feel dirty and uncomfortable. Resident 3 stated the shower rooms smelled like mold (a fungal growth that develops on wet materials in interior spaces). Resident 3 stated some of the shower tiles were missing in the shower rooms (unidentified).
During a concurrent observation and interview on 1/3/2025 at 9:30 a.m. with the Infection Preventionist (IP), in Shower room [ROOM NUMBER], grout (a mixture of sand, water, and cement used to seal any gaps or fill in spaces between tiles) was missing between tiles located on the half wall between the shower area and the entry into the shower room.
The area of missing grout was black.
The IP stated the black area was a buildup of dirt.
The IP stated the missing grout created a risk of bacteria to build up inside the area between the tiles.
The IP stated missing grout also meant staff were not able to clean the area effectively.
During a concurrent observation and interview on 1/3/2025 at 9:35 a.m. with the IP, in the shower room (unidentified) next to room [ROOM NUMBER], grout was missing between tiles located on the half wall between the shower area and the entry into the shower room.
Black discolorations were observed inside and around the missing grout.
The metal doorframe was rusted and pulling away from the wall on both sides of the entry into the shower room.
The IP stated the condition of the rusted doorframe was an area that could harbor germs.
The IP stated the facility staff were not able to clean the rusted door frame in the condition it was in.
During a concurrent observation and interview on 1/3/2025 at 9:43 a.m. with the IP, in Shower room [ROOM NUMBER], the right bottom side of the metal door frame was rusted.
There was a line of black and green discoloration observed on the half wall next to the shower area.
The shower floor was missing tiles.
The IP stated the missing shower tiles was a potential harboring place for bacteria.
During a review of the facility's policy and procedure (P&P) titled, Resident Rooms and Environment, revised 1/1/2012, the P&P indicated, The Facility provides residents with a safe, clean, comfortable, and homelike environment.
Facility Staff will provide residents with a pleasant environment and person-centered care that emphasizes the residents' comfort, independence, and personal needs and preferences.
The P&P indicated, Facility Staff aim to create a personalized, homelike atmosphere, paying close attention to the following: A.
Cleanliness and order; B.
Lighting that is comfortable (minimum glare) yet adequate (suitable to the task); C.
Personalized furniture and room arrangements; D.
Pleasant, neutral scents; .
055344 01/03/2025
Claremont Heights Post Acute 590 S.
Indian Hill Blvd.
Claremont, CA 91711
During an interview on 1/3/2025 at 2:45 p.m. with Resident 1, Resident 1 stated Resident 1 felt like I was withdrawing when he did not get the diazepam. Resident 1 stated Resident 1 was really uncomfortable.
During a telephone interview on 1/3/2025 at 3:03 p.m. with DR 1, DR 1 stated DR 1 was not aware Resident 1 did not receive diazepam from 12/16/2024 until 12/27/2024. DR 1 stated Resident 1 should have received the medications that were on Resident 1's transfer orders. DR 1 stated Resident 1 could have experienced withdrawal symptoms when Resident 1 was not getting diazepam. DR 1 stated withdrawal symptoms could include higher anxiety, changes in vital signs, and hallucinations.
055344 01/03/2025
Claremont Heights Post Acute 590 S.
Indian Hill Blvd.
Claremont, CA 91711
During a concurrent observation and interview on 1/3/2025 at 9:30 a.m. with the Infection Preventionist (IP), in Shower room [ROOM NUMBER], grout (a mixture of sand, water, and cement used to seal any gaps or fill in spaces between tiles) was missing between tiles located on the half wall between the shower area and the entry into the shower room.
The area of missing grout was black.
The IP stated the black area was a buildup of dirt.
The IP states the missing grout created a risk of bacteria to build up inside the area between the tiles.
The IP stated missing grout also meant staff were not able to clean the area effectively.
During a concurrent observation and interview on 1/3/2025 at 9:35 a.m. with the IP, in the shower room (unidentified) next to room [ROOM NUMBER], grout was missing between tiles located on the half wall between the shower area and the entry into the shower room.
Black discolorations were observed inside and around the missing grout.
The metal doorframe was rusted and pulling away from the wall on both sides of the entry into the shower room.
The IP stated the condition of the rusted doorframe was an area that could harbor germs.
The IP stated the facility staff were not able to clean the rusted door frame in the condition it was in.
During a concurrent observation and interview on 1/3/2025 at 9:43 a.m. with the IP, in Shower room [ROOM NUMBER], the right bottom side of the metal door frame was rusted.
There was a line of black and green discoloration observed on the half wall next to the shower area.
The shower floor was missing tiles.
The IP stated the missing shower tiles was a potential harboring place for bacteria.
During a review of the facility's policy and procedure (P&P) titled, Infection Control - Policies & Procedures, revised 1/1/2012, the P&P indicated, The Facility's infection control policies and procedures are intended to facilitate maintaining a safe, sanitary, and comfortable environment and to help prevent and manage transmission of diseases and infections.
The P&P indicated the policy objectives included, Maintain a safe, sanitary, and comfortable environment for personnel, residents, visitors, and the general public .
During a review of Resident 1's Admission Record (AR), the AR indicated the facility admitted Resident 1 on 4/18/2024, with diagnoses including quadriplegia (the condition in which both the arms and legs are paralyzed [partly or wholly incapable of movement]), chronic pain syndrome (when people have symptoms beyond pain alone, like depression and anxiety, which interfere with their daily lives), and muscle spasm (a sudden, involuntary, and forceful contraction of a muscle or group of muscles) of back.
During a review of Resident 1's Minimum Data Set (MDS, a resident assessment tool), dated 10/24/2024, the MDS indicated Resident 1 had no impairment in cognitive skills (ability to make daily decisions).
The MDS indicated Resident 1 was dependent (helper does all the effort) on staff for eating, bathing, toileting and personal hygiene, and dressing.
2.
During a review of Resident 3's AR, the AR indicated the facility admitted Resident 3 on 5/2/2022, with diagnoses including type 2 diabetes mellitus (a chronic condition that affects the way the body processes blood sugar) and hemiplegia (muscle weakness or partial paralysis on one side of the body that can affect the arms, legs, and facial muscles) and hemiparesis (muscle weakness or partial paralysis on one side of the body) following cerebral infarction (also called ischemic stroke, occurs as a result of disrupted blood flow to the brain) .
During a review of Resident 3's MDS, dated [DATE], the MDS indicated Resident 3 had no impairment in cognitive skills.
The MDS indicated Resident 3 required partial/moderate assistance (helper does less than half the effort) from staff for toileting and personal hygiene, bathing, and dressing.
During an interview on 1/2/2025 at 11:11 a.m. with Resident 1, Resident 1 stated the showers at the facility were corroded (damaged by chemical action) and moldy (covered or filled with a soft green, blue, or black growth). Resident 1 stated the grout was falling out in the front shower and in the shower next to Resident 1's room.
055344
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 055344 B.
Wing 01/03/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Claremont Heights Post Acute 590 S.
Indian Hill Blvd.
Claremont, CA 91711
During a review of Resident 1's Admission Record (AR), the AR indicated the facility admitted Resident 1 on 4/18/2024, with diagnoses including quadriplegia (the condition in which both the arms and legs are paralyzed [partly or wholly incapable of movement]), chronic pain syndrome (when people have symptoms beyond pain alone, like depression and anxiety, which interfere with their daily lives), and muscle spasm (a sudden, involuntary, and forceful contraction of a muscle or group of muscles) of back.
During a review of Resident 1's Minimum Data Set (MDS, a resident assessment tool), dated 10/24/2024, the MDS indicated Resident 1 had no impairment in cognitive skills (ability to make daily decisions).
The MDS indicated Resident 1 was dependent (helper does all the effort) on staff for eating, bathing, toileting and personal hygiene, and dressing.
2.
During a review of Resident 3's AR, the AR indicated the facility admitted Resident 3 on 5/2/2022, with diagnoses including type 2 diabetes mellitus (a chronic condition that affects the way the body processes blood sugar) and hemiplegia (muscle weakness or partial paralysis on one side of the body that can affect the arms, legs, and facial muscles) and hemiparesis (muscle weakness or partial paralysis on one side of the body) following cerebral infarction (also called ischemic stroke, occurs as a result of disrupted blood flow to the brain).
During a review of Resident 3's MDS, dated [DATE], the MDS indicated Resident 3 had no impairment in cognitive skills.
The MDS indicated Resident 3 required partial/moderate assistance (helper does less than half the effort) from staff for toileting and personal hygiene, bathing, and dressing.
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE
055344
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 055344 B.
Wing 01/03/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Claremont Heights Post Acute 590 S.
Indian Hill Blvd.
Claremont, CA 91711
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.