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Complaint Investigation

Elm Wood Center At Claremont

Inspection Date: September 11, 2025
Total Violations 1
Facility ID 305041
Location CLAREMONT, NH
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Inspection Findings

F-Tag F0600

Freedom from Abuse, Neglect, and Exploitation Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0600 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Based on interview and record review, the facility failed to protect that residents' right to be free from emotional abuse and exploitation by staff for 3 of 6 residents reviewed for abuse. (Resident identifiers are Resident #1, #2 and #3.)Findings include: Review on 9/11/25 of the facility reported incident and investigation for Resident #1 revealed that Staff I (Licensed Nurse Aide (LNA)) was video recorded by Staff J (LNA) laying in Resident #1's bed next to them talking about cuddling and mocking the resident. Both Staff I and Staff J were giggling. This video was sent via social media to the daughter of Staff G (Registered Nurse) on 4/23/25. Staff G was shown the videos on 8/25/25 and reported it immediately to Staff A (Administrator) and Staff B (Director of Nursing).Review on 9/11/25 of Resident #1's care plan, initiated 8/26/25, revealed interventions due to the resident being a victim abuse related to a social media posting.

Review on 9/11/25 of the facility reported incidents and investigation for Resident #2 revealed that Staff I video recorded themselves sitting on the edge of Resident #2's bed mocking the resident saying you do not even know who I am and giggling. This video was sent via social media to the daughter of Staff G (Registered Nurse) on4/22/25. Staff G was shown the videos on 8/25/25 and reported it immediately to Staff A (Administrator) and Staff B (Director of Nursing).Review on 9/11/25 of Resident #2's care plan, initiated 8/26/25, revealed interventions due to the resident being a victim abuse related to a social media posting. Review on 9/11/25 of the facility reported incidents and investigation for Resident #3 revealed that Staff I video recorded themselves standing next to Resident #3's bed mocking Resident #3 saying no, no while Resident #3 was talking to Staff I using nonsensical words. This video was sent via social media to

the daughter of Staff G (Registered Nurse) on 3/26/25. Staff G was shown the videos on 8/25/25 and reported it immediately to Staff A (Administrator) and Staff B (Director of Nursing) Review on 9/11/25 of Resident #3's care plan, initiated 8/26/25, revealed interventions due to the resident being a victim abuse related to a social media posting. Review on 9/11/25 of the facility's Quality Assurance and Performance Improvement Meeting minutes, dated 8/26/25, revealed a plan to conduct interviews with all staff and residents (completed 8/26/25), to re-educate staff on the privacy and social media policy (Completed 8/28/25), and to perform continued auditing for compliance. Interview on 9/11/25 with Staff C (Social Services) revealed Staff C interviewed the above 3 residents and they did not recall the incidents. Staff C revealed the 3 residents were referred to telepsychology services to verify there was no psychosocial harm.

Review of the Telepsychology visits for Resident #1, #2 and #3 revealed no identified trauma and there were no recommendations for any of the residents. Review on 9/11/25 of Staff I's and Staff J 's employee

record revealed that disciplinary action (termination) was taken for the above incidents. Interview on 9/11/25 at approximately 11:00 a.m. with Staff A and Staff B confirmed the above findings. Interview with Staff A and B revealed that Staff I and Staff J were reported to the Board of Nursing and the local police for the above incidents.

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 REPRESENTATIVE'S SIGNATURE

TITLE

(X6) DATE

FORM CMS-2567 (02/99) Previous Versions Obsolete

Facility ID:

If continuation sheet

Event ID:

📋 Inspection Summary

ELM WOOD CENTER AT CLAREMONT in CLAREMONT, NH inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in CLAREMONT, NH, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from ELM WOOD CENTER AT CLAREMONT or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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