Clarendon Nursing Home

Penalties

• Nov 13, 2023 — Fine ($7,551)
• Nov 13, 2023 — Payment Denial · payment denial 6 days

Inspection findings

1. Jan 15, 2026 Health · 5 findings
   • Not serious Scope/severity D

     F0641 Resident Assessment and Care Planning Deficiencies

     Ensure each resident receives an accurate assessment.

     Corrected Feb 20, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0740 Quality of Life and Care Deficiencies

     Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

     Corrected Feb 20, 2026 · CMS health inspection

   • Not serious Scope/severity E

     F0755 Pharmacy Service Deficiencies

     Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

     Corrected Feb 20, 2026 · CMS health inspection

   • Not serious Scope/severity E

     F0801 Nutrition and Dietary Deficiencies

     Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

     Corrected Feb 20, 2026 · CMS health inspection

   • Not serious Scope/severity E

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected Feb 20, 2026 · CMS health inspection

2. Apr 15, 2025 Health · 2 findings
   • Not serious Scope/severity D Complaint

     F0839 Administration Deficiencies

     Employ staff that are licensed, certified, or registered in accordance with state laws.

     Corrected May 16, 2025 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0940 Administration Deficiencies

     Develop, implement, and/or maintain an effective training program for all new and existing staff members.

     Corrected May 16, 2025 · CMS health inspection

3. Oct 30, 2024 Health · 6 findings
   • Not serious Scope/severity D Complaint

     F0641 Resident Assessment and Care Planning Deficiencies

     Ensure each resident receives an accurate assessment.

     Corrected Nov 23, 2024 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0689 Quality of Life and Care Deficiencies

     Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

     Corrected Nov 23, 2024 · CMS health inspection

   • Not serious Scope/severity F Complaint

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected Nov 23, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Nov 23, 2024 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0925 Environmental Deficiencies

     Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

     Corrected Nov 22, 2024 · CMS health inspection

   • Not serious Scope/severity F

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected Nov 23, 2024 · CMS fire safety

4. Nov 13, 2023 Health · 2 findings
   • Not serious Scope/severity D Complaint

     F0578 Resident Rights Deficiencies

     Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

     Corrected Dec 20, 2023 · CMS health inspection

   • Serious Scope/severity G Complaint

     F0689 Quality of Life and Care Deficiencies

     Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

     Corrected Dec 20, 2023 · CMS health inspection

5. Aug 31, 2023 Health · 8 findings
   • Not serious Scope/severity D Complaint

     F0655 Resident Assessment and Care Planning Deficiencies

     Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

     Corrected Sep 30, 2023 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0656 Resident Assessment and Care Planning Deficiencies

     Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

     Corrected Oct 1, 2023 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0661 Resident Assessment and Care Planning Deficiencies

     Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

     Corrected Oct 1, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0727 Nursing and Physician Services Deficiencies

     Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

     Corrected Oct 1, 2023 · CMS health inspection

   • Not serious Scope/severity E

     F0761 Pharmacy Service Deficiencies

     Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

     Corrected Oct 1, 2023 · CMS health inspection

   • Not serious Scope/severity F Complaint

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected Oct 1, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Oct 1, 2023 · CMS health inspection

   • Not serious Scope/severity E

     F0943 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

     Corrected Oct 1, 2023 · CMS health inspection

Owners and managers (as published by CMS)

• BRITTON, CARL — direct ownership interest, NOT APPLICABLE, since 03/01/2016
• BRITTON, CARL — limited partnership interest, NOT APPLICABLE, since 12/01/2023
• BULLARD, JIM — limited partnership interest, NOT APPLICABLE, since 03/01/2016
• BULLARD, JIM — corporate director, NOT APPLICABLE, since 03/01/2016
• BULLARD, JIM — indirect ownership interest, NOT APPLICABLE, since 03/01/2016
• CHEBIB, PAUL — adp of the snf, NOT APPLICABLE, since 01/23/2025
• CHEBIB, PAUL — w-2 managing employee, NOT APPLICABLE, since 03/01/2016
• CHEBIB, PAUL — indirect ownership interest, NOT APPLICABLE, since 03/01/2016
• CHEBIB, PAUL — limited partnership interest, NOT APPLICABLE, since 03/01/2016
• MYERS, CATHY — w-2 managing employee, NOT APPLICABLE, since 12/01/2023
• MYERS, CATHY — adp of the snf, NOT APPLICABLE, since 01/23/2025
• SPORE, SCOTT — w-2 managing employee, NOT APPLICABLE, since 03/01/2016
• SPORE, SCOTT — limited partnership interest, NOT APPLICABLE, since 03/01/2016
• SPORE, SCOTT — indirect ownership interest, NOT APPLICABLE, since 03/01/2016
• SPORE, SCOTT — corporate director, NOT APPLICABLE, since 03/01/2016
• WOLCOTT, ROGER — limited partnership interest, NOT APPLICABLE, since 03/01/2016
• WOLCOTT, ROGER — indirect ownership interest, NOT APPLICABLE, since 03/01/2016
• CARL LEE BRITTON MDPA — indirect ownership interest, NOT APPLICABLE, since 02/01/2016
• CARL LEE BRITTON MDPA — adp of the snf, NOT APPLICABLE, since 01/23/2025
• CARL LEE BRITTON MDPA — limited partnership interest, NOT APPLICABLE, since 03/01/2015
• CLARENDON NH OPERATIONS — direct ownership interest, NOT APPLICABLE, since 02/01/2016
• CLARENDON NH OPERATIONS — operational/managerial control, NOT APPLICABLE, since 03/01/2016
• CLARENDON NH OPERATIONS — adp of the snf, NOT APPLICABLE, since 01/23/2025
• DR PAUL CHEBIB MD PA — limited partnership interest, NOT APPLICABLE, since 03/01/2016
• DR PAUL CHEBIB MD PA — adp of the snf, NOT APPLICABLE, since 01/23/2025
• DR PAUL CHEBIB MD PA — indirect ownership interest, NOT APPLICABLE, since 02/01/2016
• SSS HOLDINGS LP — adp of the snf, NOT APPLICABLE, since 01/23/2025
• SSS HOLDINGS LP — limited partnership interest, NOT APPLICABLE, since 03/01/2016
• SSS HOLDINGS LP — indirect ownership interest, NOT APPLICABLE, since 02/01/2016
• THEORA MANAGEMENT SYSTEMS INC — general partnership interest, NOT APPLICABLE, since 03/01/2016
• THEORA MANAGEMENT SYSTEMS INC — indirect ownership interest, NOT APPLICABLE, since 02/01/2016