All citations for Clepper Manor

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Clepper Manor

Last standard health inspection on record

April 4, 2025

Showing 1 to 25 of 36 citations

  1. Immediate jeopardy to resident health or safety

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

    Pattern (more than a few residents). CMS level K.

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of December 13, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 5, 2024).

  2. Immediate jeopardy to resident health or safety

    Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.

    Pattern (more than a few residents). CMS level K.

    Health citation F-0836, Administration Deficiencies. Inspection of December 13, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 5, 2024).

  3. No harm, with potential for more than minimal harm

    Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0111, Construction Deficiencies. Inspection of April 4, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 25, 2025).

  4. No harm, with potential for more than minimal harm

    Use approved construction type or materials.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0161, Construction Deficiencies. Inspection of April 4, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 15, 2025).

  5. No harm, with potential for more than minimal harm

    Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0111, Construction Deficiencies. Inspection of May 17, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 28, 2024).

  6. No harm, with potential for more than minimal harm

    Have approved installation, maintenance and testing program for fire alarm systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of May 17, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 28, 2024).

  7. No harm, with potential for more than minimal harm

    Have approved installation, maintenance and testing program for fire alarm systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of June 2, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 1, 2023).

  8. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of June 2, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 1, 2023).

  9. No harm, with potential for more than minimal harm

    Have a battery powered remote alarm panel in a location accessible by operating personnel.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0916, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of June 2, 2023. Found during a standard inspection.

    A waiver was granted (July 1, 2023).

  10. No harm, with potential for more than minimal harm

    Install an approved automatic sprinkler system.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0351, Smoke Deficiencies. Inspection of April 4, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 25, 2025).

  11. No harm, with potential for more than minimal harm

    Have properly installed hallway dispensers for alcohol-based hand rub.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0325, Smoke Deficiencies. Inspection of May 17, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 28, 2024).

  12. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of May 17, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 28, 2024).

  13. No harm, with potential for more than minimal harm

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0835, Administration Deficiencies. Inspection of December 13, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 5, 2024).

  14. No harm, with potential for more than minimal harm

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of June 2, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 30, 2023).

  15. No harm, with potential for more than minimal harm

    Observe each nurse aide's job performance and give regular training.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0730, Nursing and Physician Services Deficiencies. Inspection of June 2, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 30, 2023).

  16. No harm, with potential for more than minimal harm

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0947, Nursing and Physician Services Deficiencies. Inspection of June 2, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 30, 2023).

  17. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0880, Infection Control Deficiencies. Inspection of April 4, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 13, 2025).

  18. No harm, with potential for more than minimal harm

    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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of May 17, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 2, 2024).

  19. No harm, with potential for more than minimal harm

    Have properly located and lighted "Exit" signs.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0293, Egress Deficiencies. Inspection of May 17, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 28, 2024).

  20. No harm, with potential for more than minimal harm

    Respond appropriately to all alleged violations.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0610, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of June 2, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 30, 2023).

  21. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of June 2, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 30, 2023).

  22. No harm, with potential for minimal harm

    Develop and maintain an Emergency Preparedness Program (EP).

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of April 4, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 15, 2025).

  23. No harm, with potential for minimal harm

    Conduct risk assessment and an All-Hazards approach.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0006, Emergency Preparedness Deficiencies. Inspection of April 4, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 15, 2025).

  24. No harm, with potential for minimal harm

    Meet other general requirements.

    Widespread (many residents). CMS level C.

    Fire safety citation K-0100, Construction Deficiencies. Inspection of April 4, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 25, 2025).

  25. No harm, with potential for minimal harm

    Have approved installation, maintenance and testing program for fire alarm systems.

    Widespread (many residents). CMS level C.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of April 4, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 15, 2025).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.