Average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at St Clare Home during CMS and state inspections, most recent first.
During an overnight shift, only two nurses and two NAs were available to care for about 50 residents across three units, resulting in inadequate supervision and care. Due to this staffing shortage, a resident with a history of falls was left on the floor for about an hour after an unwitnessed fall, and another resident did not receive scheduled morning medications, including a cardiac drug. Staff and families reported concerns about residents being left alone and delays in care, confirming that the facility did not provide enough nursing staff to meet residents' needs.
Three residents with conditions such as hemiplegia, Alzheimer's disease, and cognitive impairment did not receive timely bowel interventions or GI assessments as required by facility protocol when experiencing multiple days without adequate bowel movements. Prescribed medications and interventions were not consistently administered, and providers were not notified of refusals or lack of results, as confirmed by staff interviews.
The facility failed to review and revise care plans for two residents at risk of falls. One resident, admitted with a femur fracture, experienced multiple falls without subsequent care plan updates. Another resident, with a history of surgical amputation, also had several falls without care plan revisions. The DON could not provide evidence of care plan reviews during a surveyor interview.
A resident with multiple sclerosis did not receive prescribed doses of Methylphenidate HCL (Ritalin) on three consecutive days due to the medication cart keys being locked inside. The MAR showed missed doses, and there was no evidence that the medical provider was notified. Both the RN and DON could not confirm the medication was administered on time or that the provider was informed.
The facility failed to properly store and label medications for two residents. A resident's expired medication was found in the medication cart, and another resident was given the wrong medication due to improper storage and labeling. The Director of Nursing Services acknowledged these failures.
The facility failed to document whether residents received or declined influenza and pneumococcal vaccinations, affecting several residents. The Infection Preventionist acknowledged the absence of necessary documentation and consent forms.
The facility failed to follow physician's orders for a resident using an insulin pump and a Freestyle Libre glucose monitoring system. Documentation was missing for the type of insulin, basal rate, and bolus amounts, and there was no order to monitor the pump's functionality. Additionally, the facility did not document when to change the Freestyle Libre sensor or the last time it was changed, and the order for glucose oral gel lacked parameters for administration.
A facility failed to update the care plan for a resident with a suprapubic catheter according to new urologist recommendations, leading to recurrent blockages and drainage issues. Staff continued outdated irrigation practices, and the deficiency was only addressed after surveyor intervention.
Insufficient Nursing Staff Leads to Unwitnessed Fall and Missed Medications
Penalty
Summary
The facility failed to provide sufficient nursing staff during the overnight shift, resulting in inadequate care and supervision for residents. On the night in question, only two nurses and two nursing assistants were present to care for approximately 50 residents across three units on different floors. Staff interviews confirmed that this staffing level was insufficient, with one nurse responsible for two units and nursing assistants having to cover multiple units, leaving some areas temporarily unstaffed. The facility's own policy requires adequate staffing to ensure resident safety and to meet care needs, but this was not met during the shift reviewed. As a result of the staffing shortage, a resident with Parkinson's disease and a history of falls experienced an unwitnessed fall in their room and remained on the floor for about an hour before being found. The resident required assistance for transfers and reported pain after the fall. Staff noted that the unsafe staffing ratios contributed to the incident and that residents requiring two-person assistance for care and transfers were not adequately supported. Another resident, dependent on staff for activities of daily living and requiring two-person assistance for transfers, did not receive scheduled morning medications, including a cardiac medication, due to the lack of available staff. Multiple complaints were made to the Ombudsman and the Department of Health regarding insufficient staffing, with reports that residents were left alone and felt fearful. Staff interviews corroborated that the facility was frequently short-staffed, requiring assistance from staff in the assisted living section to help cover care needs. The documented events demonstrate that the facility did not meet the required standard for staffing to ensure resident safety and the completion of necessary care and medication administration.
Failure to Follow Bowel Protocol and Provide Timely Interventions for Constipation
Penalty
Summary
The facility failed to provide treatment and care in accordance with professional standards of practice for three residents experiencing constipation. For one resident with right-sided hemiplegia and bowel incontinence, documentation showed gaps of four days without a bowel movement on two occasions, with no evidence that bowel interventions, GI assessments, or physician notifications were completed as required by the facility's bowel protocol. Another resident with Alzheimer's disease and bowel incontinence went five days without a documented bowel movement, and records did not show that interventions were administered per protocol, nor that a GI assessment or provider notification occurred after failed or refused interventions. A third resident, with mild cognitive impairment and a urinary system malignancy, had only one small bowel movement over four days and did not receive prescribed Polyethylene Glycol or required interventions per the bowel protocol. There was no documentation of GI assessments or provider notifications for this resident either. Staff interviews confirmed that the bowel protocol was not followed and that adequate bowel movements were not documented for these residents during the identified periods.
Failure to Revise Care Plans for Residents at Risk of Falls
Penalty
Summary
The facility failed to adequately review and revise the care plans for two residents who were at risk for falls. Resident ID #1, who was admitted with a displaced fracture of the left femur, experienced falls on multiple occasions, including 6/9/2024, 9/27/2024, and 10/16/2024. However, the care plan interventions were not reviewed and revised following the falls on 6/9/2024 and 9/27/2024, despite the care plan being revised on 11/13/2024 after the issue was brought to the attention of the Director of Nursing Services. Similarly, Resident ID #2, admitted with a diagnosis related to orthopedic aftercare following a surgical amputation, had a care plan indicating a risk for falls. This resident sustained falls on 5/23/2024, 7/27/2024, 9/29/2024, 10/22/2024, and 10/25/2024. The care plan interventions were not reviewed and revised for these falls. During an interview with the Director of Nursing Services, she was unable to provide evidence that the care plans for both residents were reviewed and revised as required.
Failure to Administer Prescribed Medication Timely
Penalty
Summary
The facility failed to ensure that a resident was free from significant medication errors. A resident, admitted in April 2022 with multiple sclerosis, was prescribed Methylphenidate HCL (Ritalin) 30 mg to be taken three times daily. However, the Medication Administration Record (MAR) showed missed doses on three consecutive days in November. A Registered Nurse confirmed that the resident received a delayed dose on one of these days due to the medication cart keys being locked inside the cart. There was no evidence in the progress notes that the medical provider was notified of the missed doses, and both the nurse and the Director of Nursing Services could not provide evidence that the medication was administered at the scheduled times or that the provider was informed of the missed doses.
Medication Storage and Labeling Deficiency
Penalty
Summary
The facility failed to store and label drugs and biologicals in accordance with currently accepted professional principles for two residents. For Resident ID #4, who was admitted with pneumonia and had expired, a surveyor observed a blister medication card containing 10 tablets of Methylphenidate HCL with the resident's name on it in the nursing medication cart. This indicates that the medication was not removed or destroyed following the resident's expiration, as per the facility's policy. For Resident ID #5, who was admitted with Alzheimer's disease, a medication error was documented where the resident was administered Alprazolam instead of Lorazepam, despite there being no physician's order for Alprazolam. During a surveyor observation, a blister medication card with 26 tablets of Alprazolam with the resident's name was found in the medication cart. This demonstrates a failure to adhere to the facility's policy on medication storage and removal, as acknowledged by the Director of Nursing Services.
Failure to Document Vaccination Status
Penalty
Summary
The facility failed to ensure that residents' medical records included documentation of either receiving the influenza or pneumococcal vaccinations or not receiving them due to medical contraindications or refusal. This deficiency was identified for four out of six residents reviewed for pneumococcal vaccination and three out of six residents reviewed for influenza vaccination. Specifically, the records for Residents ID #1, #6, #23, and #26 lacked evidence of the pneumococcal vaccine being offered, received, or declined. Similarly, the records for Residents ID #23, #26, and #29 lacked evidence of the influenza vaccine being offered, received, or declined. During an interview, the Infection Preventionist acknowledged the absence of consent or declination forms for the mentioned residents concerning both the pneumococcal and influenza vaccines. Additionally, the Infection Preventionist was unable to provide evidence that the residents' medical records included documentation indicating whether the residents received or declined the vaccinations due to medical contraindications or refusal. This issue was only brought to the facility's attention by the surveyor.
Failure to Follow Physician's Orders for Insulin Pump and Glucose Monitoring
Penalty
Summary
The facility failed to meet professional standards of quality by not following physician's orders for a resident using an insulin pump and a Freestyle Libre continuous glucose monitoring system. The resident, who manages their own insulin pump, did not have documentation in their record regarding the type of insulin, basal rate of insulin administration, or the amount of insulin delivered via bolus. Additionally, there was no evidence of a physician's order to monitor the functionality of the pump every shift as per facility policy. The Director of Nursing Services (DNS) was unable to provide documentation or explain how this information would be communicated to other healthcare providers. Furthermore, the facility did not document when to change the resident's Freestyle Libre sensor or the last time it had been changed, despite the resident stating it needs to be changed every 14 days. Additionally, there was a physician's order for glucose oral gel to be administered as needed for hypoglycemic events, but the order lacked parameters for when to administer the gel. The DNS acknowledged the absence of these parameters in the physician's order.
Failure to Update Suprapubic Catheter Care as per Urologist's Recommendations
Penalty
Summary
The facility failed to provide appropriate treatment and services for a resident with a suprapubic catheter (SP tube). The resident, who has multiple sclerosis and neuromuscular dysfunction of the bladder, was admitted to the facility in May 2019. The care plan included following up with urology as indicated. Physician orders required the SP tube to be irrigated with Renacidin solution and normal saline on specific days to prevent occlusion. However, after a urology appointment, it was recommended to increase the irrigation volume to 60 mL of normal saline and to aspirate on certain days. The facility did not address these new recommendations with the provider, and staff continued to follow the outdated orders, leading to recurrent blockages and drainage problems for the resident. During interviews, both a Licensed Practical Nurse (LPN) and the Director of Nursing Services (DON) acknowledged that the updated urology recommendations were not addressed. The LPN confirmed that staff were still irrigating the SP tube with 30 mL of normal saline without aspiration, contrary to the new recommendations. The DON admitted that the staff should have addressed the urologist's recommendations on the day of the resident's appointment but could not explain why this was not done. The deficiency was only addressed after being brought to the facility's attention by the surveyor.
What surveyors are citing around you — mapped
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Illustrative
What surveyors actually found near you
We read the 389 citations issued within 25 miles in the last 12 months — including the 16 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
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Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Newport
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Adviniacare Newport, Llc | 0.5 mi | ★★★★★ | 18 | 0 |
| Village House Nursing & Rehabilitation Center | 0.9 mi | ★★★★★ | 6 | 0 |
| John Clarke Senior Living | 2 mi | ★★★★★ | 2 | 1 |
| Grand Islander Center | 2.2 mi | ★★★★★ | 7 | 0 |
| Royal Middletown Nursing Center | 3.4 mi | ★★★★★ | 16 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.