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Deficiency Records for Clinton House Rehabilitation and Healthcare Center
A list of the most recent deficiencies for Clinton House Rehabilitation and Healthcare Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Clinton House Rehabilitation and Healthcare Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Meet other general requirements. | Fire Safety | 2024-10-17 | 2024-10-25 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-09-10 | 2024-10-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-09-10 | 2024-10-03 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-09-10 | 2024-10-03 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2024-09-10 | 2024-10-03 | N |
| 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. | Health | 2024-09-10 | 2024-10-03 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-09-10 | 2024-10-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-09-10 | 2024-10-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-10-11 | 2023-10-31 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-10-11 | 2023-10-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-11 | 2023-10-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-10-11 | 2023-10-30 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2023-10-11 | 2023-10-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-10-11 | 2023-10-24 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-10-11 | 2023-10-21 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-10-11 | 2023-10-12 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-10-11 | 2023-10-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-10-11 | 2023-10-12 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-09-01 | 2023-09-24 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-09-01 | 2023-09-24 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-09-01 | 2023-09-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-01 | 2023-09-24 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-09-01 | 2023-09-24 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-09-01 | 2023-09-24 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-09-01 | 2023-09-24 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-09-01 | 2023-09-24 | N |
| 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. | Health | 2023-09-01 | 2023-09-24 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-09-01 | 2023-09-24 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-09-01 | 2023-09-24 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-09-01 | 2023-09-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-01 | 2023-09-24 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-06-06 | 2023-06-20 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2022-09-26 | 2022-10-12 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2022-09-26 | 2022-10-12 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-09-26 | 2022-10-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-09-26 | 2022-10-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-09-26 | 2022-10-12 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-09-26 | 2022-10-12 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-09-26 | 2022-10-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-09-26 | 2022-10-12 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-09-26 | 2022-10-12 | N |
| Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | Health | 2022-08-31 | 2022-09-23 | N |
| Assess the resident when there is a significant change in condition | Health | 2022-08-31 | 2022-09-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-31 | 2022-09-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-31 | 2022-09-23 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-08-31 | 2022-09-23 | N |
| 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. | Health | 2022-08-31 | 2022-09-23 | N |
| 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. | Health | 2022-08-31 | 2022-09-23 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2022-08-31 | 2022-09-23 | N |
| Provide or obtain dental services for each resident. | Health | 2022-08-31 | 2022-09-23 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-08-31 | 2022-09-23 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-08-31 | 2022-09-23 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-02-09 | 2022-02-28 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-02-09 | 2022-02-28 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-02-09 | 2022-02-28 | Y |
| Report COVID19 data to residents and families. | Health | 2022-02-09 | 2022-02-28 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-12-01 | 2021-12-14 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2021-12-01 | 2021-12-14 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-11-15 | 2021-11-30 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-11-15 | 2021-11-30 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-11-15 | 2021-11-30 | Y |
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