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Deficiency Records for Clinton Healthcare Center
A list of the most recent deficiencies for Clinton 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 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? |
|---|---|---|---|---|
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2024-01-04 | 2024-02-15 | Y |
| Address patient/client population and determine types of services needed. | Fire Safety | 2024-01-04 | 2024-02-15 | Y |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2023-04-25 | 2023-08-31 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-04-25 | 2023-08-31 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-04-25 | 2023-08-31 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-04-25 | 2023-08-31 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-05-16 | 2023-08-28 | Y |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2023-05-16 | 2023-07-30 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-05-16 | 2023-06-30 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2023-05-16 | 2023-06-30 | N |
| 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. | Health | 2023-05-16 | 2023-06-30 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2023-05-16 | 2023-06-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-16 | 2023-06-30 | 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 | 2023-05-16 | 2023-06-30 | N |
| Provide activities to meet all resident's needs. | Health | 2023-05-16 | 2023-06-30 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2023-05-16 | 2023-06-30 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-05-16 | 2023-06-30 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-05-16 | 2023-06-30 | N |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2023-05-16 | 2023-06-30 | N |
| Post nurse staffing information every day. | Health | 2023-05-16 | 2023-06-30 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-05-16 | 2023-06-30 | 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 | 2023-05-16 | 2023-06-30 | N |
| Provide or obtain dental services for each resident. | Health | 2023-05-16 | 2023-06-30 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-05-16 | 2023-06-30 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2023-05-16 | 2023-06-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-16 | 2023-06-30 | N |
| Dispose of garbage and refuse properly. | Health | 2023-05-16 | 2023-06-30 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-05-16 | 2023-06-30 | N |
| Keep all essential equipment working safely. | Health | 2023-05-16 | 2023-06-30 | N |
| Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space. | Health | 2023-05-16 | 2023-06-30 | N |
| Put firmly secured handrails on each side of hallways. | Health | 2023-05-16 | 2023-06-30 | N |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2023-05-16 | 2023-06-30 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-05-16 | 2023-06-30 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-05-16 | 2023-06-30 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-05-16 | 2023-06-30 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-05-16 | 2023-06-30 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-05-16 | 2023-06-30 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-16 | 2023-06-30 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-05-16 | 2023-06-30 | Y |
| Have enough outside ventilation via a window or mechanical ventilation, or both. | Health | 2023-05-16 | 2023-06-30 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-05-16 | 2023-06-30 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-05-16 | 2023-06-30 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-05-16 | 2023-06-30 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-05-16 | 2023-06-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-16 | 2023-06-30 | Y |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2023-05-16 | 2023-06-30 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-04-25 | 2023-06-30 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-04-25 | 2023-06-30 | N |
| Meet other general requirements. | Fire Safety | 2023-04-25 | 2023-06-30 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-04-25 | 2023-06-30 | N |
| Have horizontal exits used in accordance with safety requirements. | Fire Safety | 2023-04-25 | 2023-06-30 | N |
| Install proper backup exit lighting. | Fire Safety | 2023-04-25 | 2023-06-30 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-04-25 | 2023-06-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-04-25 | 2023-06-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-04-25 | 2023-06-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-25 | 2023-06-30 | N |
| Install properly constructed windows in hallway walls or doors. | Fire Safety | 2023-04-25 | 2023-06-30 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2023-04-25 | 2023-06-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-04-25 | 2023-06-30 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-04-25 | 2023-06-30 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-04-25 | 2023-06-30 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2023-04-25 | 2023-06-30 | N |
| Ensure gas and vacuum piping is labeled. | Fire Safety | 2023-04-25 | 2023-06-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-04-25 | 2023-06-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-04-25 | 2023-06-30 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-04-25 | 2023-06-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-04-25 | 2023-06-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-01-13 | 2022-01-31 | N |
| Report COVID19 data to residents and families. | Health | 2022-01-13 | 2022-01-31 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-10-06 | 2021-11-07 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-10-06 | 2021-11-07 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2021-10-06 | 2021-11-07 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-10-06 | 2021-11-07 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-10-06 | 2021-11-07 | Y |
| 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 | 2021-10-06 | 2021-11-07 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-10-06 | 2021-11-07 | Y |
| Hire a qualified full-time social worker in a facility with more than 120 beds. | Health | 2021-10-06 | 2021-11-07 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2019-03-14 | 2019-04-27 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-03-14 | 2019-04-27 | N |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2019-03-14 | 2019-04-27 | N |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2019-03-14 | 2019-04-27 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2019-03-14 | 2019-04-27 | 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 | 2019-03-14 | 2019-04-27 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-03-14 | 2019-04-27 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-03-14 | 2019-04-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-03-05 | 2019-04-22 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2019-03-05 | 2019-04-17 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-03-05 | 2019-04-17 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-03-05 | 2019-03-20 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-03-05 | 2019-03-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-03-05 | 2019-03-07 | N |
| Meet other general requirements. | Fire Safety | 2019-03-05 | 2019-03-05 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2019-03-05 | 2019-03-05 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-03-05 | 2019-03-05 | N |
| Ensure electrical receptacles or cover plates have distinctive color or marking. | Fire Safety | 2017-10-23 | 2018-01-26 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2017-10-23 | 2018-01-26 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-11-01 | 2017-12-16 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2017-11-01 | 2017-12-16 | N |
| Provide housekeeping and maintenance services. | Health | 2017-11-01 | 2017-12-16 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2017-11-01 | 2017-12-16 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-11-01 | 2017-12-16 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-11-01 | 2017-12-16 | N |
| Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. | Health | 2017-11-01 | 2017-12-16 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-11-01 | 2017-12-16 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-11-01 | 2017-12-16 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2017-11-01 | 2017-12-16 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-11-01 | 2017-12-16 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-11-01 | 2017-12-16 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2017-11-01 | 2017-12-16 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-11-01 | 2017-12-16 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2024-01-04 | Not Fixed | Y |
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