A list of the most recent deficiencies for Clinton Gardens. 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? |
|---|---|---|---|---|
| Have an externally vented heating system. | Fire Safety | 2023-06-20 | 2023-07-07 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-06-06 | 2023-06-30 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-06-06 | 2023-06-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-06 | 2023-06-30 | 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 | 2023-06-06 | 2023-06-30 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-06-06 | 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 | 2023-06-06 | 2023-06-30 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2022-04-11 | 2022-04-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-11 | 2022-04-28 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-04-11 | 2022-04-28 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-04-11 | 2022-04-28 | N |
| 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 | 2022-03-18 | 2022-04-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-03-18 | 2022-04-15 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-03-18 | 2022-04-15 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-03-18 | 2022-04-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-01 | 2019-10-31 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-10-01 | 2019-10-31 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-10-01 | 2019-10-31 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-10-01 | 2019-10-31 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-10-01 | 2019-10-31 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-10-01 | 2019-10-31 | 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 | 2019-07-30 | 2019-08-29 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2019-07-30 | 2019-08-29 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-07-30 | 2019-08-28 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-07-30 | 2019-08-28 | 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 | 2019-07-30 | 2019-08-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-07-30 | 2019-08-28 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-07-30 | 2019-08-28 | N |
