Deficiency Records for Clifton Oaks Care and Rehab Center, LLC
Updated as of March 01, 2024
A list of the most recent deficiencies for Clifton Oaks Care and Rehab Center, LLC. 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-08-11 | 2023-09-23 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-08-11 | 2023-09-23 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-08-11 | 2023-09-23 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-08-11 | 2023-09-23 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-11 | 2023-09-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-11 | 2023-09-23 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-08-11 | 2023-09-23 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-08-11 | 2023-09-23 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-08-11 | 2023-09-23 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-06-11 | 2023-09-23 | N |
| 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 | 2023-06-11 | 2023-09-23 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-06-11 | 2023-09-23 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-06-11 | 2023-09-23 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-06-11 | 2023-09-23 | 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 | 2023-06-11 | 2023-09-23 | N |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2023-06-11 | 2023-09-23 | 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 | 2023-06-11 | 2023-09-23 | 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 | 2023-06-11 | 2023-09-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-11 | 2023-09-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-06-11 | 2023-09-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-11 | 2023-09-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-11 | 2023-09-23 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-06-11 | 2023-09-23 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-06-07 | 2023-07-07 | 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 | 2023-06-07 | 2023-07-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-06-07 | 2023-07-07 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-06-07 | 2023-07-07 | N |
| Have a properly installed and maintained dumbwaiter or escalator. | Fire Safety | 2023-06-07 | 2023-07-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-12-21 | 2021-12-27 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-12-21 | 2021-12-27 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-09-17 | 2021-10-04 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-09-17 | 2021-10-04 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2021-09-17 | 2021-09-17 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-09-17 | 2021-09-17 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2021-09-17 | 2021-09-17 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-05-14 | 2021-06-07 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-05-14 | 2021-06-07 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-05-14 | 2021-06-07 | 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 | 2019-03-01 | 2019-04-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-03-01 | 2019-04-16 | 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 | 2019-03-01 | 2019-04-16 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-03-01 | 2019-04-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-03-01 | 2019-04-16 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-03-01 | 2019-04-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-01 | 2019-04-16 | N |
| Keep all essential equipment working safely. | Health | 2019-03-01 | 2019-04-16 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-02-27 | 2019-04-16 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-02-27 | 2019-04-16 | 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 | 2017-12-22 | 2018-01-16 | N |
| Ensure that laboratories employing quantities of flammable, combustible, or hazardous materials have fire resistant walls and automatic sprinkler system. | Fire Safety | 2017-12-21 | 2018-01-16 | N |
