A list of the most recent deficiencies for Clifton 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-11-30 | 2023-12-28 | 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 | 2023-11-30 | 2023-12-28 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-11-30 | 2023-12-28 | 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 | 2023-11-30 | 2023-12-28 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-11-30 | 2023-12-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-30 | 2023-12-28 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-11-30 | 2023-12-28 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2023-11-30 | 2023-12-28 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-11-28 | 2023-12-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-28 | 2023-12-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-11-28 | 2023-12-28 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-11-28 | 2023-12-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-11-28 | 2023-12-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-11-28 | 2023-12-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-07-28 | 2022-08-23 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-07-28 | 2022-08-23 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-07-28 | 2022-08-23 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-07-28 | 2022-08-23 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-02-28 | 2022-03-18 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-12-16 | 2022-01-17 | 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 | 2021-10-05 | 2021-10-29 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-05 | 2021-10-29 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-08-06 | 2021-09-01 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2021-07-08 | 2021-09-01 | Y |
| 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 | 2021-03-02 | 2021-03-31 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-03-02 | 2021-03-31 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-03-02 | 2021-03-31 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2019-09-19 | 2019-10-30 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-09-19 | 2019-10-30 | 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 | 2019-09-19 | 2019-10-30 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-09-19 | 2019-10-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-09-19 | 2019-10-30 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-09-18 | 2019-10-30 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-09-18 | 2019-10-30 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-09-18 | 2019-10-30 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-09-18 | 2019-10-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-09-18 | 2019-10-30 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-08-23 | 2018-10-05 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-08-23 | 2018-10-05 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-08-23 | 2018-10-05 | N |
| Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | Health | 2018-08-23 | 2018-10-05 | 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 | 2018-08-23 | 2018-10-05 | 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 | 2018-08-23 | 2018-10-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-08-23 | 2018-10-05 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-08-23 | 2018-10-05 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2018-08-23 | 2018-10-05 | 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 | 2018-08-27 | 2018-10-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-08-27 | 2018-10-05 | N |
