Deficiency Records for Clinton Therapy and Living Center
Updated as of May 01, 2020
This is not the most recent data for Clinton Therapy and Living Center. For the most recent information, click here.
A list of the most recent deficiencies for Clinton Therapy and Living 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? |
|---|---|---|---|---|
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2020-01-09 | 2020-02-20 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-01-09 | 2020-02-20 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-01-09 | 2020-02-20 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2020-01-09 | 2020-02-17 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-09-25 | 2020-02-17 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-09-25 | 2020-02-17 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-09-25 | 2020-02-17 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-09-25 | 2020-02-17 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-09-25 | 2020-02-17 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-09-25 | 2020-02-17 | 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 | 2019-09-25 | 2020-02-17 | 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 ne | Health | 2019-09-25 | 2020-02-17 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-09-25 | 2020-02-17 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2020-01-09 | 2020-01-27 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-09-24 | 2019-11-30 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2019-09-24 | 2019-11-30 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-09-24 | 2019-11-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-09-24 | 2019-11-30 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2019-09-24 | 2019-11-30 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2019-09-24 | 2019-11-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-09-24 | 2019-11-30 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-09-24 | 2019-11-30 | N |
| Be properly staffed | Fire Safety | 2019-09-24 | 2019-11-30 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-09-25 | 2019-11-30 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2019-09-25 | 2019-11-30 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-09-25 | 2019-11-30 | 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 | 2019-09-25 | 2019-11-30 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-09-25 | 2019-11-30 | N |
| Assess the resident when there is a significant change in condition | Health | 2019-09-25 | 2019-11-30 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-09-25 | 2019-11-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-09-25 | 2019-11-30 | 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 | 2019-09-25 | 2019-11-30 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of schedul | Health | 2019-09-25 | 2019-11-30 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2019-09-25 | 2019-11-30 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-09-25 | 2019-11-30 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2018-08-15 | 2018-10-09 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2018-08-15 | 2018-10-05 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-08-15 | 2018-10-05 | N |
| Have exits that are accessible at all times. | Fire Safety | 2018-08-15 | 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 | 2018-08-15 | 2018-10-05 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-08-15 | 2018-10-05 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-08-15 | 2018-10-05 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2018-08-15 | 2018-10-05 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-08-15 | 2018-10-05 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-08-15 | 2018-10-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-08-15 | 2018-10-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-08-15 | 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 | 2018-08-16 | 2018-10-05 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-08-16 | 2018-10-05 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-08-16 | 2018-10-05 | 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 ne | Health | 2018-08-16 | 2018-10-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-08-16 | 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 | 2017-09-13 | 2017-10-29 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2017-09-13 | 2017-10-29 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2017-09-13 | 2017-10-29 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-09-14 | 2017-10-29 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2017-09-13 | 2017-09-29 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-09-13 | 2017-09-25 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2017-09-14 | 2017-09-20 | 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 | 2017-09-14 | 2017-09-20 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-09-14 | 2017-09-19 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-09-14 | 2017-09-18 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-09-14 | 2017-09-18 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-09-14 | 2017-09-16 | N |
