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? |
|---|---|---|---|---|
| Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | Health | 2024-02-02 | 2024-02-29 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-12-19 | 2024-01-30 | N |
| Establish emergency prep training and testing. | Fire Safety | 2023-12-19 | 2024-01-30 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-12-19 | 2024-01-30 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-12-19 | 2024-01-30 | 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 | 2023-12-19 | 2024-01-30 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-12-19 | 2024-01-30 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-12-19 | 2024-01-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-12-19 | 2024-01-30 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-08-30 | 2024-01-25 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-08-30 | 2024-01-25 | 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 | 2023-08-30 | 2024-01-25 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-08-30 | 2024-01-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-30 | 2024-01-25 | 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 | 2023-08-30 | 2024-01-24 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-08-30 | 2023-11-15 | 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 | 2023-08-30 | 2023-11-15 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-08-30 | 2023-11-15 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-08-30 | 2023-11-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-30 | 2023-11-15 | 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 | 2023-08-30 | 2023-11-15 | 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 | 2023-08-30 | 2023-11-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-30 | 2023-11-15 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-08-30 | 2023-11-15 | 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 | 2023-08-30 | 2023-11-15 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2023-08-30 | 2023-11-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-30 | 2023-11-15 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-08-30 | 2023-11-15 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2023-08-30 | 2023-11-15 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-08-30 | 2023-11-15 | N |
| Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2023-08-30 | 2023-11-15 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-08-30 | 2023-11-15 | Y |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-08-30 | 2023-11-15 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-08-30 | 2023-11-15 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-08-30 | 2023-11-15 | 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 | 2023-05-02 | 2023-06-13 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-05-02 | 2023-06-13 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-05-02 | 2023-06-13 | Y |
| Put firmly secured handrails on each side of hallways. | Health | 2023-05-02 | 2023-06-13 | Y |
| 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 | 2022-10-11 | 2022-11-28 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-10-11 | 2022-11-28 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-10-11 | 2022-11-28 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-10-11 | 2022-11-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-11 | 2022-11-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-10-11 | 2022-11-28 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-10-11 | 2022-11-28 | N |
| Keep all essential equipment working safely. | Health | 2022-10-11 | 2022-11-28 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-10-11 | 2022-11-28 | 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 | 2022-10-11 | 2022-11-28 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-10-11 | 2022-11-28 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-10-11 | 2022-11-28 | Y |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-10-05 | 2022-11-28 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-10-05 | 2022-11-28 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-10-05 | 2022-11-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-10-05 | 2022-11-28 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-12-07 | 2022-01-11 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-12-07 | 2022-01-11 | N |
| Respond appropriately to all alleged violations. | Health | 2021-12-07 | 2022-01-11 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-07 | 2022-01-10 | 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 | 2021-12-03 | 2022-01-07 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2021-12-03 | 2022-01-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-12-03 | 2022-01-07 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-12-03 | 2022-01-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-07 | 2022-01-03 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-12-03 | 2022-01-01 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-12-03 | 2022-01-01 | N |
