Clarkson Health Care

In the surveyor’s words

From the most serious findings on record at Clarkson Health Care, in the surveyor’s own words.

• Actual harm, isolatedF686Apr 16, 2026

  Based on South Dakota Department of Health (SD DOH) complaint report, record review, observation, interview, and policy review, the provider failed to monitor and implement resident-centered pressure ulcer (skin and/or underlying tissue injury due to prolonged pressure) healing and prevention interventions for one of one sampled resident (1) who was identified at risk for developing pressure ulcers and developed an unstageable (wound bed not visible due to covering, such as debris, dead tissue, scabbing, or a non-removable dressing) pressure ulcer to her coccyx (tailbone) area and required surgical debridement, and one of one sampled resident (2) who was admitted to the facility with two stage II (2; open wound or blister with partial-thickness skin loss) pressure ulcers on her left… […]

• No harm, potential for more than minimal, patternF812Feb 1, 2024

  Based on observation, interview and policy review the provider failed to ensure food items were appropriately packaged and safely stored away from cleaning chemicals in [one of one kitchen]. Findings include: 1. Observation on 1/30/24 at 8:00 a.m. in the kitchen revealed: a. In the dry food storage room, the following chemicals were stored on a metal rack alongside metal racks of food: *Prominence Heavy Duty Floor Cleaner *Suma Pan-Clean Detergent *Suma Break Up SC, Heavy Duty Foaming Grease Release Cleaner *Medallion Stainless Steel Cleaner *Suma-Diverpak Dish Detergent *Lime-A-Way Lime Scale Remover *Suma Gloss Concentrated Pre-Soak for silver and stainless steel *Suma Cal X Descaler *Dawn Dish Soap *Monogram Glass Cleaner b. […]

• No harm, potential for more than minimal, patternF880Sep 16, 2021

  Based on observation, interview, and policy review, the provider failed to ensure infection prevention and control practices were maintained for: *Hand hygiene and glove use by two of two (O and Q) certified nursing assistants (CNA) during resident care for two of two (2 and 36) sampled residents. *Proper disinfectant labeling, storage, and use of shared resident personal care items by two of two CNA's (F and N). *Hand hygiene help for three of three observed residents (2, 36, and 39) after toilet use by three of three CNA's (E, O, and Q). *Cleaning of reusable medical equipment after use by two of two residents (36 and 49) by two of two CNA's (F and Q). Findings include: 1. Observation and interview on 9/14/21 at 4:02 p.m. […]

• No harm, potential for more than minimal, isolatedF554Jul 24, 2025

  Number of residents sampled:Number of residents cited:Based on observation, interview, record review, and policy review, the provider failed to ensure one of one sampled resident (30) observed self-administering a nebulizer (device that converts liquid medication into an inhaled mist) treatment in his room, was assessed for the ability to safely self-administer medications according to the provider's policy.Findings include: 1. Observation and interview on 7/23/25 at 8:52 a.m. […]

• No harm, potential for more than minimal, isolatedF761Jul 24, 2025

  Number of residents sampled:Number of residents cited:Based on observation, interview, record review, and policy review, the provider failed to ensure: *Medication labels matched the current physician orders for one of one randomly observed resident (28) according to the provider's policy. Findings include: *Medications with shortened expiration dates [medications that, after opening, expire prior to the manufacturer's expiration date] were labeled properly and disposed of after having outdated for one random resident (18) in one of two medication carts, (Maple/Aspen cart) and a provider stock medication in one of one medication room. 1. Observation and interview on [DATE] at 8:21 a.m. […]