Clifton Healthcare Center

In the surveyor’s words

From the most serious findings on record at Clifton Healthcare Center, in the surveyor’s own words.

• Actual harm, isolatedF686Feb 28, 2022

  Based on medical record review, observations, interviews with facility staff, contracted wound team, law enforcement (LE), review of justice system procedures, review of facility policies and review of the National Pressure Injury Advisory Panel (NPIAP) recommendations, the facility failed to ensure residents who were being restrained, received appropriate monitoring and treatment to prevent the development of pressure ulcers and /or impaired skin integrity. This resulted in actual harm when Resident #100 was admitted to facility on 11/05/21 with no skin impairments and was discharged to the hospital on 01/19/22 with unstageable ( dead or devitalized tissue that is hard or soft in texture; usually black, brown, or tan in color, and may appear scab like) pressure ulcer to right hip, deep… […]

• No harm, potential for more than minimal, widespreadF812Apr 22, 2026

  Based on observation, staff interview, record review, and review of the facility policy, the facility failed to store foods in a sanitary manner and failed to maintain a clean and sanitary kitchen This had the potential to affect 135 of 137 residents who received food from the kitchen. The facility census was 137 residents.Findings include: Observation on 04/19/26 at 8:40 A.M. with Dietary Aide (DA) #853 revealed there were no paper towels available at handwashing station. Observation on 04/01/26 at 8:42 A.M. […]

• No harm, potential for more than minimal, widespreadF607Aug 7, 2025

  THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NONCOMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on personnel record review, review of criminal background check records, staff interview and review of the facility policy, the facility failed to complete background checks upon hire for new employees. This had the potential to affect all of the residents residing in the facility. The facility census was 137 residents. Findings include:Review of the facility Bureau of Criminal Investigation (BCI) log dated 08/05/25 revealed BCI and Federal Bureau Investigation (FBI) checks had be completed for all new employees. […]

• No harm, potential for more than minimal, widespreadF851Nov 30, 2023

  Based on interview and record review, the facility failed to submit complete and accurate staffing information for the Payroll-Based Journal (PBJ) report to the Centers for Medicare and Medicaid Services (CMS). This had the potential to affect all 137 residents in the facility. Findings Included: Review of the [NAME] PBJ staffing data report revealed the facility triggered for excessively low weekend staffing and a one star staffing rating for fiscal year quarter two of 2023. Interview with [NAME] President Analytics (VPA) #201 on 11/20/23 at 4:12 P.M. revealed the facility submitted the PBJ in the second quarter of 2023 and CMS has the wrong information. VPA #201 indicated the corporate team was working on the PBJ report and would resubmit it to CMS for the second quarter.

• No harm, potential for more than minimal, widespreadF880Jul 28, 2022

  Based on observation, staff interview, review of the zone signs, review of the Centers for Disease Control (CDC) guidelines, and policy review, the facility failed to ensure staff wore personal protective equipment (PPE) correctly. This had the potential to affect all 140 residents who resided in the facility. The facility census was 140. Findings included: Observation and interview on 07/14/22 at 8:30 A.M. Receptionist #500 verified the facility had Covid positive individuals and was in outbreak mode, the minimum personal protective equipment (PPE) was an N95 mask and face shield for the facility staff. Observation and interview on 07/14/22 at 8:38 A.M. revealed Housekeeper #501 was only wearing one of the two straps on his N95 mask, with his mouth and nose exposed. […]