Clifton Rehabilitation Nursing Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF880May 30, 2025

  Based on observation, interview, and record review, the facility failed to maintain an infection prevention and control program to help prevent the development and potential transmission of communicable diseases and infections. Specifically, the facility failed to maintain a water management program to prevent the growth of Legionella (bacteria that can cause legionellosis (illness caused by Legionella) including a pneumonia-type illness called Legionnaires' disease and a mild flu-like illness called Pontiac fever) and other opportunistic waterborne pathogens. […]

• No harm, potential for more than minimal, widespreadF812Nov 1, 2022

  Based on observation, record review, and staff interview, the facility failed to ensure that food is stored, prepared, and distributed in accordance with professional standards. Specifically, the facility failed to: 1.) Ensure that food was stored, prepared, and distributed under sanitary conditions; 2.) Ensure staff restrained their hair and changed their gloves/wash their hands when the gloves became contaminated while working in the kitchen; 3.) Ensure the concentration of the sanitizer in the third sink (of the three-bay sink) was at the correct concentration to sanitize pots and pans and reduce potential pathogens; and 4.) Ensure 3 of 3 kitchenette/refrigerators were maintained in a sanitary manner to store food and fluid. […]

• No harm, potential for more than minimal, widespreadF813Nov 1, 2022

  Based on observation, interview, and policy review, the facility failed to have an effective policy which addressed the reheating of residents' food brought in from home in accordance with professional standards to ensure food safety. Specifically, the facility failed to provide a thermometer and adequate reheating instructions to reheat residents' food brought in from home to an internal temperature of 165 degrees Fahrenheit (F) to prevent potential foodborne illnesses. Findings include: Review of the Food and Drug Administration (FDA) Food Code (2017) indicated reheating foods in the microwave as follows: -Reheated cooked foods present a risk because they have passed through the danger zone multiple times during cooking, cooling, and reheating. […]

• No harm, potential for more than minimal, patternF565Apr 10, 2024

  Based on documentation review and interview, the facility failed to act promptly and demonstrate their response to concerns brought forth by the Resident Council. Findings include: Review of the facility's policy titled Resident Council Meetings, undated, indicated but was not limited to the following: - the facility shall act upon concerns of the council, make attempts to accommodate recommendations and communicate its decision to the council. Review of the Resident Council Minutes from November 2023 to March 2024 indicated but were not limited to the following: November 28, 2023: -Several residents had concerns with not getting selected menu items as ordered for their meals -Voiced concerns of cold food and not wanting to ask nursing staff to reheat it, because they are too… […]

• No harm, potential for more than minimal, patternF656Apr 10, 2024

  Based on record review, interview, observation, and policy review, the facility failed for four Residents (#78, #29, #74, and #1), out of 26 sampled residents, to develop and implement individualized resident-centered care plans to meet the residents' needs. Specifically, the facility failed: 1. For Resident #78, to ensure a care plan was developed for the Resident's treatment of insomnia using an as needed (PRN) psychotropic medication; 2. For Resident #29, to implement fall care plan interventions, specifically to ensure the call light was wrapped with bright colored tape for better visibility and to ensure the anti-slip material to prevent the Resident from sliding off the wheelchair was in place; 3. […]