Clinton Healthcare LLC - SNF

In the surveyor’s words

From the most serious findings on record at Clinton Healthcare LLC - SNF, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Jun 27, 2022

  Based on interviews, record review, facility investigation review and facility policy review, the facility failed to provide adequate staff supervision to prevent Resident #1's elopement from the facility at 7:03 PM on 6/19/22, per video surveillance. Resident #1 was last seen by facility staff at 6:40 PM. The 3 PM to 11 PM shift Licensed Practical Nurse (LPN) #1/Charge Nurse/Staff Development Nurse was notified by Resident #1's Resident Representative (RR) at 8:00 PM, that she had been telephoned by a family friend that Resident #1 was observed walking around the church parking lot and the RR had immediately gone to the church, one half mile from the facility, and picked up Resident #1 and returned him to the facility. […]

• No harm, potential for more than minimal, patternF686Apr 10, 2025

  Based on observations, interviews, record reviews and policy reviews, the facility failed to provide wound care in a manner to prevent the possibility of wound infection for two (2) of (2) wound care observations. Resident #1 and Resident #4 Findings Include: A record review of the facility's policy titled Wound Care dated 1/2015 revealed Policy: The purpose of this procedure is to provide guidelines for the care of wounds to promote healing. Procedure: .After cleaning the wound as ordered, clean the tissue around the wound . […]

• No harm, potential for more than minimal, patternF880Apr 10, 2025

  Based on observations, interviews, record reviews, and facility policy reviews, the facility failed to provide wound care and incontinent care in a manner to prevent the possibility of spreading infection by not wearing a gown for Enhanced Barrier Precautions (EBP) during wound care and failing to perform proper hand hygiene during incontinent care. This deficient practice was observed for two (2) of two (2) residents reviewed for infection control practices (Resident #1 and Resident #4). […]

• No harm, potential for more than minimal, isolatedF578Nov 20, 2025

  Based on interview, record review and policy review the facility failed to have an Advance Directive readily available for staff usage if needed for one (1) of twenty-three (23) resident Advance Directives reviewed. Resident #83Findings include:A record review of the facility policy, Residents Rights Regarding Treatments and Advance Directive, no date, revealed, Policy: It is the resident's right to formulate an Advance Directive, and to accept to refuse or accept medical or surgical treatment. Procedure. 1. On admission, the facility will determine if the resident has formulated an Advance Directive .On 11/18/25 at 12:25 PM in an interview with License Practical Nurse #2 (LPN) who works in Medical Records confirmed that the advance directive was not in the paper chart. […]

• No harm, potential for more than minimal, isolatedF607Nov 20, 2025

  Based on interview, record review, and facility policy review, the facility failed to implement its abuse-prevention policy by not completing a written investigation when staff were made aware of suspected physical abuse for one (1) of 21 sampled residents (Resident #106).Findings include:A review of the facility's Abuse Policy Employee Responsibility dated 3/21/23, revealed, .5. The facility will identify and INVESTIGATE all suspicions or allegations of abuse.a. the facility will thoroughly INVESTIGATE all alleged violations under the direct supervision of the Administrator.7. Any alleged incident REPORTED must be investigated.A review of the facility's Abuse Investigation Process, dated 3/21/23, revealed, The investigation will include the following: a. […]