Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around November 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Clinton Gardens during CMS and state inspections, most recent first.
A resident with multiple medical conditions did not receive a physician-ordered nicotine patch as prescribed on several occasions. The patch was documented as administered before it was actually applied, and a medication count revealed discrepancies between the number of patches used and those documented in the eMAR. Facility policy requiring post-administration documentation was not followed, leading to inaccurate records.
A resident was observed self-administering medications without supervision, and the facility failed to complete a required self-administration assessment. The resident, with diagnoses including hypertension and heart failure, was taking medications such as a diuretic and an antiplatelet. Interviews revealed that some nurses left medications for the resident to take later, contrary to facility policy requiring supervision and a physician's order for self-administration.
The facility failed to conduct timely care plan meetings for two residents, resulting in missing documentation for significant periods. One resident, cognitively intact, reported not having a care plan meeting in three years, while another with moderate cognitive impairment had no records of quarterly meetings for several months. The Social Services Director admitted to documentation lapses, and the Administrator confirmed the lack of evidence for required meetings.
A QMA at the facility improperly documented and performed dressing changes on a resident's advanced pressure ulcers, contrary to facility policy which restricts QMAs to Stage I wound care. The resident had multiple pressure ulcers, and the QMA's actions were not in line with the standards of practice, as confirmed by the DON. Observations also noted that dressings were not properly dated or initialed, further indicating a lapse in adherence to care protocols.
The facility failed to ensure proper medication storage and disposal practices. An LPN stored a personal drink in a medication cart, and expired latanoprost eyedrops were administered to a resident beyond the recommended usage period. The facility's policy on medication storage and expiration was not followed, as expired medications were not stored separately until destruction or return to the pharmacy.
Failure to Administer and Document Physician-Ordered Medication as Prescribed
Penalty
Summary
A deficiency occurred when a resident with a history of a right hip fracture, chronic obstructive pulmonary disease, and adjustment disorder did not consistently receive a physician-ordered nicotine patch as prescribed. The resident reported missing the nicotine patch for several days, and on the day of the survey, the patch was not applied during the scheduled medication pass because the resident was in therapy. The Qualified Medication Aide (QMA) responsible for administering the medication documented the patch as given at 10:44 a.m., despite not having applied it until approximately 1:40 p.m. after being reminded by the resident. The electronic medication administration record (eMAR) reflected the patch as administered at the earlier time, not the actual time of application. A review of the medication count revealed a discrepancy, with more nicotine patches remaining in the medication sleeve than should have been present according to the eMAR and administration history. Interviews with the QMA and the Director of Nursing (DON) confirmed that the patch was not administered as ordered and was documented as given before actual administration. The facility's policy requires documentation to occur after medication administration, but this procedure was not followed, resulting in inaccurate medication records and unaccounted patches.
Failure to Assess Resident's Ability to Self-Administer Medications
Penalty
Summary
The facility failed to ensure a self-administration assessment was completed for a resident who was observed self-administering her medications without supervision. During a breakfast meal observation, a resident was seen taking four pills from a medication cup on her table without any staff present. The resident's medical record indicated diagnoses of essential hypertension, heart failure, and age-related macular degeneration, and she was on medications including a diuretic and an antiplatelet. However, there was no documentation in her records of an assessment to determine her ability to self-administer medications, nor was there a physician's order permitting her to do so. Interviews with the resident and staff revealed inconsistencies in medication administration practices. The resident mentioned that some nurses left her medications on the table for her to take later, while others did not comply with her request. The Director of Nursing and Licensed Practical Nurses confirmed that residents should not be left to self-administer medications unsupervised. The facility's policy required an interdisciplinary team assessment and a physician's order for self-administration, which was not followed in this case.
Deficiency in Timely Care Plan Meetings
Penalty
Summary
The facility failed to ensure timely completion of care plan meetings for two residents, leading to deficiencies in care planning documentation. Resident 12, who was cognitively intact with a BIMS score of 14, reported not having a care plan meeting in the last three years. Upon review, documentation was missing for a period between September 2023 and February 2024. The Social Services Director (SSD) admitted to not completing meeting notes and failing to use the electronic medical record system properly, resulting in a lack of evidence that care plan meetings occurred. Similarly, Resident 24, who had moderate cognitive impairment, could not recall attending recent care plan meetings. The resident's records showed a gap in documentation of quarterly care plan meetings between August 2023 and April 2024. The SSD acknowledged the oversight in documentation and the facility's policy required quarterly and annual care plan meetings. The Administrator confirmed the absence of documentation for quarterly meetings, highlighting a systemic issue in adhering to the facility's care planning policy.
Improper Wound Care by QMA
Penalty
Summary
The facility failed to ensure that a Qualified Medication Aide (QMA) adhered to proper standards of practice in the care of a resident with pressure ulcers. Resident 218, who had several pressure ulcers upon admission, reported that QMA 3 had previously completed dressing changes for her pressure ulcers. However, the facility's policy restricts QMAs from performing dressing changes on advanced skin conditions, including Stage II, III, and IV pressure ulcers. During the review, it was found that QMA 3 documented completing dressing changes for Resident 218's pressure wounds on four out of nine days, despite the facility's policy that only licensed nursing staff should perform such tasks. The Director of Nursing (DON) confirmed that QMAs are only permitted to perform dressing changes on Stage I wounds or less. The QMA claimed that her initials appeared in the documentation due to accidentally selecting the wrong option while administering medications. Observations revealed that the dressings on Resident 218's wounds were not properly dated or initialed by staff, as required by the facility's policy. The Assistant Director of Nursing (ADON) confirmed that staff should date and initial dressings when completed. This oversight in documentation and adherence to policy contributed to the deficiency in the care provided to Resident 218.
Medication Storage and Expiration Deficiencies
Penalty
Summary
The facility failed to ensure proper medication storage and labeling practices, as observed during a survey. In one instance, a personal drink belonging to an LPN was found stored in the bottom drawer of a medication cart among residents' medications. The LPN acknowledged that food or drink should not be stored inside medication carts, and the facility's administrator confirmed that staff were not supposed to have personal drinks in patient care areas, including medication carts. Additionally, the facility did not dispose of expired medication for a resident. Latanoprost 0.005% eyedrops, which were only good for six weeks after opening, were found in the medication cart with an opened date exceeding the recommended usage period. The LPN was aware of the expiration and had ordered a replacement, but the new medication was not delivered in time. The resident's medical records indicated that the expired medication was administered on several occasions, and the LPN confirmed that the medication should have been documented as expired until the new bottle arrived. The facility's policy on medication storage and expiration was not adhered to, as expired medications were not stored separately until destruction or return to the pharmacy.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Clinton
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Vermillion Convalescent Center | 1.2 mi | — | 0 | 0 |
| Majestic Care Of Terre Haute | 10.5 mi | — | 9 | 0 |
| Providence Health Care Center | 10.6 mi | — | 1 | 0 |
| Signature Healthcare Of Terre Haute | 11.6 mi | — | 18 | 0 |
| Harrison's Crossing Health Campus | 11.9 mi | — | 2 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.