Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around October 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 Healthcare Llc - Snf during CMS and state inspections, most recent first.
Two residents with pressure ulcers did not receive wound care according to facility policy, as an LPN cleaned their wounds from the outer edge toward the inner aspect instead of from the inner to the outer area. This improper technique, confirmed by the LPN, infection preventionist, and DON, could have led to wound contamination. Both residents had significant medical conditions and physician-ordered wound care regimens.
Staff failed to follow Enhanced Barrier Precautions and proper hand hygiene during wound and incontinent care for two residents. An LPN and CNA did not wear gowns during wound care, and a CNA did not perform hand hygiene between glove changes or don a new gown before providing incontinent care. These actions were not in accordance with facility policy and were acknowledged by staff and nursing leadership.
A resident with contracted hands was unable to use the standard call light in the facility due to her condition. Despite her inability to press the button, the facility did not initially provide an alternative call light, such as a pancake light, which would have allowed her to alert staff by touch. The resident expressed dissatisfaction with the situation, and staff acknowledged the oversight.
A resident's privacy was compromised when a sign indicating aspiration precautions was posted above their bed, visible to anyone entering the room. The resident, with moderate cognitive impairment and dysphagia, was unaware of the sign. The Speech Therapist placed the sign to inform staff about meal positioning, but this action violated the facility's privacy policy. The LPN and Speech Therapist confirmed the breach, and the Administrator acknowledged the failure to respect the resident's privacy.
Two residents with Dysphagia had their enteral feeding pumps improperly operated by CNAs during care, contrary to facility policy requiring only licensed nurses to handle the pumps. The CNAs admitted to turning the pumps off and on, acknowledging their mistake. The DON confirmed that CNAs were trained to leave pump operations to licensed nurses.
A facility failed to discontinue a PRN psychotropic medication for a resident after 14 days, as required by federal guidelines. The resident, with a history of depressive disorders, continued to receive Amitriptyline HCL without a stop date, despite the facility's policy and pharmacist's comments. Interviews with staff confirmed awareness of the guidelines but revealed non-compliance in this case.
Improper Wound Care Technique Leading to Potential Wound Contamination
Penalty
Summary
The facility failed to provide wound care in a manner that would prevent the possibility of wound infection for two residents with pressure ulcers. During wound care observations, an LPN cleaned the wound beds of both residents from the outer edge toward the inner aspect in a circular motion, rather than from the inner aspect outward as required by facility policy and standard infection control practices. This method of cleaning was repeated multiple times for each resident, and the LPN then dried the wound sites using the same incorrect technique before applying clean dressings. The LPN later confirmed in an interview that she did not clean the wounds correctly and acknowledged that her actions could lead to wound contamination and infection. Resident #1 had a stage IV pressure injury to the sacrum and diagnoses including heart failure and type 2 diabetes mellitus with hyperglycemia, with a moderate cognitive impairment. Resident #4 had a stage 3 pressure ulcer of the sacral region and diagnoses of essential hypertension and type 2 diabetes mellitus, and was unable to complete a cognitive interview. Both residents had physician orders for specific wound care regimens. The facility's infection preventionist and DON confirmed that the wounds were not cleaned according to policy, and that the improper technique could result in contamination of the wounds.
Failure to Follow Enhanced Barrier Precautions and Hand Hygiene During Resident Care
Penalty
Summary
The facility failed to implement proper infection prevention and control practices during wound care and incontinent care for two residents. During wound care for a resident with a stage IV pressure injury, both the LPN and CNA assisting did not wear gowns as required by the facility's Enhanced Barrier Precautions (EBP) policy. Both staff members acknowledged forgetting to don gowns, despite having received prior training on EBP. The facility's policy specifies that gowns and gloves must be used during high-contact care activities to prevent the transmission of multidrug-resistant organisms. In a separate incident, a CNA providing incontinent care to another resident did not perform hand hygiene between glove changes and used soiled gloves to handle clean supplies. The CNA also failed to don a new gown or wash hands before starting care after removing a previously used gown in the hallway. Both the Infection Prevention Nurse and the Director of Nursing confirmed that the staff did not follow required infection control protocols, including proper gown use and hand hygiene, placing residents at risk for infection.
Failure to Provide Appropriate Call Light for Resident with Contracted Hands
Penalty
Summary
The facility failed to accommodate the needs of a resident with contracted hands by not providing an appropriate call light system. The resident, who was admitted with diagnoses including contracture of the left upper arm and hand, was unable to use the standard call light due to her condition. Despite her inability to press the button on the standard call light, the facility did not initially provide an alternative solution, such as a pancake light, which would have allowed her to alert staff by touch. The deficiency was identified through observations and interviews with the resident and staff. The resident expressed difficulty in getting staff attention and dissatisfaction with the situation, as she had to rely on calling out for help. The CNA acknowledged the resident's inability to use the call light and mentioned that rounds were conducted every two hours. The DON confirmed the resident's condition and the oversight in not providing a suitable call light, which was determined at the time of admission.
Violation of Resident Privacy Due to Visible Medical Information
Penalty
Summary
The facility failed to ensure the privacy and confidentiality of a resident's medical information by posting a sign above the bed of a resident, indicating aspiration precautions. This sign was visible to anyone entering the room, which violated the resident's right to privacy. The resident, who had a diagnosis of dysphagia and a moderate cognitive impairment, was unaware of the sign's presence. The sign was placed by the Speech Therapist to inform staff about the necessary positioning of the resident during meals. During interviews, both the Licensed Practical Nurse and the Speech Therapist confirmed the presence of the sign and acknowledged the breach of privacy. The Speech Therapist admitted to placing the sign after educating the staff on the resident's care needs. The facility's Administrator and Director of Nursing were informed of the situation and confirmed that the posting of such information did not respect the resident's privacy and dignity, as required by the facility's policy on Resident's Rights.
Improper Operation of Enteral Feeding Pumps by CNAs
Penalty
Summary
The facility failed to ensure that enteral feeding pumps were operated exclusively by licensed nursing staff, as required by their policy. During an observation, a Certified Nurse Aide (CNA) turned off and then back on the enteral feeding pump for a resident while providing incontinent care. The CNA later confirmed in an interview that she was aware that only licensed nurses should operate the feeding pumps but acted out of nervousness and without thinking. The resident involved had been admitted with a diagnosis of Dysphagia. In another instance, two CNAs were observed providing care to a resident when the enteral feeding pump began beeping. One CNA instructed the other to press the hold button to stop the beeping, and the CNA complied, later restarting the feeding pump after care was completed. The CNA admitted in an interview that she should not have operated the feeding pump and acknowledged that it was the responsibility of the licensed nurse. The Director of Nursing confirmed that CNAs had been trained that only licensed nurses should operate the feeding pumps. The resident involved also had a diagnosis of Dysphagia.
Failure to Discontinue PRN Psychotropic Medication After 14 Days
Penalty
Summary
The facility failed to ensure a resident was free from unnecessary medication by continuing a PRN psychotropic medication past a 14-day duration. The facility's policy on monitoring antipsychotic medication therapy, revised in June 2015, requires the pharmacy consultant to review medications monthly and make dose reduction recommendations as per CMS guidelines. However, a review of the Order Summary Report revealed that a resident had a physician's order for Amitriptyline HCL, a psychotropic medication, without a stop date, and the medication was continued beyond the 14-day limit without a new order. The resident, admitted in January 2017 with a diagnosis of Other Recurrent Depressive Disorders, was noted to be taking an antidepressant according to the Quarterly MDS. Despite the pharmacist's comments on the need for a 14-day stop order and physician evaluation before continuation, the Interdisciplinary Team deemed the current medication regime appropriate. Interviews with the Nurse Practitioner and the facility's Administrator and DON confirmed awareness of the federal guidelines but indicated a failure to adhere to them in this instance.
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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) |
|---|---|---|---|---|
| Woodlands Rehabilitation And Healthcare Center | 2.3 mi | — | 3 | 0 |
| Magnolia Senior Care, Llc | 4.9 mi | — | 5 | 0 |
| Chadwick Community Care Center | 6 mi | — | 11 | 0 |
| Pleasant Hills Community Living Center | 6.4 mi | — | 2 | 1 |
| Pine Forest Health And Rehabilitation | 7.6 mi | — | 3 | 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.