Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around December 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 Clarkson Community Care Center Inc during CMS and state inspections, most recent first.
A resident with a history of pneumonitis and moderate cognitive impairment was given thin liquids instead of the prescribed honey thick liquids, leading to coughing and hospitalization. Staff interviews confirmed the oversight, with the DON acknowledging the failure to follow physician orders for thickened liquids.
The facility failed to follow proper infection control practices, including hand hygiene and gloving protocols, during resident care and COVID-19 testing. An LPN did not use gloves or clean a glucometer after a glucose test, and failed to change gloves between procedures involving a gastrostomy tube. The facility also lacked a water management program for Legionella and did not maintain proper infection control during COVID-19 testing, with used test kits and personal information left in plain sight.
The facility failed to maintain functioning bathroom ventilation systems in 11 out of 12 sampled rooms, as confirmed by observations and the Maintenance Director. Despite monthly safety checks, there was no documentation of regular operational checks, leading to lingering odors in the facility.
A facility failed to accurately code the MDS for a resident, omitting documented physical and verbal behaviors. The MDS, crucial for care planning, did not reflect behaviors noted in nursing progress notes and behavior flow sheets. The LPN and SSD confirmed the oversight, with the SSD not reviewing necessary documents or conducting interviews, leading to the deficiency.
A resident was discharged from LTC to assisted living without proper discharge planning or documentation. The facility did not obtain physician discharge orders, complete a discharge summary, or involve the resident and their representative in the planning process. The resident had a BIMS score indicating mild cognitive impairment, and the discharge was not discussed in care plan meetings.
The facility did not ensure that new employees received training on abuse, neglect, and exploitation during their initial orientation. Record reviews and interviews revealed that 7 out of 9 sampled employees, hired between January and April 2024, lacked documentation of completing the required abuse training. The Interim DON confirmed the absence of training, and the Administrator stated that the expectation was for new employees to complete the training before starting on the floor.
Failure to Follow Physician Orders for Fluid Consistency
Penalty
Summary
The facility failed to adhere to Resident 1's physician orders regarding fluid consistency, which led to a significant health incident. Resident 1, who had a diagnosis of pneumonitis due to inhalation and moderate cognitive impairment, was supposed to receive honey thick liquids as per the physician's order dated 10/28/24. However, during snack time on 10/26/24, the resident was given thin liquids, resulting in coughing and subsequent hospitalization. The facility's policy on thickened liquids, which outlines the necessity for individuals with swallowing difficulties, was not followed in this instance. Interviews with facility staff confirmed the oversight. The Certified Dietary Manager acknowledged that Resident 1 returned to the facility with an updated order for honey thick liquids, while a Nursing Assistant admitted to providing thin liquids to the resident, leading to the hospital admission. The Director of Nursing also confirmed that the resident was given thin liquids despite having a physician order for thickened liquids. This incident highlights a failure in following prescribed dietary orders, which directly impacted the resident's health and safety.
Infection Control Deficiencies in LTC Facility
Penalty
Summary
The facility failed to adhere to proper infection prevention and control practices, as evidenced by multiple observations of staff not following hand hygiene and gloving protocols. Specifically, an LPN was observed performing a finger stick glucose test on a resident without using gloves and failed to clean the glucometer before storing it. The LPN also neglected to perform hand hygiene after handling potentially contaminated items, which included touching various surfaces and equipment in the medication cart area. In another instance, the same LPN did not change gloves or perform hand hygiene between different steps of a procedure involving a gastrostomy tube and wound care for a resident. This included touching a wound dressing with drainage and administering medication through the gastrostomy tube without changing gloves or washing hands. The LPN also touched multiple items in the resident's room with contaminated gloves, further increasing the risk of cross-contamination. Additionally, the facility lacked a water management program to address the risk of Legionella, a bacterium that can cause Legionnaires' disease. The facility also failed to maintain proper infection control measures during COVID-19 testing, as observed by the presence of used test kits and personal information in plain sight without appropriate barriers or PPE. Staff were seen testing themselves for COVID-19 without gloves or barriers, and there was no hand sanitizer or disinfecting wipes available at the testing station.
Non-Functioning Bathroom Ventilation Systems
Penalty
Summary
The facility failed to ensure that the bathroom ventilation systems were functioning properly in 11 out of 12 sampled rooms, specifically rooms 201, 202, 203, 204, 205, 207, 209, 210, 211, 212, and 214. This deficiency was identified through observations conducted on three consecutive days, where it was noted that the ventilation systems did not draw a single square ply of toilet paper, indicating they were not operational. The facility's Maintenance Director confirmed the non-functionality of the ventilation systems and acknowledged that while the systems are checked monthly as a safety measure, there is no documentation to confirm regular checks to ensure they are operational. The facility had a census of 33 at the time of the survey.
Inaccurate MDS Coding for Resident Behaviors
Penalty
Summary
The facility failed to accurately code the Minimum Data Set (MDS) assessment for a resident, identified as Resident 21, to reflect their behaviors. The MDS is a comprehensive assessment tool used to develop a resident's plan of care. During the survey, it was found that the MDS did not include documented physical and verbal behaviors exhibited by Resident 21 towards staff and other residents, as noted in the nursing progress notes and behavior monthly flow sheets. These behaviors were observed on August 7, 2024, but were not marked on the MDS, which was confirmed by the Licensed Practical Nurse (LPN) responsible for completing the MDS. The Director of Nursing (DON) and the Social Services Director (SSD) confirmed that the MDS should have included these behaviors. The SSD, who completed section E of the MDS, did not review the behavior monthly flow sheets or conduct interviews with family or staff, which contributed to the oversight. Additionally, there was no social service progress note during the assessment period from August 1 to August 8, 2024. This lack of comprehensive assessment and documentation led to the deficiency in accurately reflecting the resident's behaviors in the MDS.
Failure to Plan and Document Resident Discharge
Penalty
Summary
The facility failed to properly plan and document the discharge of a resident, identified as Resident 28, from long-term care to assisted living. The facility's policies, dated December 2016, required a discharge plan to be completed when a discharge is anticipated, and details of the discharge to be documented in the medical record. However, the record review revealed that there was no physician discharge order or completed discharge summary for Resident 28. Additionally, the discharge was not discussed during care plan meetings, and the resident's representative was not involved in any discharge planning or teaching. Resident 28 had a Minimum Data Set (MDS) assessment indicating a Brief Interview for Mental Status (BIMS) score of 14, suggesting mild cognitive impairment. Despite this, the resident's Comprehensive Care Plan (CCP) dated 2/2/18 indicated plans for long-term care placement, with no updates reflecting the discharge to assisted living. Interviews with the Director of Nursing (DON) and the Social Services Director (SSD) confirmed the absence of discharge orders, a transfer sheet, and discharge planning discussions. The resident's representative also confirmed a lack of involvement in discharge planning.
Failure to Train New Employees on Abuse Prevention
Penalty
Summary
The facility failed to ensure that new employees received training on abuse, neglect, and exploitation as part of their initial orientation. This deficiency was identified through record reviews and interviews, revealing that 7 out of 9 sampled employees, who had been employed for less than four months, had no documentation of having completed the required abuse training. The employees in question were hired between January and April 2024. During interviews, the Interim Director of Nursing confirmed that these staff members had not completed the necessary education on abuse. Additionally, the Administrator acknowledged that the expectation was for new employees to complete the abuse training within the first month of employment, but confirmed that the current expectation is for the training to be completed before employees start working on the floor.
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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 Clarkson
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Stanton Health Center | 16 mi | — | 0 | 0 |
| Arbor Care Centers-countryside Llc | 18.4 mi | — | 16 | 0 |
| Wisner Care Center | 21.6 mi | — | 0 | 0 |
| Colonial Haven | 21.9 mi | — | 0 | 0 |
| Brookestone Acres | 23 mi | — | 18 | 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.