Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Clifton Springs Hospital And Clinic Extended Care during CMS and state inspections, most recent first.
A resident with a history of hypertension and other conditions was given midodrine despite high blood pressure, contrary to medical orders. The error was logged for review the next day instead of immediate notification. The resident later experienced severe symptoms and was sent to the emergency department. Staff interviews confirmed the failure to follow proper notification protocols.
A facility failed to develop comprehensive care plans for three residents, including one with a tracheostomy and ventilator, another with a pressure injury, and a third with a potential skin cancer. The care plans lacked measurable goals and interventions, as confirmed by staff interviews, highlighting a deficiency in addressing the residents' specific medical and nursing needs.
A resident did not receive prescribed medications as scheduled due to unavailability and lack of communication. The facility failed to notify the medical provider about the missing brinzolamide eye drops, resulting in multiple missed doses. Additionally, the polyethylene glycol was not administered as scheduled. Nursing staff documented inaccurately, and leadership was unaware of the issue, leading to a deficiency in medication administration.
A resident with a history of stroke, dysphagia, and cerebral palsy, requiring full supervision during meals due to high aspiration risk, was left unsupervised while eating. Despite clear care plan guidelines, staff failed to provide necessary supervision, as confirmed by observations and staff interviews.
The facility did not consistently post daily nurse staffing information in an accessible location for all residents and visitors. The information was often inaccurate, not updated for night shifts or weekends, and not easily accessible to certain resident care units. Interviews revealed a lack of consistent procedures and oversight, with the Nursing Staffing Coordinator not updating information during weekends or absences, and the Director of Nursing unaware of the issues.
Failure to Timely Notify Medical Team of Medication Error
Penalty
Summary
The facility failed to notify the medical team in a timely manner following a significant medication error involving a resident with a history of hypertension, transient ischemic attack, and myocardial infarction. The resident was prescribed midodrine for orthostatic hypotension, with specific instructions to hold the medication if their blood pressure exceeded certain parameters. On a particular day, the resident's blood pressure was recorded at 165/100, yet the midodrine was administered. The error was noted by a registered nurse, who informed the supervisor but only logged the incident in a communication book for the medical team to review the following day. Later that night, the resident experienced symptoms of high blood pressure, nausea, and chest pressure, prompting a re-evaluation of their condition. The resident's blood pressure had risen significantly to 198/116, and they were subsequently transported to the emergency department. Interviews with the nursing staff revealed that the protocol for immediate notification of the provider was not followed, and the Director of Nursing acknowledged that the communication log was not an effective means of timely notification.
Deficiency in Comprehensive Care Planning
Penalty
Summary
The facility failed to develop and implement comprehensive person-centered care plans for three residents, as identified during a recertification survey. Resident #16, who had chronic obstructive pulmonary disease, chronic respiratory failure, and cerebral palsy, was cognitively intact and required a tracheostomy and mechanical ventilator. However, their care plan lacked measurable goals or interventions related to their respiratory function and tracheostomy care. Interviews with staff, including a Registered Respiratory Therapist and a Registered Nurse Manager, confirmed that the resident should have had a specific care plan addressing their respiratory needs. Resident #86, diagnosed with a stroke, chronic respiratory failure, and obesity, had severely impaired cognitive skills and a deep tissue injury. Observations revealed an unstageable pressure injury on the resident's left buttocks, yet their care plan did not include goals or interventions for monitoring or reporting the pressure injury. The Registered Nurse Manager acknowledged that the resident's skin impairment should have been care planned upon admission and updated as needed. Resident #43, with diagnoses including meningioma, mechanical ventilator dependence, and obesity, was moderately impaired cognitively and had a skin lesion on the right temple. Despite being followed by dermatology for a potential basal cell carcinoma, the resident's care plan did not address the skin lesion or potential skin cancer. Staff interviews highlighted the importance of comprehensive care plans and care cards in guiding resident care, with the Director of Nursing emphasizing the need for specific care plans based on each resident's needs and history.
Medication Administration Deficiency
Penalty
Summary
The facility failed to ensure that medication administration met professional standards of quality for a resident during a recertification survey. The resident, who was cognitively intact and had diagnoses including stroke, diabetes, and constipation, was prescribed polyethylene glycol for constipation and brinzolamide eye drops for glaucoma. However, during an observed medication pass, the brinzolamide eye drops were not available, and the polyethylene glycol was not administered as scheduled. The facility's policy on medication administration, which includes the six rights of medication administration, was not adhered to. The Medication Administration Report revealed that out of 25 opportunities to administer the brinzolamide eye drops, 19 were documented as not given due to unavailability. There was no evidence that the medical team was notified about the unavailability of the medication. Interviews with nursing staff indicated a lack of communication and documentation regarding the missing medication. The Licensed Practical Nurse involved could not recall if the polyethylene glycol was administered and admitted to documenting the administration of the eye drops inaccurately. Further interviews with the nursing leadership and the Nurse Practitioner revealed that the facility was aware of the medication's unavailability but failed to notify the medical provider to seek an alternative. The Director of Nursing emphasized the importance of documenting medication administration accurately, and the Nurse Practitioner was unaware of the issue, stating they would have ordered a comparable medication if informed. The lack of proper documentation and communication led to the deficiency in medication administration for the resident.
Failure to Provide Supervision for High Aspiration Risk Resident
Penalty
Summary
The facility failed to provide adequate supervision to prevent accidents for a resident identified as high risk for aspiration. The resident, who had a history of stroke, dysphagia, and cerebral palsy, required full supervision during meals due to their high risk of aspiration. Despite these requirements being clearly documented in the resident's care plan and feeding guidelines, the resident was observed eating meals without any staff supervision on multiple occasions. This lack of supervision was confirmed through interviews with staff, who acknowledged the need for full supervision but admitted to not being present during the resident's meals. The resident's care plan, which included recommendations from a speech therapist, specified a mechanically altered diet, no use of straws, and full supervision during meals. However, during the survey, it was observed that the resident was left unsupervised while eating breakfast and lunch. Interviews with the Certified Nursing Assistant and Licensed Practical Nurse revealed a lack of awareness and adherence to the supervision requirements, despite the resident's known high risk for aspiration and the need for immediate response to any issues during meals. The Speech and Language Therapist emphasized the critical need for supervision to ensure the resident's safety during meals.
Inconsistent Posting of Nurse Staffing Information
Penalty
Summary
The facility failed to ensure that daily nurse staffing information was consistently posted and accessible to residents and visitors. Observations and record reviews during a Recertification Survey revealed that the staffing information was not posted in a location that was easily accessible to all residents and visitors, particularly those on the third floor and in certain resident care units. Additionally, the information was not updated for the night shift or on weekends, and inaccuracies were found in the posted data compared to staffing schedules. Interviews with the Nursing Staffing Coordinator and other staff members highlighted a lack of consistent procedures for updating and posting the staffing information. The Nursing Staffing Coordinator admitted to not updating the night shift information and not posting updates during weekends or when they were absent. The Director of Nursing was unaware of any issues with the postings, and the Operations Supervisor, who occasionally assisted with postings, was also unaware of any problems. This lack of coordination and oversight led to the deficiency in posting accurate and accessible nurse staffing information.
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What surveyors actually found near you
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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 Clifton Springs
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Ontario Center For Rehabilitation And Healthcare | 6.4 mi | ★★★★★ | 5 | 0 |
| Wayne Health Care | 7.2 mi | ★★★★★ | 0 | 0 |
| Newark Manor Nursing Home Inc | 7.4 mi | ★★★★★ | 0 | 0 |
| Elm Manor Nursing And Rehabilitation Center | 8.7 mi | ★★★★★ | 14 | 0 |
| Wayne County Nursing Home | 9.2 mi | ★★★★★ | 2 | 1 |
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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 July 2026) and official state health department websites.