Below 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 October 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Clinton Rehabilitation And Nursing Center during CMS and state inspections, most recent first.
A facility failed to follow ordered diets, provide safe hands-on care, and adequately monitor a resident with repeated falls. Mechanical soft trays were served with pickle spears, and one resident ordered nectar-thick liquids was also given sherbet. A resident with dementia, TBI, and stroke was supposed to receive 2-person assist care but was handled by a single CNA and injured after tipping from bed. Another cognitively impaired resident with dysphagia and prior fracture had multiple falls from bed and wheelchair despite a fall-risk care plan, and family reported delayed notification after one fall and later hospital transfer for a broken hip.
A resident with quadriplegia, idiopathic progressive neuropathy, and hypothyroidism had a cognitively intact status when a staff member used the resident’s debit card for personal reasons. The resident reported the card had been taken and used, while the staff member said permission had been given; the resident later said no permission had been given. The HRD was suspended and later terminated for violating the facility’s policy on accepting anything of value from residents.
A facility failed to provide complete ADL care when oral hygiene was not given to three residents during observed care. Two residents with significant cognitive impairment and dependence for ADLs received bed baths and other hands-on care, but oral care was not offered or completed. One resident was also found saturated with urine during care. Staff said one resident often resisted oral care, but the record did not show refusals, and leadership stated oral care should be provided daily and refusals reported.
A resident with severe cognitive deficits was subjected to verbal and physical abuse by a CNA, who was witnessed by an activity aide and an LPN forcefully grabbing the resident's wrists, using aggressive language, and refusing to leave the room when asked. The incident was documented by staff statements and confirmed by facility investigation, with no injuries found on the resident.
A resident with severe cognitive impairment was subjected to aggressive behavior by a CNA, which was witnessed by staff. Although the incident was recognized as potential abuse, it was not reported to the State Survey Agency within the required two-hour timeframe, as facility leadership delayed reporting to gather more information.
A resident with severe cognitive impairment was subjected to physical and verbal abuse by a CNA, who was witnessed acting aggressively and inappropriately. Despite facility policy requiring immediate removal of accused staff, the CNA was allowed to finish their shift due to delays in communication and obtaining witness statements. The resident, who was rarely understood and had Alzheimer's disease, was not immediately protected from further potential abuse.
Diet Errors, Unsafe Care, and Repeated Falls
Penalty
Summary
The facility did not ensure residents were protected from accident hazards and did not provide adequate supervision for two residents. During meal observation, residents ordered mechanical soft diets were served pickle spears, and one resident with a nectar-thick liquid order was also served melted sherbet. Staff interviews confirmed that pickles were not appropriate for a mechanical soft diet and that sherbet was not a thickened liquid. The physician orders for the affected residents specified mechanical soft texture, with one resident also ordered nectar-thick liquids, yet the trays did not match those orders. Resident #72 had diagnoses including dementia, traumatic brain injury, and stroke, and was dependent for eating, hygiene, toileting, bathing, dressing, bed mobility, and transfers. The care plan required two-person assistance with transfers using a mechanical lift and assistance with personal care. Despite this, a CNA provided incontinent care without assistance, rolled the resident onto the side, and the resident tipped over the edge of the bed and struck the head on a bedside stand, causing a laceration to the left forehead. During a later observation, another CNA again provided incontinent care without a second staff member and stated they were unaware the resident required a two-person assist. Resident #75 had vascular dementia, dysphagia, and a prior left humeral fracture, and was documented as significantly cognitively impaired. The resident had repeated falls and being found on the floor or lowered to the floor on multiple occasions, including from bed and wheelchair, with notes describing unwitnessed falls, bed alarm events, and the resident exiting the bed or wheelchair. The care plan identified the resident as moderate and later high risk for falls, with interventions including call light access, fall protocol, and activity engagement, but the record still documented multiple falls over time. Family reported that after one fall the facility did not notify them, that staff initially did not know about the fall, and that the resident later required hospital transfer and surgery for a broken hip.
Resident Debit Card Used by Staff Member
Penalty
Summary
The facility failed to protect a resident from misappropriation of property when a staff member used the resident’s debit card for personal reasons. The resident was cognitively intact, able to be understood and to understand others, and had diagnoses including quadriplegia, idiopathic progressive neuropathy, and hypothyroidism. The facility policy prohibited exploitation, theft, and misappropriation of resident property, including unauthorized purchases on a resident’s credit card or debit card. According to the incident record, the resident became aware that the debit card had been used while the resident was in the hospital and reported it to police. The staff member involved, the Human Resource Director, admitted using the card and stated it had been given with permission. The resident later retracted the earlier statement and said the staff member had not been told they could use the card. The Human Resource Director was suspended pending investigation and later terminated for violating the facility policy against accepting anything of value from residents. During interview, the resident stated the card had been taken and used by the Human Resource Director and that the resident thought they were friends, which was why permission had been given, but the resident did not know how much money would be spent. The resident also stated the facility was supposed to reimburse $215 but had not yet done so at the time of the interview. Facility leadership described that staff sometimes purchased items for residents with receipts and signed withdrawals, and that a new process had been started for resident funds.
Failure to Provide Oral Care During ADL Assistance
Penalty
Summary
The facility failed to ensure complete activities of daily living care by not providing oral care for three residents observed during ADL care. The facility policy identified hygiene, including oral care, as a required ADL, and stated care would be provided based on the resident’s assessed needs and documented in the plan of care. The policy on resident respect and dignity stated staff would provide care in a manner that maintained dignity, respect, compassion, sensitivity, and concern. Resident #28 had diagnoses including neurocognitive disorder with Lewy bodies, severe vascular dementia, and repeated falls. The MDS documented the resident was rarely understood, unable to understand others, and required supervision for eating, oral hygiene, and personal hygiene, with extensive assistance for toileting hygiene, bathing, dressing, and footwear. On observation, the resident was in bed, completely saturated with urine, stated they were freezing, and had a full urinal at the bedside. A CNA provided a bed bath and changed the resident, but oral care was not offered or provided after the care was completed. Resident #72 had diagnoses including dementia, traumatic brain injury, and stroke. The MDS documented the resident was rarely understood, unable to understand others, always incontinent of bowel, and required dependent assistance for eating, oral hygiene, toileting hygiene, bathing, dressing, personal hygiene, bed mobility, and transfers. The resident’s care plan called for assistance with oral hygiene and personal hygiene, and the cognitive care plan directed staff to reorient and supervise as needed. During observed morning care, CNAs completed a bed bath and then finished care without providing oral care. Staff interviews stated the resident often became combative during oral care and that refusals were usually documented, but a review of the June 2026 oral and personal hygiene log showed oral hygiene was consistently documented as provided with no documentation of refusal. The Nurse Manager stated oral care was important, refusals or difficulty providing care should be reported, and residents should receive oral care daily.
Resident Subjected to Verbal and Physical Abuse by CNA
Penalty
Summary
A resident with Alzheimer's disease, hypertension, and anxiety disorder, who was rarely or never understood and had severe cognitive deficits, was subjected to verbal and physical abuse by a Certified Nurse Aide (CNA). The CNA was witnessed by an Activity Aide and an LPN to have forcefully grabbed the resident's wrists, dragged them to a chair, and used aggressive and profane language. The incident occurred while the resident was being assisted with care, and the resident was heard saying 'no, no' as the CNA stripped off their shirt. The CNA refused to leave the room when asked by the LPN. Facility records included written statements from the witnesses describing the CNA's aggressive actions and language. The CNA, in their own statement, claimed to have been joking and gently holding the resident's hand to distract them. The facility's investigation confirmed inappropriate verbal conduct and use of profanity by the CNA, though no physical injuries were found on the resident. The incident was reported according to facility policy, and the resident was assessed following the event.
Failure to Timely Report Alleged Abuse to State Authorities
Penalty
Summary
The facility failed to ensure that all alleged violations involving abuse were reported immediately, or no later than two hours after the allegation was made, as required by both facility policy and state regulations. On January 16, 2025, two staff members witnessed a Certified Nurse Aide acting and speaking aggressively toward a resident with severe cognitive deficits, including Alzheimer's disease, hypertension, and anxiety disorder. The resident was rarely or never understood and had significant communication limitations, as documented in the Minimum Data Set. Although the incident was observed in the late morning, the Administrator was informed a few hours later, and the Director of Nursing received a written statement regarding the incident around 2:20 PM, at which point it was recognized as potential abuse. However, the incident was not reported to the New York State Department of Health until the following morning, exceeding the required two-hour reporting window. The delay occurred because the Administrator wanted to submit a more complete preliminary investigation, contrary to the immediate reporting requirement.
Failure to Immediately Remove Accused Staff Following Abuse Allegation
Penalty
Summary
The facility failed to ensure the immediate protection of a resident following an allegation of physical and verbal abuse by a Certified Nurse Aide. According to the facility's policy, employees accused of abuse are to be immediately removed from the facility to safeguard residents. However, after two staff members witnessed the aide acting aggressively and inappropriately toward a resident with severe cognitive deficits, the accused aide was allowed to continue working until the end of their shift. The delay in removing the aide was attributed to a lack of urgency and incomplete communication regarding the gravity of the situation to the Director of Nursing, as well as delays in obtaining written statements from witnesses. The resident involved had diagnoses including Alzheimer's disease, hypertension, and anxiety disorder, and was assessed as having severe cognitive impairment and being rarely understood. Witnesses reported that the aide spoke to the resident in an aggressive manner, forcibly removed the resident's shirt despite their protests, and twisted the resident's wrists. The aide also made further inappropriate comments to the resident later in the day. Despite these actions being reported to supervisors, the accused staff member was not immediately removed from resident care, contrary to facility policy and regulatory requirements.
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Illustrative
What surveyors actually found near you
We read the 48 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
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Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Plattsburgh
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Plattsburgh Rehabilitation And Nursing Center | 0.2 mi | ★★★★★ | 0 | 0 |
| Champlain Valley Physicians Hosp Med Ctr S N F | 1.4 mi | ★★★★★ | 0 | 0 |
| Meadowbrook Healthcare | 1.8 mi | ★★★★★ | 0 | 0 |
| Elderwood At Burlington | 14.9 mi | ★★★★★ | 17 | 0 |
| Birchwood Terrace Rehab & Healthcare | 14.9 mi | ★★★★★ | 0 | 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 October 2026) and official state health department websites.