CLINTONVILLE MANOR CT DEFICIENCY REPORT

	Nursing Home Deficiency Report current as of November 25, 2009
Date	Deficiency	Scope	Level of Harm
12/20/2010	Protect each resident from all abuse, physical punishment, and being separated from others.	Isolated	Minimal harm or potential for actual harm
12/20/2010	Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property.	Isolated	Minimal harm or potential for actual harm
12/20/2010	Provide care in a way that keeps or builds each resident's dignity and self respect.	Isolated	Minimal harm or potential for actual harm
12/20/2010	Provide activities to meet the needs of each resident.	Isolated	Minimal harm or potential for actual harm
12/20/2010	Provide social services for related medical problems to help each resident achieve the highest possible quality of life.	Isolated	Minimal harm or potential for actual harm
12/20/2010	Make sure that the nursing home area is free of dangers that cause accidents.	Isolated	Minimal harm or potential for actual harm
12/14/2010	fire safety features required by current fire safety codes.	Widespread	Minimal harm or potential for actual harm
12/14/2010	properly installed electrical wiring and equipment.	Pattern	Minimal harm or potential for actual harm
05/28/2010	Honor all of the resident's rights as a resident of the nursing home and as a citizen or resident of the United States.	Widespread	Minimal harm or potential for actual harm
05/28/2010	Properly hold, secure and manage each resident's personal money which is deposited with the nursing home.	Widespread	Potential for minimal harm
05/28/2010	Provide proof that all residents' personal money which is deposited with the nursing home, is secure.	Widespread	Potential for minimal harm
05/28/2010	Bill properly: Charged resident for items that Medicare or Medicaid pays for.	Widespread	Potential for minimal harm
05/28/2010	Keep each resident's personal and medical records private and confidential.	Isolated	Minimal harm or potential for actual harm
05/28/2010	Let residents complain without being treated differently or badly.	Widespread	Minimal harm or potential for actual harm
05/28/2010	Try to resolve each resident's complaints quickly.	Isolated	Minimal harm or potential for actual harm
05/28/2010	Allow residents to easily see the results of the nursing home's most recent survey.	Widespread	Potential for minimal harm
05/28/2010	Have a private telephone available for use.	Widespread	Minimal harm or potential for actual harm
05/28/2010	Protect residents from mistreatment, neglect, and/or theft of personal property.	Widespread	Immediate jeopardy to resident health or safety
05/28/2010	1) Hire only people who have no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.	Pattern	Minimal harm or potential for actual harm
05/28/2010	Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property.	Pattern	Minimal harm or potential for actual harm
05/28/2010	Provide care in a way that keeps or builds each resident's dignity and self respect.	Widespread	Immediate jeopardy to resident health or safety
05/28/2010	Make sure each resident has the right to choose activities, schedules and health care according to his or her interests, assessment, and plan of care.	Widespread	Immediate jeopardy to resident health or safety
05/28/2010	Make sure that private space is available in the nursing home for resident groups or residents' families to meet.	Widespread	Potential for minimal harm
05/28/2010	Listen to the resident or family groups or act on their complaints or suggestions.	Pattern	Minimal harm or potential for actual harm
05/28/2010	Provide services to meet the needs and preferences of each resident.	Widespread	Minimal harm or potential for actual harm
05/28/2010	Provide social services for related medical problems to help each resident achieve the highest possible quality of life.	Isolated	Minimal harm or potential for actual harm
05/28/2010	Keep safe, clean and homelike surroundings.	Widespread	Minimal harm or potential for actual harm
05/28/2010	Provide needed housekeeping and maintenance.	Isolated	Minimal harm or potential for actual harm
05/28/2010	Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.	Isolated	Minimal harm or potential for actual harm
05/28/2010	Give professional services that meet a professional standard of quality.	Pattern	Minimal harm or potential for actual harm
05/28/2010	Give each resident care and services to get or keep the highest quality of life possible.	Isolated	Minimal harm or potential for actual harm
05/28/2010	Make sure that each residents' abilities to take care of themselves does not lessen, unless a change cannot be avoided.	Pattern	Minimal harm or potential for actual harm
05/28/2010	Give the right treatment and services to residents who have mental or social problems adjusting.	Isolated	Minimal harm or potential for actual harm
05/28/2010	Make sure that the nursing home area is free of dangers that cause accidents.	Pattern	Minimal harm or potential for actual harm
05/28/2010	Make sure that each resident's nutritional needs were met.	Widespread	Immediate jeopardy to resident health or safety
05/28/2010	Give each resident enough fluids to keep them healthy and prevent dehydration.	Pattern	Minimal harm or potential for actual harm
05/28/2010	Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.	Isolated	Minimal harm or potential for actual harm
05/28/2010	Have enough nurses to care for every resident in a way that maximizes the resident's well being.	Widespread	Minimal harm or potential for actual harm
05/28/2010	Hire enough skilled workers to carry out dietary service.	Widespread	Minimal harm or potential for actual harm
05/28/2010	Make sure that residents are well nourished.	Pattern	Minimal harm or potential for actual harm
05/28/2010	Have a program to keep infection from spreading.	Widespread	Minimal harm or potential for actual harm
05/28/2010	Provide at least one room to use as a dining room and for activities, that is a good size, with good lighting, airflow and furniture.	Widespread	Minimal harm or potential for actual harm
05/28/2010	Be administered in a way that leads to the highest possible level of well being for each resident.	Widespread	Immediate jeopardy to resident health or safety
05/28/2010	Follow all laws and professional standards.	Widespread	Minimal harm or potential for actual harm
05/28/2010	1) Set up a group that is legally responsible for writing and setting up policies for leading and running the nursing home; or 2) hire a properly licensed administrator.	Widespread	Minimal harm or potential for actual harm
05/28/2010	Get proof that a nurse aide has the training and skills that the State requires.	Isolated	Minimal harm or potential for actual harm
05/28/2010	1) Review the work of each nurse aide every year; or 2) give regular training for the nurse aides.	Widespread	Minimal harm or potential for actual harm
05/28/2010	Make sure that nurse aides show they have the skills to be able to care for residents.	Widespread	Minimal harm or potential for actual harm
05/28/2010	Choose a doctor to be the medical director.	Widespread	Minimal harm or potential for actual harm
05/28/2010	Keep accurate and appropriate medical records.	Isolated	Minimal harm or potential for actual harm
05/28/2010	Set up or keep a group of people to review and ensure quality.	Widespread	Minimal harm or potential for actual harm
05/21/2010	exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detectors.	Isolated	Minimal harm or potential for actual harm
05/21/2010	walls or barriers that prevent smoke from passing through and would resist fire for at least one hour.	Widespread	Minimal harm or potential for actual harm
04/01/2009	Make a complete assessment that covers all questions for areas that are listed in official regulations.	Isolated	Minimal harm or potential for actual harm
04/01/2009	Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.	Isolated	Minimal harm or potential for actual harm
04/01/2009	1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care plan.	Isolated	Minimal harm or potential for actual harm
04/01/2009	Give professional services that meet a professional standard of quality.	Pattern	Minimal harm or potential for actual harm
04/01/2009	Give each resident care and services to get or keep the highest quality of life possible.	Isolated	Minimal harm or potential for actual harm
04/01/2009	Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary.	Isolated	Minimal harm or potential for actual harm
04/01/2009	Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion.	Isolated	Minimal harm or potential for actual harm
04/01/2009	Make sure that the nursing home area is free of dangers that cause accidents.	Isolated	Minimal harm or potential for actual harm
04/01/2009	1) Make sure that residents who take drugs are not given too many doses or for too long; 2) make sure that the use of drugs is carefully watched; or 3) stop or change drugs that cause unwanted effects.	Pattern	Minimal harm or potential for actual harm
04/01/2009	Give or get dental care for each resident.	Isolated	Minimal harm or potential for actual harm
03/25/2009	corridor and hallway doors that block smoke.	Isolated	Minimal harm or potential for actual harm
03/25/2009	properly maintained smoke detectors.	Pattern	Minimal harm or potential for actual harm
03/25/2009	automatic sprinkler systems that have been maintained in working order.	Isolated	Minimal harm or potential for actual harm
03/25/2009	fire safety features required by current fire safety codes.	Pattern	Minimal harm or potential for actual harm

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Where does this data come from?

The data on this website describes nursing home characteristics, quality measures, inspection results, and nursing staff information.

The data come from 2 sources:

1. Centers for Medicare & Medicaid Services (CMS) have an Online Survey, Certification, and Reporting (OSCAR) database - Includes the nursing home characteristics and health deficiencies issued during the three most recent state inspections and recent complaint investigations.

   The survey inspection results are collected by the state survey agencies, who perform onsite visits to nursing homes . The inspections occur at least once during a 15-month period, or any time in between as a result of a complaint received by the state. The inspections ensure that the nursing home residents receive quality care and services in a safe and comfortable environment in accordance with rules established by CMS. Complaints may be reported and inspected during the year (outside of the 9-15 month survey cycle). Inspections about a complaint that result in the citation of a health deficiency are reported to CMS and included in this website. Sometimes the inspection finds a problem that the nursing home identified and corrected before the inspection occurred. The fact and the nature of these prior problems (deficiencies) may be included in this website.

   The information on the nursing homes' characteristics derived from OSCAR are prepared by each nursing home at the beginning of the regular State inspection. This information is reported by the nursing homes themselves. It is reviewed by nursing home inspectors, but not formally audited to ensure data accuracy. In addition, this information changes frequently as residents are discharged and admitted, or resident conditions change.

2. National database known as the Minimum Data Set (MDS) Repository

   The data for the quality measures come from the MDS Repository. The MDS is collected on regular intervals for every resident in a Medicare or Medicaid certified nursing home. Information is collected on the resident's health, physical functioning, mental status, and general well-being. These data are used by the nursing home to access the needs and develop a plan of care unique to each resident.

   Regulations require that a MDS assessment be performed at admission, quarterly, annually, and whenever the resident experiences a significant change in status. For residents in a Medicare Part A stay, the MDS is also used to determine the Medicare reimbursement rate. These assessments are performed on the 5th, 14th, 30th, 60th and 90th day of admission.

   All of this data is reported by the nursing homes themselves. It is reviewed by nursing home inspectors, but not formally audited to ensure that it is accurate. Every attempt is made to assure the accuracy and timeliness of this information. However, this information changes frequently as residents are discharged and admitted, or resident conditions change. We advise interpreting this information cautiously and supplementing it with information from the Ombudsman's office, the State Survey Agency, or other sources.

   Some MDS items used to calculate the quality measures consider the resident's condition during previous days prior to the assessment date. The following table provides these "observation" or "look back" time frames.

Signs of Nursing Home Abuse:

• Unexplained injuries or bruises
• Over or under medication
• Visible cuts, bruises, or welts
• Rapid weight loss or weight gain
• Dehydration, malnutrition, and bedsores
• Unsanitary living conditions
• Infections
• Broken bones
• Sudden death