| Clifton Springs Hospital and Clinic Extended Care | |
| 2 Coulter Road, Clifton Springs, New York 14432 | |
| (315) 462-0557 | |
| Name | Clifton Springs Hospital and Clinic Extended Care |
|---|---|
| Location | 2 Coulter Road, Clifton Springs, New York |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 108 |
| Occupancy Rate | 98.15% |
| Medicare ID (CCN) | 335361 |
| Legal Business Name | Clifton Springs Sanitarium Co |
| Ownership Type | Non Profit - Corporation |
| Chain | Rochester Regional Health (5 nursing homes) |
| Chain Average Overall Rating | 4.2 out of 5 |
| NPI Number | 1891850152 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Clifton Springs Sanitarium Co |
| Doing Business As | Clifton Springs Hospital and Clinic |
| Address | 2 Coulter Road, Clifton Springs, NY 14432 |
| Phone Number | 315-462-0557 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 4.09 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.65 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.2 | 0.86 |
| Nurse aide hours per resident per day | 2.24 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.57 | 3.42 |
| RN hours per resident per day on the weekend | 0.44 | 0.48 |
| Physical therapist hours per resident per day | 0.05 | 0.07 |
| Total nursing staff turnover | 46.4% | 45.8% |
| Registered nurse turnover | 38.9% | 42.9% |
| Number of administrators who have left the nursing home | 0 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 0 |
| Total Amount of Fines in Dollars | $0 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 0 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Nov 15, 2024 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Jan 14, 2025 |
| Nov 15, 2024 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Jan 14, 2025 |
| Nov 15, 2024 | Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Jan 14, 2025 |
| Nov 15, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jan 14, 2025 |
| Nov 15, 2024 | Post nurse staffing information every day. F0732, Nursing and Physician Services, Standard inspection | Minimal harm potential, pattern | Corrected by Jan 14, 2025 |
| Mar 3, 2023 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by May 1, 2023 |
| May 18, 2021 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Jul 17, 2021 |
| May 18, 2021 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Jul 17, 2021 |
| May 18, 2021 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jul 17, 2021 |
| May 18, 2021 | Provide safe, appropriate dialysis care/services for a resident who requires such services. F0698, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jul 17, 2021 |
| May 18, 2021 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. F0623, Resident Rights, Standard inspection | Minimal harm potential, pattern | Corrected by Jul 17, 2021 |
| May 18, 2021 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. F0625, Resident Rights, Standard inspection | Minimal harm potential, pattern | Corrected by Jul 17, 2021 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 16.61 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 10.3 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.4 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 1.63 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 8.71 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.84 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 95.7 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 80.71 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.91 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 14.72 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 15.86 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 99.04 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 88.24 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 11.3 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 27.37 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 10.49 | 15.38 |