01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2024-11-15 | 5 | 2024-11-15 | 1 |
| Cycle 2 | 2023-03-03 | 1 | 2023-03-03 | 0 |
| Cycle 3 | 2021-05-18 | 6 | 2021-05-18 | 0 |
CMS CCN 3353612026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Clifton Springs Hospital And Clinic Extended Care
2 Coulter Road · Clifton Springs, NY 14432 · Ontario County
Certified beds108CMS provider file
Recent citation rows13current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
13 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 2 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2024-11-15 · HEALTHF0580Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Correction field: Deficient, Provider has date of correction · 2025-01-142024-11-15 · HEALTHF0656Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2025-01-142024-11-15 · HEALTHF0658Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2025-01-142024-11-15 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2025-01-142024-11-15 · HEALTHF0732Severity B · pattern; potential for minimal harm
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Correction field: Deficient, Provider has date of correction · 2025-01-142024-11-15 · FIREK0351Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Install an approved automatic sprinkler system.
Correction field: Deficient, Provider has date of correction · 2025-01-142023-03-03 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2023-05-012021-05-18 · HEALTHF0580Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Correction field: Deficient, Provider has date of correction · 2021-07-172021-05-18 · HEALTHF0623Severity B · pattern; potential for minimal harm
Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Correction field: Deficient, Provider has date of correction · 2021-07-172021-05-18 · HEALTHF0625Severity B · pattern; potential for minimal harm
Resident Rights Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2021-07-172021-05-18 · HEALTHF0657Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Correction field: Deficient, Provider has date of correction · 2021-07-172021-05-18 · HEALTHF0677Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2021-07-172021-05-18 · HEALTHF0698Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Correction field: Deficient, Provider has date of correction · 2021-07-1703 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- CRILLY, THOMASIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 04/01/2015
- HAMILTON, YVONNEIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 09/01/2021
- HOLDER, NICHOLEIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 04/01/2015
- HOYT, SHAWNIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 04/14/2021
- REITER, JEANIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 01/01/2022
- ADAMS, HOLLYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/24/2017
- ADAMS, KERRYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/24/2017
- CRILLY, THOMASIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2015
- DAY, NICHOLASIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2020
- IGNACZAK, STEPHENIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 08/28/2008
- MIRHADI, KAYVANIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2020
- MUELLER, SALLYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/24/2017
- SOBEL, SIDNEYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 02/26/2004
- STUCK, DINAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2020
- WOODHOUSE, ROBERTIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 12/31/1984
- YOUNG, WILLIAMIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 03/03/1994
- GLASTONBURY, HOWARDIndividual · CORPORATE OFFICERNOT APPLICABLE · since 07/01/2020
- MATTOON, LISAIndividual · CORPORATE OFFICERNOT APPLICABLE · since 07/01/2021
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours4.09per resident day
RN hours0.65per resident day
Weekend nurse hours3.57per resident day
Staff turnover46.4%CMS reported field
06 / LOCAL RECORDS
Open the New York ledger →Other published facilities nearby
No second facility in the same city met the directory rule.