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Clinton House Rehab: RN Staffing Gaps Found - IN

Healthcare Facility
Clinton House Rehabilitation And Healthcare Center
Frankfort, IN  ·  5/5 stars

The finding came out of a complaint inspection completed August 15, 2025. Federal inspectors reviewed staffing schedules and found that on Sunday, July 20, and again on Sunday, August 3, no registered nurse was scheduled or present for any part of the day. A facility is required to have an RN on duty for at least eight consecutive hours every day of the week. On both of those Sundays, nobody filled that role.

The Director of Nursing confirmed it directly. During an interview on the morning of August 15, she told inspectors there was no RN present in the facility on either date. She acknowledged that an RN should have been there.

What makes the gap harder to dismiss is what the facility already knew about its own residents. Clinton House's internal assessment, dated March 17, 2025, noted that the facility cared for an average of two residents receiving intravenous medications at any given time. The same assessment stated that staff with specialized training, including registered nurses, were to be assigned to areas with residents who had higher acuity needs. IV medication administration is one of those needs. On the two Sundays in question, the people responsible for identifying complications, adjusting infusion rates, and responding to adverse reactions were not there.

Inspectors pulled the as-worked staffing schedules on August 11. The gaps were not buried in paperwork or obscured by overlapping shift records. The schedules simply showed no RN for either day.

When inspectors asked for the facility's staffing policy before leaving, Clinton House did not produce one.

The violation was cited at a level of minimal harm or potential for actual harm, meaning inspectors did not document a specific resident who suffered a documented injury as a direct result of the unstaffed shifts. That designation reflects what was confirmed on the record, not a judgment that nothing could have gone wrong. A facility caring for residents on IV medications, without a registered nurse for an entire Sunday, is operating without the person trained to catch what goes wrong before it becomes irreversible.

Clinton House sits on West Freeman Street in Frankfort, a small city of roughly 16,000 people in Clinton County. For residents there on those two Sundays, whatever nursing needs arose, they arose without the staff the facility's own planning documents said should be there.

The Director of Nursing did not dispute the findings. She confirmed them.

The inspection covered 21 days of staffing records. Two of those days had no RN. Both were Sundays. Whether that pattern reflects a scheduling problem specific to weekends, a broader staffing shortage, or something else, the inspection report does not say. What it does say is that the facility knew what its residents required, wrote it down in its own assessment, and still sent those residents into two Sundays without the nurse trained to care for them.

The facility had not provided a plan of correction prior to the inspection's conclusion. Under federal rules, nursing homes must submit an approved correction plan to continue participating in Medicare and Medicaid. Plans of correction are made public 14 days after they are provided to the facility.

For the residents receiving IV medications on July 20 and August 3, the question of whether anything went wrong on those days may never have a documented answer. The gaps are recorded. What happened inside them is not.

Full Inspection Report

The details above represent a summary of key findings. View the complete inspection report for Clinton House Rehabilitation and Healthcare Center from 2025-08-15 including all violations, facility responses, and corrective action plans.

Download the official CMS inspection PDF from Medicare.gov

Additional Resources

Editorial Standards & Data Disclosure

Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.

Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.

Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.

Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.

Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.

Last verified: September 22, 2026  ·  Our methodology

Quick Answer

CLINTON HOUSE REHABILITATION AND HEALTHCARE CENTER in FRANKFORT, IN was cited for violations during a health inspection on August 15, 2025.

The finding came out of a complaint inspection completed August 15, 2025.

Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.

Frequently Asked Questions

What happened at CLINTON HOUSE REHABILITATION AND HEALTHCARE CENTER?
The finding came out of a complaint inspection completed August 15, 2025.
How serious are these violations?
Violation severity varies from minor documentation issues to serious safety concerns. Review the inspection report for specific deficiency codes and scope. All violations must be corrected within required timeframes and are subject to follow-up verification inspections.
What should families do?
Families should: (1) Ask facility administration about specific corrective actions taken, (2) Request to see the follow-up inspection report verifying corrections, (3) Check if this represents a pattern by reviewing prior inspection reports, (4) Compare this facility's ratings with other nursing homes in FRANKFORT, IN, (5) Report any new concerns directly to state authorities.
Where can I see the full inspection report?
The complete inspection report is available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request a copy directly from CLINTON HOUSE REHABILITATION AND HEALTHCARE CENTER or from the state Department of Health. The report includes specific deficiency codes, facility responses, and correction timelines. This facility's federal provider number is 155295.
Has this facility had violations before?
To check CLINTON HOUSE REHABILITATION AND HEALTHCARE CENTER's history, visit Medicare.gov's Care Compare and review their inspection history, quality ratings, and staffing levels. Look for patterns of repeated violations, especially in critical areas like abuse prevention, medication management, infection control, and resident safety.