Deficiency Records for Elba Nursing and Rehabilitation Center, LLC
Updated as of April 01, 2024
A list of the most recent deficiencies for Elba Nursing and Rehabilitation Center, LLC. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-03-02 | 2023-03-31 | Y |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2022-05-17 | 2022-06-20 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-05-17 | 2022-06-20 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-05-17 | 2022-06-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-05-17 | 2022-06-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-07-15 | 2021-08-19 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-07-15 | 2021-08-19 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2021-07-15 | 2021-08-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-07-15 | 2021-08-19 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-07-08 | 2021-08-10 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2021-07-08 | 2021-08-10 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-07-08 | 2021-08-10 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-07-08 | 2021-08-10 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-03-20 | 2019-04-19 | N |
| Dispose of garbage and refuse properly. | Health | 2019-03-20 | 2019-04-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-20 | 2019-04-19 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2019-03-25 | 2019-04-19 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2019-03-25 | 2019-04-19 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-03-25 | 2019-04-19 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-03-25 | 2019-04-19 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-03-25 | 2019-04-19 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2019-03-25 | 2019-04-19 | N |
