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Deficiency Records for St Elizabeth Healthcare Center
View the most recent health deficiencies and inspection results for St Elizabeth Healthcare Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for St Elizabeth Healthcare Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-12-19 | 2026-01-09 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-09-09 | 2025-09-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-09-09 | 2025-09-30 | Y |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2025-09-09 | 2025-09-30 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-09-09 | 2025-09-30 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-07-10 | 2025-08-08 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-07-10 | 2025-08-08 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2025-07-10 | 2025-08-08 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-07-10 | 2025-08-08 | Y |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2024-12-17 | 2025-01-17 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-12-17 | 2025-01-17 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2024-12-17 | 2025-01-10 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2024-12-17 | 2025-01-10 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-12-17 | 2025-01-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-12-17 | 2025-01-10 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-12-17 | 2025-01-10 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-12-17 | 2025-01-10 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-12-17 | 2025-01-10 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-12-17 | 2025-01-10 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-12-17 | 2025-01-10 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2024-12-17 | 2025-01-10 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-12-17 | 2025-01-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-12-17 | 2025-01-10 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2024-12-17 | 2024-12-24 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2024-12-17 | 2024-12-24 | N |
| Use approved construction type or materials. | Fire Safety | 2024-12-17 | 2024-12-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-12-17 | 2024-12-24 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-07-31 | 2024-08-24 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-05-07 | 2024-05-30 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-01-31 | 2024-01-31 | Y |
| Provide activities to meet all resident's needs. | Health | 2023-05-05 | 2023-06-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-05-05 | 2023-06-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-05 | 2023-06-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-05 | 2023-06-21 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-05-05 | 2023-06-21 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2023-05-05 | 2023-06-21 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-05-05 | 2023-06-21 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-05-05 | 2023-06-21 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2023-05-05 | 2023-06-21 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-05-05 | 2023-06-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-05 | 2023-06-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-05 | 2023-06-21 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2023-05-05 | 2023-06-21 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-05-05 | 2023-06-21 | N |
| Keep all essential equipment working safely. | Health | 2023-05-05 | 2023-06-21 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2023-05-05 | 2023-06-21 | N |
| Meet other general requirements. | Fire Safety | 2023-05-05 | 2023-05-17 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-05-05 | 2023-05-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-05 | 2023-05-17 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-05-05 | 2023-05-17 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-05-05 | 2023-05-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-03-02 | 2020-08-10 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-03-02 | 2020-08-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-03-02 | 2020-08-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-03-02 | 2020-08-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-03-02 | 2020-03-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-03-02 | 2020-03-30 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2020-03-02 | 2020-03-30 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2020-03-02 | 2020-03-30 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2020-03-02 | 2020-03-30 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-03-02 | 2020-03-30 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2020-03-02 | 2020-03-30 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2020-03-02 | 2020-03-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-03-02 | 2020-03-30 | N |
| Dispose of garbage and refuse properly. | Health | 2020-03-02 | 2020-03-30 | N |