Deficiency Records for Elk Ridge Health and Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Elk Ridge Health and Rehabilitation Center. 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? |
|---|---|---|---|---|
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-11-30 | 2024-02-12 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-30 | 2023-12-26 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-30 | 2023-12-26 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-11-30 | 2023-12-26 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-10-11 | 2023-11-09 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-05-25 | 2023-08-21 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-06-12 | 2023-08-01 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-06-12 | 2023-08-01 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-06-12 | 2023-08-01 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-06-12 | 2023-08-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-06-12 | 2023-08-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-12 | 2023-08-01 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-06-12 | 2023-08-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-06-12 | 2023-08-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-06-12 | 2023-08-01 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-06-12 | 2023-08-01 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-06-12 | 2023-08-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-06-12 | 2023-08-01 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-06-12 | 2023-08-01 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-06-12 | 2023-07-14 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-05-25 | 2023-07-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-06-12 | 2023-07-03 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-05-25 | 2023-06-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-25 | 2023-06-24 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-05-25 | 2023-06-14 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-05-25 | 2023-06-14 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-05-25 | 2023-06-14 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2023-05-25 | 2023-06-14 | N |
| Provide activities to meet all resident's needs. | Health | 2023-05-25 | 2023-06-14 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-05-25 | 2023-06-14 | 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 | 2023-05-25 | 2023-06-14 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-05-25 | 2023-06-14 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-05-25 | 2023-06-14 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-03-01 | 2023-04-01 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-03-01 | 2023-04-01 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-07-20 | 2022-08-18 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-07-20 | 2022-08-18 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-04-12 | 2022-05-15 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-04-12 | 2022-05-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-04-12 | 2022-05-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-04-12 | 2022-05-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-12 | 2022-05-05 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-04-12 | 2022-04-29 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2022-04-12 | 2022-04-25 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-03-24 | 2022-04-22 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2022-03-24 | 2022-04-22 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-03-24 | 2022-04-22 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2022-03-24 | 2022-04-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-24 | 2022-04-22 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-03-24 | 2022-04-22 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-03-24 | 2022-04-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-03-24 | 2022-04-22 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-04-12 | 2022-04-12 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-09-07 | 2021-09-30 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-03-17 | 2021-06-01 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2021-03-17 | 2021-05-26 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-03-17 | 2021-05-19 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2021-03-17 | 2021-05-15 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-03-17 | 2021-05-12 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-03-17 | 2021-05-11 | N |
| Construct fire resistant interior walls. | Fire Safety | 2021-03-17 | 2021-05-11 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-03-17 | 2021-05-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-03-17 | 2021-05-11 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-03-17 | 2021-05-11 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2021-03-17 | 2021-05-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-03-17 | 2021-05-11 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-03-01 | 2021-03-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-03-01 | 2021-03-30 | Y |
| Assist a resident in gaining access to vision and hearing services. | Health | 2021-03-01 | 2021-03-30 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-03-01 | 2021-03-30 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-03-01 | 2021-03-30 | N |
| Dispose of garbage and refuse properly. | Health | 2021-03-01 | 2021-03-30 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2021-03-01 | 2021-03-30 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-03-01 | 2021-03-30 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-03-01 | 2021-03-30 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-03-01 | 2021-03-30 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-03-01 | 2021-03-30 | Y |
| Meet other general requirements that are deficient. | Fire Safety | 2021-03-17 | 2021-03-25 | N |
