CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for The Haven of St. Elmo
View the most recent health deficiencies and inspection results for The Haven of St. Elmo. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for The Haven of St. Elmo. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Respond appropriately to all alleged violations. | Health | 2026-04-23 | 2026-05-01 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2026-04-23 | 2026-05-01 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2026-04-23 | 2026-05-01 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-08-25 | 2025-09-13 | 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 | 2025-08-25 | 2025-09-13 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-08-25 | 2025-09-13 | Y |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2025-05-20 | 2025-06-17 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2025-05-20 | 2025-06-17 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2025-05-20 | 2025-06-04 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2025-05-20 | 2025-06-02 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-05-20 | 2025-06-02 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-05-20 | 2025-06-02 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2025-05-20 | 2025-06-02 | N |
| Ensure that residents are free from significant medication errors. | Health | 2025-05-20 | 2025-06-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-05-20 | 2025-06-02 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-07-24 | 2024-08-09 | 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 | 2024-07-24 | 2024-08-09 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2024-07-24 | 2024-08-09 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-07-24 | 2024-08-09 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-07-24 | 2024-08-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-07-24 | 2024-08-06 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2024-07-24 | 2024-08-06 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2024-07-24 | 2024-08-06 | N |
| Post nurse staffing information every day. | Health | 2024-07-24 | 2024-08-05 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2024-07-24 | 2024-08-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-07-24 | 2024-08-05 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2024-07-24 | 2024-08-05 | 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 | 2024-07-24 | 2024-08-05 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2024-07-24 | 2024-08-05 | N |
| Establish staff and initial training requirements. | Fire Safety | 2024-07-24 | 2024-08-05 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2024-07-24 | 2024-08-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-07-24 | 2024-08-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-07-24 | 2024-08-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-07-24 | 2024-08-05 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-03-07 | 2024-03-11 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-11 | 2023-07-06 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-05-11 | 2023-06-20 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2023-05-11 | 2023-06-16 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-05-11 | 2023-06-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-11 | 2023-06-07 | 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 | 2023-05-11 | 2023-06-02 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2023-05-11 | 2023-05-25 | N |