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Deficiency Records for The Elms

View the most recent health deficiencies and inspection results for The Elms. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for The Elms. Stay informed about quality of care issues.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2026-03-13 2026-03-19 Y
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 2025-03-27 2025-04-15 N
Provide and implement an infection prevention and control program. Health 2025-03-27 2025-04-14 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-04-25 2024-05-14 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-04-25 2024-05-14 N
Provide and implement an infection prevention and control program. Health 2024-04-25 2024-05-13 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-04-25 2024-05-10 N
Provide enough food/fluids to maintain a resident's health. Health 2024-04-25 2024-05-10 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2024-04-25 2024-05-10 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 2024-04-25 2024-05-10 N
Ensure that residents are free from significant medication errors. Health 2024-04-25 2024-05-10 N
Establish staff and initial training requirements. Fire Safety 2024-04-25 2024-05-02 N
Conduct testing and exercise requirements. Fire Safety 2024-04-25 2024-05-02 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2024-01-25 2024-02-15 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-02-24 2023-03-13 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 2023-02-24 2023-03-13 N

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