A list of the most recent deficiencies for Elwood Health and Living. 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? |
|---|---|---|---|---|
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-05-24 | 2023-06-29 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-05-24 | 2023-06-29 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-05-24 | 2023-06-29 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-05-24 | 2023-06-29 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-05-24 | 2023-06-29 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2023-05-24 | 2023-06-29 | N |
| Assess the resident when there is a significant change in condition | Health | 2023-05-12 | 2023-05-25 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-05-12 | 2023-05-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-12 | 2023-05-25 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2022-05-18 | 2022-08-01 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-05-18 | 2022-08-01 | 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 | 2022-05-18 | 2022-08-01 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-05-18 | 2022-08-01 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-05-18 | 2022-08-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-18 | 2022-08-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-05-18 | 2022-08-01 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2022-04-08 | 2022-04-27 | 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 | 2022-04-08 | 2022-04-27 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-04-08 | 2022-04-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-30 | 2022-04-04 | Y |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-02-02 | 2022-02-18 | Y |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-02-02 | 2022-02-18 | Y |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2022-02-02 | 2022-02-18 | Y |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-05-11 | 2022-01-01 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2021-05-11 | 2022-01-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-08-05 | 2021-08-25 | Y |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2021-08-05 | 2021-08-25 | Y |
| Install proper backup exit lighting. | Fire Safety | 2021-05-11 | 2021-06-03 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-05-11 | 2021-06-03 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-05-11 | 2021-06-03 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-05-11 | 2021-06-03 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-05-11 | 2021-06-03 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-05-11 | 2021-06-03 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-05-11 | 2021-06-03 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-05-11 | 2021-06-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-05-11 | 2021-06-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-05-11 | 2021-06-03 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2021-05-11 | 2021-06-03 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-04-26 | 2021-05-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-04-26 | 2021-05-07 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-04-26 | 2021-05-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-04-26 | 2021-05-07 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-04-26 | 2021-05-07 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-04-26 | 2021-05-07 | 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 | 2021-04-26 | 2021-05-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-04-26 | 2021-05-07 | N |
