Deficiency Records for Elwood Health and Living
Updated as of January 01, 2020
This is not the most recent data for Elwood Health and Living. For the most recent information, click here.
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? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-10-07 | 2019-10-08 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-06-11 | 2019-07-10 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2019-03-14 | 2019-04-12 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-03-14 | 2019-04-12 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2019-03-14 | 2019-04-12 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-03-14 | 2019-04-12 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-03-14 | 2019-04-12 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-03-14 | 2019-04-12 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-03-14 | 2019-04-12 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2019-03-14 | 2019-04-12 | 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 | 2019-03-01 | 2019-03-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-03-01 | 2019-03-30 | 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 ne | Health | 2019-03-01 | 2019-03-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-01 | 2019-03-30 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-04-30 | 2018-05-30 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-04-30 | 2018-05-30 | N |
| Meet other general requirements. | Fire Safety | 2018-04-30 | 2018-05-30 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-04-30 | 2018-05-30 | 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 | 2018-04-30 | 2018-05-30 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2018-04-30 | 2018-05-30 | N |
| Have exits that are accessible at all times. | Fire Safety | 2018-04-30 | 2018-05-30 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2018-04-30 | 2018-05-30 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2018-04-30 | 2018-05-30 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2018-04-30 | 2018-05-30 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2018-04-30 | 2018-05-30 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-04-11 | 2018-05-11 | 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 | 2018-04-11 | 2018-05-11 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-04-11 | 2018-05-11 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-04-11 | 2018-05-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-04-11 | 2018-05-11 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-04-11 | 2018-05-11 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2018-04-11 | 2018-05-11 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-04-11 | 2018-05-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-04-11 | 2018-05-11 | 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 | 2018-04-11 | 2018-05-11 | 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 | 2018-04-11 | 2018-05-11 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2018-04-11 | 2018-05-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-04-11 | 2018-05-11 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-04-11 | 2018-05-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-02-16 | 2018-03-09 | Y |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2017-10-02 | 2017-10-03 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-10-02 | 2017-10-03 | Y |
| Provide rooms that can be unlocked from inside without a key. | Fire Safety | 2017-06-12 | 2017-07-12 | N |
| Install proper backup exit lighting. | Fire Safety | 2017-06-12 | 2017-07-12 | 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 | 2017-06-12 | 2017-07-12 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2017-06-12 | 2017-07-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-06-12 | 2017-07-12 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2017-06-12 | 2017-07-12 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-06-12 | 2017-07-12 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-06-12 | 2017-07-12 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2017-06-12 | 2017-07-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-06-12 | 2017-07-12 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2017-06-12 | 2017-07-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-06-12 | 2017-07-12 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-05-17 | 2017-06-12 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-05-17 | 2017-06-12 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-05-17 | 2017-06-12 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-05-17 | 2017-06-12 | N |
| Protect each resident from mistreatment, neglect and misappropriation of personal property. | Health | 2017-04-28 | 2017-05-28 | Y |
