A list of the most recent deficiencies for St. Elizabeth Rehab. and Nsg. Ce. 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? |
|---|---|---|---|---|
| Respond appropriately to all alleged violations. | Health | 2021-07-01 | 2021-07-09 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-10-31 | 2019-12-14 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-10-31 | 2019-12-14 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-10-28 | 2019-11-11 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2019-10-28 | 2019-11-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-28 | 2019-11-11 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2019-10-28 | 2019-11-11 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-10-28 | 2019-11-11 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-06-08 | 2018-07-12 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-06-08 | 2018-07-12 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2017-03-02 | 2017-05-31 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-03-02 | 2017-05-31 | N |
| 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 | 2017-03-02 | 2017-05-31 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-03-02 | 2017-05-31 | N |
| Provide housekeeping and maintenance services. | Health | 2017-03-02 | 2017-05-31 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-03-02 | 2017-05-31 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-03-02 | 2017-05-31 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-03-02 | 2017-05-31 | N |
| Ensure that residents receive proper treatment and assistive devices to maintain their vision and hearing. | Health | 2017-03-02 | 2017-05-31 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-03-02 | 2017-05-31 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-03-02 | 2017-05-31 | N |
| Keep all essential equipment working safely. | Health | 2017-03-02 | 2017-05-31 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-03-02 | 2017-05-31 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2017-03-02 | 2017-05-31 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-01-24 | 2017-02-28 | N |
