Deficiency Records for St. Elizabeth Rehab. and Nsg. Ce
Updated as of May 01, 2018
This is not the most recent data for St. Elizabeth Rehab. and Nsg. Ce. For the most recent information, click here.
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? |
|---|---|---|---|---|
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2017-07-10 | 2017-08-01 | Y |
| 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 |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-10-31 | 2016-12-06 | Y |
| Provide or obtain dental services for each resident. | Health | 2016-06-01 | 2016-06-30 | Y |
| A two-hour-resistant firewall separation. | Fire Safety | 2015-11-12 | 2016-01-15 | N |
| Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2015-11-12 | 2016-01-15 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2015-11-12 | 2016-01-15 | N |
| Exits that are accessible at all times. | Fire Safety | 2015-11-12 | 2016-01-15 | N |
| Emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2015-11-12 | 2016-01-15 | N |
| Properly located and lighted "Exit" signs. | Fire Safety | 2015-11-12 | 2016-01-15 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2015-11-12 | 2016-01-15 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-11-12 | 2016-01-15 | N |
| Properly constructed linen or trash chutes. | Fire Safety | 2015-11-12 | 2016-01-15 | 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 | 2015-11-13 | 2016-01-15 | Y |
| Provide housekeeping and maintenance services. | Health | 2015-11-13 | 2016-01-15 | Y |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-11-13 | 2016-01-15 | Y |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2015-11-13 | 2016-01-15 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2015-11-13 | 2016-01-15 | Y |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2015-05-28 | 2015-06-25 | 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 | 2014-09-11 | 2014-10-24 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2014-09-11 | 2014-10-24 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2014-09-11 | 2014-10-24 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2014-09-11 | 2014-10-24 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2014-09-11 | 2014-10-24 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2014-09-11 | 2014-10-24 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2014-09-11 | 2014-10-24 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2014-07-24 | 2014-08-21 | N |
