CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for St. Elizabeth Rehabilitation and Nursing Center
View the most recent health deficiencies and inspection results for St. Elizabeth Rehabilitation and Nursing Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for St. Elizabeth Rehabilitation and Nursing Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| 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 | 2026-02-26 | 2026-05-14 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2026-02-26 | 2026-05-14 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2026-02-26 | 2026-05-14 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2026-02-26 | 2026-05-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2026-02-26 | 2026-05-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2026-02-26 | 2026-05-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2026-02-26 | 2026-05-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2026-02-26 | 2026-05-14 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2026-02-26 | 2026-05-14 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2026-02-26 | 2026-05-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2026-02-26 | 2026-05-14 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2026-02-26 | 2026-05-14 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2026-02-26 | 2026-05-14 | N |
| Install proper backup exit lighting. | Fire Safety | 2026-02-26 | 2026-05-14 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2026-02-26 | 2026-03-31 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2026-02-26 | 2026-03-31 | 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 | 2026-02-26 | 2026-03-31 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2026-02-26 | 2026-03-31 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2026-02-26 | 2026-03-31 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2026-02-26 | 2026-03-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2026-02-26 | 2026-03-31 | 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 | 2025-08-29 | 2025-10-07 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2025-08-29 | 2025-10-07 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-08-29 | 2025-10-07 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-08-29 | 2025-10-07 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-08-29 | 2025-10-07 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-08-29 | 2025-10-07 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2025-08-29 | 2025-10-07 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-08-29 | 2025-10-07 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2025-08-29 | 2025-10-07 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-08-29 | 2025-10-07 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-08-29 | 2025-10-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-08-29 | 2025-10-07 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-08-29 | 2025-10-07 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-08-29 | 2025-10-07 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-10-16 | 2024-12-20 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-10-16 | 2024-12-20 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-10-16 | 2024-11-21 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-10-16 | 2024-11-21 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2024-10-16 | 2024-11-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-10-16 | 2024-11-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-10-16 | 2024-11-21 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-10-16 | 2024-11-21 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2024-10-16 | 2024-11-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-10-16 | 2024-11-21 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2024-10-16 | 2024-11-21 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2024-10-16 | 2024-11-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-10-16 | 2024-11-21 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2024-10-16 | 2024-11-21 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-10-16 | 2024-11-21 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-10-16 | 2024-11-21 | 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 | 2024-10-16 | 2024-11-21 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-10-16 | 2024-11-21 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-10-16 | 2024-11-21 | N |
| Post nurse staffing information every day. | Health | 2024-10-16 | 2024-11-13 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2024-10-16 | 2024-11-13 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-10-16 | 2024-11-13 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-10-16 | 2024-11-13 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-10-16 | 2024-11-13 | N |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2024-10-16 | 2024-11-13 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-10-16 | 2024-11-13 | 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 | 2024-10-16 | 2024-11-13 | N |
| Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided. | Health | 2024-10-16 | 2024-11-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-10-16 | 2024-11-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-10-16 | 2024-11-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-10-16 | 2024-11-13 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2024-10-16 | 2024-11-13 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-10-16 | 2024-11-13 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-10-16 | 2024-11-13 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-10-16 | 2024-11-13 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-10-16 | 2024-11-13 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2024-10-16 | 2024-11-13 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-10-16 | 2024-11-13 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-10-16 | 2023-06-26 | 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 | 2019-10-31 | 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 | 2019-10-31 | 2019-11-11 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-10-31 | 2019-11-11 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2019-10-31 | 2019-11-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-31 | 2019-11-11 | N |