Deficiency Records for The Ellis Nursing Home
Updated as of February 01, 2021
This is not the most recent data for The Ellis Nursing Home. For the most recent information, click here.
A list of the most recent deficiencies for The Ellis Nursing Home. 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 a fire alarm system that can be heard throughout the facility. | Fire Safety | 2019-09-12 | 2019-10-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-09-12 | 2019-10-04 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-08-30 | 2019-10-04 | N |
| Respond appropriately to all alleged violations. | Health | 2019-08-30 | 2019-10-04 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-08-30 | 2019-10-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-08-30 | 2019-10-04 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-08-30 | 2019-10-04 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-09-12 | 2019-09-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-09-12 | 2019-09-20 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-09-12 | 2019-09-20 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-08-15 | 2018-09-30 | N |
| Be properly staffed | Fire Safety | 2018-08-15 | 2018-09-30 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-08-15 | 2018-09-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-08-15 | 2018-09-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-08-15 | 2018-09-28 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-08-15 | 2018-09-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-08-15 | 2018-09-26 | 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 | 2018-08-15 | 2018-09-21 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-08-15 | 2018-09-21 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-08-15 | 2018-09-21 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2018-08-22 | 2018-09-14 | N |
| Dispose of garbage and refuse properly. | Health | 2018-08-22 | 2018-09-14 | N |
| Keep all essential equipment working safely. | Health | 2018-08-22 | 2018-09-14 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2018-08-22 | 2018-09-14 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-08-22 | 2018-09-06 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2018-08-22 | 2018-08-31 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-08-22 | 2018-08-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-08-22 | 2018-08-31 | 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 | 2018-08-22 | 2018-08-29 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2018-08-22 | 2018-08-23 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2017-04-04 | 2017-05-19 | N |
| Keep each resident free from physical restraints, unless needed for medical treatment. | Health | 2017-04-04 | 2017-05-19 | 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 | 2017-04-04 | 2017-05-19 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-04-04 | 2017-05-19 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-04-04 | 2017-05-19 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2017-04-04 | 2017-05-19 | N |
