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Deficiency Records for The Ellis Nursing Home
View the most recent health deficiencies and inspection results for The Ellis Nursing Home. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for The Ellis Nursing Home. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2026-01-15 | 2025-12-10 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-09-02 | 2025-10-02 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-05-20 | 2025-06-13 | Y |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2025-04-29 | 2025-06-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-04-29 | 2025-06-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-04-29 | 2025-06-06 | N |
| Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | Health | 2025-04-29 | 2025-06-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-04-29 | 2025-06-06 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2025-04-29 | 2025-06-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-04-29 | 2025-06-06 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2025-04-29 | 2025-06-06 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2025-05-20 | 2025-05-09 | Y |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-04-22 | 2024-07-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-04-22 | 2024-07-01 | N |
| 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 | 2024-04-22 | 2024-05-29 | 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 | 2024-04-22 | 2024-05-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-22 | 2024-05-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-04-22 | 2024-05-21 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-04-22 | 2024-05-21 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-04-22 | 2024-05-21 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2024-04-22 | 2024-05-21 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2024-04-22 | 2024-05-21 | 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 | 2024-04-22 | 2024-05-21 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-04-22 | 2024-05-21 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2024-04-22 | 2024-05-21 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-04-22 | 2024-05-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-04-22 | 2024-05-21 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-04-22 | 2024-05-21 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-04-22 | 2024-05-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-19 | 2023-11-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-16 | 2023-09-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-16 | 2023-02-20 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-12-16 | 2023-01-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-16 | 2023-01-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-12-16 | 2023-01-27 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-12-16 | 2023-01-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-12-16 | 2023-01-24 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-12-16 | 2023-01-24 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-12-16 | 2023-01-24 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-12-16 | 2023-01-20 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-12-16 | 2023-01-20 | 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 | 2022-12-16 | 2023-01-20 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2022-12-16 | 2023-01-20 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2022-12-16 | 2023-01-20 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-12-16 | 2023-01-20 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2022-12-16 | 2023-01-20 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-12-16 | 2023-01-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-16 | 2023-01-20 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-12-16 | 2023-01-20 | 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 | 2022-12-16 | 2023-01-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-12-16 | 2023-01-20 | N |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2022-12-16 | 2023-01-20 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-12-16 | 2023-01-20 | N |