CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Ely Manor
View the most recent health deficiencies and inspection results for Ely Manor. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Ely Manor. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2025-11-21 | 2026-01-21 | 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 | 2025-11-21 | 2026-01-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-11-21 | 2026-01-21 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2025-11-21 | 2025-12-09 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-11-21 | 2025-12-09 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-11-21 | 2025-12-09 | N |
| Respond appropriately to all alleged violations. | Health | 2025-11-21 | 2025-12-09 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-11-21 | 2025-12-09 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2025-11-21 | 2025-12-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-11-21 | 2025-12-09 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-11-21 | 2025-12-09 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-11-21 | 2025-12-09 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2025-11-21 | 2025-12-09 | 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 | 2025-11-21 | 2025-12-09 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2025-11-21 | 2025-12-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-11-21 | 2025-12-09 | N |
| Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. | Health | 2025-11-21 | 2025-12-09 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-11-21 | 2025-12-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-11-21 | 2025-12-09 | N |
| Implement a program that monitors antibiotic use. | Health | 2025-11-21 | 2025-12-09 | N |
| Have policies on smoking. | Health | 2025-11-21 | 2025-12-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-11-21 | 2025-12-09 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-11-21 | 2025-12-09 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-11-21 | 2025-12-09 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-11-21 | 2025-10-30 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2025-11-21 | 2025-10-24 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2025-11-21 | 2025-10-24 | 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 | 2025-11-21 | 2025-10-24 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-11-21 | 2025-10-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-11-21 | 2025-10-24 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2025-11-21 | 2025-10-24 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-11-21 | 2025-10-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-11-21 | 2025-10-24 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-11-21 | 2025-10-24 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2025-08-07 | 2025-10-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-08-07 | 2025-08-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-08-21 | 2025-08-22 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-08-21 | 2025-08-22 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-07-22 | 2025-08-15 | Y |
| 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 | 2025-07-22 | 2025-08-15 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2025-07-22 | 2025-08-15 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-07-22 | 2025-08-15 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-07-22 | 2025-08-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-07-22 | 2025-08-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-07-22 | 2025-08-15 | Y |
| Provide activities to meet all resident's needs. | Health | 2025-07-22 | 2025-08-15 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-07-22 | 2025-08-15 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-07-22 | 2025-08-15 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-03-12 | 2025-03-24 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2025-03-12 | 2025-03-24 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-03-12 | 2025-03-24 | Y |
| Provide activities to meet all resident's needs. | Health | 2025-01-28 | 2025-02-24 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-01-28 | 2025-02-24 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2025-01-28 | 2025-02-24 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-01-28 | 2025-02-24 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-01-28 | 2025-02-24 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-01-28 | 2025-02-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-01-28 | 2025-02-24 | Y |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2024-07-11 | 2024-08-12 | N |
| 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 | 2024-07-11 | 2024-08-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-07-11 | 2024-08-12 | 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 | 2024-07-11 | 2024-08-12 | 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 | 2024-07-11 | 2024-08-12 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2024-07-11 | 2024-08-12 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-07-11 | 2024-08-12 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-07-11 | 2024-08-12 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2024-07-11 | 2024-08-12 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-07-11 | 2024-08-12 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2024-07-11 | 2024-08-12 | N |
| Have exits that are accessible at all times. | Fire Safety | 2024-07-11 | 2024-08-12 | 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 | 2024-07-11 | 2024-08-12 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-07-11 | 2024-08-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-07-11 | 2024-08-12 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-07-11 | 2024-08-12 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-02-02 | 2024-02-26 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-02 | 2024-02-26 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-08-23 | 2023-09-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-23 | 2023-09-13 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-08-23 | 2023-09-13 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2023-08-23 | 2023-09-13 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-08-23 | 2023-09-13 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-08-23 | 2023-09-13 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-08-23 | 2023-09-13 | 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 | 2023-08-23 | 2023-09-13 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-08-23 | 2023-09-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-08-23 | 2023-09-13 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-07-05 | 2023-08-15 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-07-05 | 2023-08-14 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-07-05 | 2023-07-26 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-07-05 | 2023-07-26 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-07-05 | 2023-07-26 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-07-05 | 2023-07-26 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-07-05 | 2023-07-26 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-07-05 | 2023-07-26 | Y |