A list of the most recent deficiencies for Elwood Care Center. 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? |
|---|---|---|---|---|
| Implement emergency and standby power systems. | Fire Safety | 2023-03-21 | 2023-05-05 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-03-21 | 2023-05-05 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-03-21 | 2023-05-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-03-21 | 2023-05-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-21 | 2023-05-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-03-21 | 2023-05-05 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-03-21 | 2023-05-05 | N |
| Ensure equipment listed for use in oxygen-enriched atmospheres are correctly labeled. | Fire Safety | 2023-03-21 | 2023-05-05 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-05-03 | 2022-06-07 | Y |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2021-12-07 | 2022-02-08 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-12-07 | 2022-02-08 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2021-12-07 | 2022-02-08 | 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 | 2021-12-07 | 2022-02-08 | 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 | 2021-12-07 | 2022-02-08 | 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 | 2021-12-07 | 2022-02-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-12-06 | 2021-12-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-12-06 | 2021-12-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-09-10 | 2020-10-25 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2020-09-10 | 2020-10-23 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2020-09-10 | 2020-10-23 | 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 | 2020-09-10 | 2020-10-23 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-09-10 | 2020-10-23 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-09-10 | 2020-10-23 | N |
| Ensure that residents are free from significant medication errors. | Health | 2020-09-10 | 2020-10-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-09-10 | 2020-10-23 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-09-10 | 2020-09-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-09-10 | 2020-09-16 | N |
