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 |