A list of the most recent deficiencies for The Elms 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? |
---|---|---|---|---|
Provide and implement an infection prevention and control program. | Health | 2023-01-20 | 2023-02-13 | N |
PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-01-20 | 2023-02-10 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-20 | 2023-02-10 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2023-01-23 | 2023-02-08 | N |
Report COVID19 data to residents and families. | Health | 2023-01-20 | 2023-01-31 | N |
Establish roles under a Waiver declared by secretary. | Fire Safety | 2021-12-01 | 2022-02-16 | 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 | 2021-12-01 | 2022-02-16 | N |
Have an enclosure around a vertical opening shaft. | Fire Safety | 2021-12-01 | 2022-02-16 | 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 | 2021-12-01 | 2022-02-16 | N |
Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-12-01 | 2022-02-16 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-12-01 | 2022-02-16 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-12-01 | 2022-02-16 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-12-01 | 2022-02-16 | N |
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2021-12-02 | 2022-01-27 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-12-02 | 2022-01-27 | N |
Provide activities to meet all resident's needs. | Health | 2021-12-02 | 2022-01-27 | N |
Provide appropriate foot care. | Health | 2021-12-02 | 2022-01-27 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-02 | 2022-01-27 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-12-02 | 2022-01-27 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2020-11-03 | 2020-12-04 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2020-11-03 | 2020-12-04 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2020-11-03 | 2020-12-04 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-11-03 | 2020-12-04 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-11-05 | 2020-11-27 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-11-05 | 2020-11-27 | N |
Provide and implement an infection prevention and control program. | Health | 2020-11-05 | 2020-11-27 | N |