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Deficiency Records for The Elms Center
View the most recent health deficiencies and inspection results for The Elms Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for The Elms Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2026-02-24 | 2026-03-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2026-02-24 | 2026-03-23 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2026-02-24 | 2026-03-23 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2026-02-24 | 2026-03-19 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-01-10 | 2025-03-07 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2025-01-10 | 2025-03-07 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-01-10 | 2025-03-07 | 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 | 2025-01-10 | 2025-02-25 | 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 | 2025-01-10 | 2025-02-21 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2025-01-10 | 2025-02-07 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2025-01-10 | 2025-02-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-01-10 | 2025-02-07 | N |
| Post nurse staffing information every day. | Health | 2025-01-10 | 2025-02-07 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2025-01-10 | 2025-02-06 | N |
| Assess the resident when there is a significant change in condition | Health | 2025-01-10 | 2025-02-02 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | Health | 2025-01-10 | 2025-01-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-01-10 | 2025-01-27 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2024-01-25 | 2024-03-01 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-01-25 | 2024-03-01 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-01-25 | 2024-02-26 | 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 | 2024-01-25 | 2024-02-23 | N |
| Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised. | Health | 2024-01-25 | 2024-02-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-01-25 | 2024-02-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-25 | 2024-02-22 | Y |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-01-25 | 2024-02-16 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-01-25 | 2024-02-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-01-25 | 2024-02-16 | N |