Deficiency Records for Elmora Hills Health and Rehabilitation Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Elmora Hills Health and Rehabilitation 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? |
|---|---|---|---|---|
| Use approved construction type or materials. | Fire Safety | 2022-04-08 | 2022-07-07 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-04-08 | 2022-07-07 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-04-08 | 2022-07-07 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-04-08 | 2022-07-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-04-08 | 2022-06-14 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-04-08 | 2022-05-04 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-04-08 | 2022-05-04 | 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 | 2022-04-08 | 2022-05-04 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-04-08 | 2022-05-04 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-04-08 | 2022-05-04 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-04-08 | 2022-05-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-08 | 2022-05-04 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2022-04-08 | 2022-05-04 | N |
| Install proper backup exit lighting. | Fire Safety | 2022-04-08 | 2022-05-04 | 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 | 2022-04-08 | 2022-05-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-04-08 | 2022-05-04 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-04-08 | 2022-05-04 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2022-04-08 | 2022-05-04 | N |
| Respond appropriately to all alleged violations. | Health | 2021-09-18 | 2021-11-12 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-09-18 | 2021-10-21 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-12-09 | 2020-01-03 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-12-24 | 2019-01-25 | N |
