Deficiency Records for Elcor Nursing and Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Elcor Nursing 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? |
|---|---|---|---|---|
| Honor the resident's right to manage his or her financial affairs. | Health | 2023-12-01 | 2024-01-26 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-12-01 | 2024-01-26 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-12-01 | 2024-01-26 | 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 | 2023-12-01 | 2024-01-26 | Y |
| 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 | 2023-12-01 | 2024-01-26 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-01 | 2024-01-26 | Y |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2023-12-01 | 2024-01-26 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-12-01 | 2024-01-26 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-12-01 | 2024-01-26 | Y |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2023-12-01 | 2024-01-26 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-12-01 | 2024-01-26 | 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 | 2023-12-01 | 2024-01-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-12-01 | 2024-01-26 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-12-01 | 2024-01-26 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2023-12-01 | 2024-01-26 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-12-01 | 2024-01-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-12-01 | 2024-01-26 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-12-01 | 2024-01-26 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-12-01 | 2024-01-26 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-12-01 | 2024-01-26 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-12-01 | 2024-01-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-12-01 | 2024-01-26 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-12-01 | 2024-01-26 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-08-26 | 2021-10-28 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2021-08-26 | 2021-10-28 | N |
| Install proper backup exit lighting. | Fire Safety | 2021-08-26 | 2021-10-28 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-08-26 | 2021-10-28 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-08-26 | 2021-10-28 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2021-08-26 | 2021-10-28 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-08-26 | 2021-10-28 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2021-08-26 | 2021-10-28 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-12-03 | 2019-01-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-12-03 | 2019-01-31 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-12-03 | 2019-01-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-12-03 | 2019-01-31 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-12-03 | 2019-01-31 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-12-03 | 2019-01-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-12-03 | 2019-01-31 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-12-03 | 2019-01-31 | N |
| Establish staff and initial training requirements. | Fire Safety | 2018-12-03 | 2019-01-31 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-12-03 | 2019-01-31 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-12-03 | 2019-01-31 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2018-12-03 | 2019-01-31 | N |
