Deficiency Records for Ellicott Center For Rehabilitation and Nursing
Updated as of April 01, 2024
A list of the most recent deficiencies for Ellicott Center For Rehabilitation and Nursing. 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-10-04 | 2023-11-21 | N |
| 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 | 2023-10-04 | 2023-11-21 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-10-04 | 2023-11-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-04 | 2023-11-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-04 | 2023-11-21 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-10-04 | 2023-11-21 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-10-04 | 2023-11-21 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-10-04 | 2023-11-21 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-10-04 | 2023-11-21 | Y |
| Address patient/client population and determine types of services needed. | Fire Safety | 2023-10-04 | 2023-11-21 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-10-04 | 2023-11-21 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-10-04 | 2023-11-21 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-10-04 | 2023-11-21 | 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 | 2023-10-04 | 2023-11-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-10-04 | 2023-11-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-10-04 | 2023-11-21 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-10-04 | 2023-11-21 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-10-04 | 2023-11-21 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-10-04 | 2023-11-21 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-10-04 | 2023-11-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-10-04 | 2023-11-21 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-10-04 | 2023-11-21 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-10-04 | 2023-11-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-21 | 2023-03-08 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-01-20 | 2023-03-08 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-01-20 | 2023-03-08 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-01-20 | 2023-03-08 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-01-20 | 2023-03-08 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2021-11-09 | 2021-12-21 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2021-09-22 | 2021-11-03 | N |
| 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 | 2021-09-22 | 2021-11-03 | 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 | 2021-09-22 | 2021-11-03 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-09-22 | 2021-11-03 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2021-09-22 | 2021-11-03 | 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 | 2021-09-22 | 2021-11-03 | N |
| Dispose of garbage and refuse properly. | Health | 2021-09-22 | 2021-11-03 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2021-09-22 | 2021-11-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-09-22 | 2021-11-03 | N |
| Respond appropriately to all alleged violations. | Health | 2021-09-22 | 2021-11-03 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2021-09-22 | 2021-11-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-09-22 | 2021-11-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-09-22 | 2021-11-03 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2021-09-22 | 2021-11-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-24 | 2020-03-30 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2020-02-24 | 2020-03-30 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2020-02-24 | 2020-03-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-02-24 | 2020-03-30 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-02-24 | 2020-03-30 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2020-02-24 | 2020-03-30 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2020-02-24 | 2020-03-30 | N |
| Use approved construction type or materials. | Fire Safety | 2023-10-04 | Not Fixed | N |
| Use approved construction type or materials. | Fire Safety | 2021-09-22 | Not Fixed | N |
| Use approved construction type or materials. | Fire Safety | 2020-02-24 | Not Fixed | N |
