Deficiency Records for Ellis Residential and Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Ellis Residential 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? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-10-04 | 2022-11-21 | N |
| Provide activities to meet all resident's needs. | Health | 2022-10-04 | 2022-11-21 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2022-10-04 | 2022-11-21 | 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 | 2022-10-04 | 2022-11-21 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2022-10-04 | 2022-11-21 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2022-10-04 | 2022-11-21 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2020-01-22 | 2020-02-24 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2020-01-22 | 2020-02-17 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-01-22 | 2020-02-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-01-22 | 2020-02-14 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2020-01-22 | 2020-02-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-01-22 | 2020-02-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-01-11 | 2019-02-28 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-01-11 | 2019-02-28 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2019-01-11 | 2019-02-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-01-11 | 2019-02-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-01-11 | 2019-02-19 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-01-11 | 2019-02-14 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-01-11 | 2019-02-12 | N |
| 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 | 2019-01-11 | 2019-02-12 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2019-01-11 | 2019-02-06 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-01-11 | 2019-02-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-01-11 | 2019-02-04 | N |
| Dispose of garbage and refuse properly. | Health | 2019-01-11 | 2019-02-04 | N |
