Deficiency Records for Ellis Residential and Rehabilitation Center
Updated as of September 01, 2016
This is not the most recent data for Ellis Residential and Rehabilitation Center. For the most recent information, click here.
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? |
|---|---|---|---|---|
| Proper stairway enclosures and vertical shafts. | Fire Safety | 2016-04-21 | 2016-05-16 | N |
| Exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2016-04-21 | 2016-05-16 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2016-04-21 | 2016-05-16 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2016-04-21 | 2016-05-16 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2016-04-21 | 2016-05-16 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-04-21 | 2016-05-16 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-04-21 | 2016-05-16 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-02-22 | 2016-03-11 | Y |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2015-02-13 | 2015-03-12 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2015-02-13 | 2015-03-12 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2015-02-13 | 2015-03-12 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-02-13 | 2015-03-12 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-02-13 | 2015-03-12 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2015-02-13 | 2015-03-12 | N |
| Provide bedrooms that don't allow residents to see each other when privacy is needed. | Health | 2015-02-13 | 2015-03-12 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2014-12-23 | 2015-01-16 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2014-08-20 | 2014-08-29 | Y |
| Exits that are accessible at all times. | Fire Safety | 2014-07-17 | 2014-08-28 | N |
| Properly maintained smoke detectors. | Fire Safety | 2014-07-17 | 2014-08-28 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2014-07-17 | 2014-08-28 | N |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2014-07-17 | 2014-08-28 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2014-07-17 | 2014-08-28 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2014-07-17 | 2014-08-28 | N |
| Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . | Health | 2014-07-17 | 2014-08-28 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2014-07-17 | 2014-08-28 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2013-09-16 | 2013-09-27 | Y |
| Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . | Health | 2013-09-16 | 2013-09-27 | Y |
| Operate and provide services according to Federal, State, and local laws and professional standards. | Health | 2013-09-16 | 2013-09-27 | Y |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility | Health | 2013-09-16 | 2013-09-27 | Y |
