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Deficiency Records for Ellis Residential and Rehabilitation Center

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.

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

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