Deficiency Records for Ellis Residential and Rehabilitation Center
Updated as of March 01, 2019
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? |
|---|---|---|---|---|
| 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 | 2017-06-20 | 2017-08-04 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-06-20 | 2017-08-04 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2017-06-20 | 2017-08-04 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-06-20 | 2017-08-04 | 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 | 2017-06-20 | 2017-08-04 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-06-20 | 2017-08-04 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-11-22 | 2017-01-06 | Y |
| 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 |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-01-11 | Not Fixed | 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 | Not Fixed | 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 | Not Fixed | 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 | Not Fixed | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-01-11 | Not Fixed | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-01-11 | Not Fixed | 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 | Not Fixed | 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 | Not Fixed | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2019-01-11 | Not Fixed | N |
| Dispose of garbage and refuse properly. | Health | 2019-01-11 | Not Fixed | N |
| Provide and implement an infection prevention and control program. | Health | 2019-01-11 | Not Fixed | N |
