Deficiency Records for Elan Skilled Nursing and Rehab, A Jewish Senior Li
Updated as of March 01, 2024
A list of the most recent deficiencies for Elan Skilled Nursing and Rehab, A Jewish Senior Li. 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? |
|---|---|---|---|---|
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-02-10 | 2023-04-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-10 | 2023-04-10 | N |
| Use approved construction type or materials. | Fire Safety | 2023-02-28 | 2023-03-31 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-02-28 | 2023-03-31 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-02-28 | 2023-03-31 | 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 | 2023-02-28 | 2023-03-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-28 | 2023-03-31 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-02-28 | 2023-03-31 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-02-28 | 2023-03-31 | N |
| Use approved construction type or materials. | Fire Safety | 2022-04-25 | 2022-06-23 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-04-25 | 2022-06-23 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2022-04-25 | 2022-06-23 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2022-04-25 | 2022-06-23 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2022-04-25 | 2022-06-23 | 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 | 2022-04-25 | 2022-06-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-25 | 2022-06-23 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-04-25 | 2022-06-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-04-25 | 2022-06-23 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2022-04-25 | 2022-06-23 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2022-04-15 | 2022-06-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-15 | 2022-06-08 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-04-15 | 2022-06-08 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-04-15 | 2022-06-08 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-04-15 | 2022-06-08 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-05-21 | 2021-06-30 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-05-21 | 2021-06-30 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-05-21 | 2021-06-30 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2021-05-21 | 2021-06-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-05-21 | 2021-06-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-05-21 | 2021-06-30 | N |
| Perform COVID19 testing on residents and staff. | Health | 2021-05-21 | 2021-06-30 | N |
| Use approved construction type or materials. | Fire Safety | 2021-05-25 | 2021-06-30 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2021-05-25 | 2021-06-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-05-25 | 2021-06-30 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-05-25 | 2021-06-30 | N |
