CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Ellen Memorial Rehabilitation and Healthcare Cente
View the most recent health deficiencies and inspection results for Ellen Memorial Rehabilitation and Healthcare Cente. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Ellen Memorial Rehabilitation and Healthcare Cente. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2025-12-10 | 2026-01-08 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-12-10 | 2026-01-08 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-12-10 | 2026-01-08 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-04-09 | 2025-05-06 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-01-10 | 2025-03-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-01-10 | 2025-03-11 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-01-10 | 2025-03-11 | 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 | 2025-01-10 | 2025-03-11 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2025-01-10 | 2025-02-18 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2025-01-10 | 2025-02-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-01-10 | 2025-02-18 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-03-15 | 2024-05-14 | N |
| Respond appropriately to all alleged violations. | Health | 2024-03-15 | 2024-05-14 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-03-15 | 2024-05-14 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2024-03-15 | 2024-05-14 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2024-03-15 | 2024-05-14 | N |
| Provide activities to meet all resident's needs. | Health | 2024-03-15 | 2024-05-14 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-03-15 | 2024-04-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-03-15 | 2024-04-23 | 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 | 2024-03-15 | 2024-04-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-05 | 2023-10-31 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-08-29 | 2023-10-05 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-03-17 | 2023-04-13 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2023-03-17 | 2023-04-13 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-03-17 | 2023-04-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-17 | 2023-04-13 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-03-17 | 2023-04-13 | 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 | 2023-03-17 | 2023-04-13 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2023-03-17 | 2023-04-13 | 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 | 2023-03-17 | 2023-04-13 | N |
| Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | Health | 2023-03-17 | 2023-04-13 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-03-17 | 2023-04-13 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2023-03-17 | 2023-04-13 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-03-17 | 2023-04-13 | 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 | 2023-03-17 | 2023-04-13 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-03-17 | 2023-04-13 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-03-17 | 2023-04-13 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2023-03-17 | 2023-04-13 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2023-03-17 | 2023-04-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-03-17 | 2023-04-13 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2026-03-31 | Not Fixed | Y |