Deficiency Records for Eliseo
Updated as of July 01, 2018
This is not the most recent data for Eliseo. For the most recent information, click here.
A list of the most recent deficiencies for Eliseo. 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 a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-05-22 | 2018-06-29 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2018-05-22 | 2018-06-29 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-05-22 | 2018-06-29 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2018-05-22 | 2018-06-29 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2018-05-22 | 2018-06-29 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-05-22 | 2018-06-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-05-22 | 2018-06-29 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2018-05-22 | 2018-06-29 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-05-22 | 2018-06-29 | 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 ne | Health | 2018-05-22 | 2018-06-29 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-05-22 | 2018-06-29 | 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 | 2018-05-22 | 2018-06-29 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2018-05-22 | 2018-06-29 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-05-22 | 2018-06-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-05-22 | 2018-06-29 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-05-17 | 2018-06-28 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-05-17 | 2018-06-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-05-17 | 2018-06-28 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-05-17 | 2018-06-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-05-17 | 2018-06-28 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-05-17 | 2018-06-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-11-29 | 2017-12-31 | Y |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2017-07-03 | 2017-08-10 | 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 | 2017-07-03 | 2017-08-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-07-03 | 2017-08-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-07-03 | 2017-08-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-07-03 | 2017-08-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-07-03 | 2017-08-10 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-07-03 | 2017-08-10 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-06-27 | 2017-07-28 | Y |
| 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 | 2017-06-27 | 2017-07-24 | Y |
| Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients. | Health | 2017-06-27 | 2017-07-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-06-27 | 2017-07-24 | Y |
| 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 | 2016-07-27 | 2016-08-26 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-07-27 | 2016-08-26 | N |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2016-07-27 | 2016-08-26 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-07-27 | 2016-08-26 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-07-27 | 2016-08-26 | N |
| Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture. | Health | 2016-07-27 | 2016-08-26 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-07-07 | 2016-08-15 | Y |
| Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. | Health | 2016-04-29 | 2016-05-18 | Y |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2016-04-29 | 2016-05-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-03-14 | 2016-04-09 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-02-01 | 2016-03-04 | Y |
| 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 | 2016-02-01 | 2016-03-04 | Y |
| Ensure that residents are safe from serious medication errors. | Health | 2016-02-01 | 2016-03-04 | Y |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2016-02-01 | 2016-03-04 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2016-02-01 | 2016-03-04 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-08-04 | 2015-10-02 | Y |
