Deficiency Records for Eliseo
Updated as of May 01, 2020
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? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-01-22 | 2020-03-02 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2019-07-15 | 2019-08-26 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2019-07-15 | 2019-08-26 | 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 | 2019-07-15 | 2019-08-26 | 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 | 2019-07-15 | 2019-08-26 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-07-15 | 2019-08-26 | N |
| Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | Health | 2019-07-15 | 2019-08-26 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-07-15 | 2019-08-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-07-15 | 2019-08-26 | 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 | 2019-07-15 | 2019-08-26 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-07-15 | 2019-08-26 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-07-15 | 2019-08-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-07-15 | 2019-08-26 | 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 | 2019-07-15 | 2019-08-26 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-07-15 | 2019-08-26 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install | Health | 2019-07-15 | 2019-08-26 | N |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2019-07-15 | 2019-08-26 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-07-15 | 2019-08-26 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-07-15 | 2019-08-26 | N |
| Provide or obtain dental services for each resident. | Health | 2019-07-15 | 2019-08-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-07-15 | 2019-08-26 | 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 | 2019-07-15 | 2019-08-26 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-07-15 | 2019-08-26 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-07-15 | 2019-08-26 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-07-11 | 2019-08-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-07-11 | 2019-07-30 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2019-07-11 | 2019-07-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-07-11 | 2019-07-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-07-11 | 2019-07-26 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-07-11 | 2019-07-24 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-07-11 | 2019-07-24 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-07-11 | 2019-07-24 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-07-11 | 2019-07-24 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-07-11 | 2019-07-24 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-07-11 | 2019-07-24 | N |
| Be properly staffed | Fire Safety | 2019-07-11 | 2019-07-24 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-07-11 | 2019-07-24 | 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 | 2018-11-29 | 2018-12-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-09-04 | 2018-10-08 | Y |
| 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 |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-05-17 | 2018-06-28 | 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 |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-05-11 | 2018-06-12 | Y |
| 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 |
