A list of the most recent deficiencies for Elizabeth Care 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? |
---|---|---|---|---|
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-12-06 | 2023-01-25 | N |
Provide properly protected cooking facilities. | Fire Safety | 2022-12-06 | 2023-01-25 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-12-06 | 2023-01-25 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-06 | 2023-01-25 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-12-06 | 2023-01-25 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-12-06 | 2023-01-25 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2022-12-06 | 2023-01-25 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-12-06 | 2023-01-25 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-12-06 | 2023-01-25 | N |
Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2022-12-06 | 2023-01-25 | N |
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2022-12-07 | 2023-01-23 | 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 | 2022-12-07 | 2023-01-23 | N |
Ensure each resident receives an accurate assessment. | Health | 2022-12-07 | 2023-01-23 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-12-07 | 2023-01-23 | 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 | 2022-12-07 | 2023-01-23 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-12-07 | 2023-01-23 | 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 | 2022-12-07 | 2023-01-23 | 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 | 2022-12-07 | 2023-01-23 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-12-07 | 2023-01-23 | N |
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2022-12-07 | 2023-01-23 | N |
Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-08-17 | 2021-09-29 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-08-17 | 2021-09-29 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-08-17 | 2021-09-29 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-08-17 | 2021-09-29 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2021-08-17 | 2021-09-29 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-08-17 | 2021-09-29 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-08-17 | 2021-09-29 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-08-18 | 2021-09-27 | 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 | 2021-08-18 | 2021-09-27 | N |
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-08-18 | 2021-09-27 | 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 | 2021-08-18 | 2021-09-27 | N |
Ensure each resident receives an accurate assessment. | Health | 2021-08-18 | 2021-09-27 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-08-18 | 2021-09-27 | 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 | 2021-08-18 | 2021-09-27 | N |
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2021-08-18 | 2021-09-27 | N |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-08-18 | 2021-09-27 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-08-18 | 2021-09-27 | N |
Provide and implement an infection prevention and control program. | Health | 2021-08-18 | 2021-09-27 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-06-15 | 2021-07-02 | Y |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-09-01 | 2020-09-21 | N |
Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2020-09-01 | 2020-09-21 | 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 | 2020-09-01 | 2020-09-05 | N |
Provide and implement an infection prevention and control program. | Health | 2020-09-01 | 2020-09-05 | N |