Deficiency Records for St Elizabeth Nursing Home
Updated as of October 01, 2017
This is not the most recent data for St Elizabeth Nursing Home. For the most recent information, click here.
A list of the most recent deficiencies for St Elizabeth Nursing Home. 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-06-26 | 2017-08-16 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-06-26 | 2017-08-16 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-06-26 | 2017-08-16 | N |
| 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 | 2017-06-26 | 2017-08-16 | N |
| Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2017-06-26 | 2017-08-16 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-06-26 | 2017-08-16 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-06-26 | 2017-08-16 | N |
| 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 | 2017-06-26 | 2017-08-16 | 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 | 2016-10-31 | 2016-11-22 | 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 | 2016-06-21 | 2016-07-13 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-06-21 | 2016-07-13 | N |
| Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. | Health | 2016-06-21 | 2016-07-13 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-06-21 | 2016-07-13 | N |
| Give each resident enough fluids to keep them healthy and prevent dehydration. | Health | 2016-06-21 | 2016-07-13 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2016-06-21 | 2016-07-13 | N |
| Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2016-06-21 | 2016-07-13 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-06-21 | 2016-07-13 | N |
| 1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. | Health | 2016-06-21 | 2016-07-13 | N |
| Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. | Health | 2016-06-21 | 2016-07-13 | N |
| 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 | 2016-01-21 | 2016-02-16 | 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 | 2016-01-21 | 2016-02-16 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-01-21 | 2016-02-16 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-07-16 | 2015-08-08 | Y |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-04-08 | 2015-05-01 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2015-04-08 | 2015-04-30 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-04-08 | 2015-04-28 | N |
| Allow residents to self-administer drugs if determined safe. | Health | 2015-04-08 | 2015-04-24 | N |
| Give each resident enough fluids to keep them healthy and prevent dehydration. | Health | 2015-04-08 | 2015-04-24 | N |
| 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 | 2015-04-08 | 2015-04-24 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2015-04-08 | 2015-04-20 | N |
| 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 | 2015-04-08 | 2015-04-15 | N |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2015-01-22 | 2015-02-12 | 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 | 2015-01-22 | 2015-02-12 | 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 | 2015-01-22 | 2015-02-12 | Y |
| Post nurse staffing information/data on a daily basis. | Health | 2015-01-22 | 2015-02-12 | Y |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2015-01-22 | 2015-02-12 | Y |
| Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care. | Health | 2015-01-22 | 2015-02-12 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-06-26 | Not Fixed | N |
