Deficiency Records for Elmwood Care Center
Updated as of July 01, 2021
This is not the most recent data for Elmwood Care Center. For the most recent information, click here.
A list of the most recent deficiencies for Elmwood 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? |
---|---|---|---|---|
Report COVID19 data to residents and families. | Health | 2021-03-23 | 2021-04-21 | Y |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2020-10-19 | 2020-12-01 | Y |
Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2020-02-04 | 2020-03-04 | N |
Provide emergency officials' contact information. | Fire Safety | 2020-02-04 | 2020-03-04 | N |
Establish staff and initial training requirements. | Fire Safety | 2020-02-04 | 2020-03-04 | N |
Use approved construction type or materials. | Fire Safety | 2020-02-04 | 2020-03-04 | 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 | 2020-02-04 | 2020-03-04 | N |
Provide properly protected cooking facilities. | Fire Safety | 2020-02-04 | 2020-03-04 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-02-04 | 2020-03-04 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2020-02-04 | 2020-03-04 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2020-02-04 | 2020-03-04 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-02-04 | 2020-03-04 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2020-02-04 | 2020-03-04 | N |
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2020-02-04 | 2020-03-04 | N |
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2019-12-12 | 2020-01-12 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-12-12 | 2020-01-12 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-12-12 | 2020-01-12 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-12-12 | 2020-01-12 | N |
Post nurse staffing information every day. | Health | 2019-12-12 | 2020-01-12 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-12-12 | 2020-01-12 | N |
Provide and implement an infection prevention and control program. | Health | 2019-12-12 | 2020-01-12 | N |
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-12-12 | 2020-01-12 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-12-11 | 2019-12-12 | Y |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-08-20 | 2019-09-12 | Y |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-07-09 | 2019-08-02 | Y |
Ensure that residents are free from significant medication errors. | Health | 2019-07-09 | 2019-08-02 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-02-16 | 2019-03-20 | Y |
Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting. | Health | 2019-02-15 | 2019-03-20 | 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 | 2019-01-10 | 2019-01-29 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-01-10 | 2019-01-29 | 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 | 2019-01-10 | 2019-01-29 | N |
Provide properly protected cooking facilities. | Fire Safety | 2019-01-10 | 2019-01-29 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-01-10 | 2019-01-29 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-01-10 | 2019-01-29 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-01-10 | 2019-01-29 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2019-01-10 | 2019-01-29 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-01-10 | 2019-01-29 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2019-01-10 | 2019-01-29 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-01-10 | 2019-01-29 | N |
Meet other general requirements that are deficient. | Fire Safety | 2019-01-10 | 2019-01-29 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-01-10 | 2019-01-29 | N |
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2018-11-13 | 2019-01-08 | Y |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-12-05 | 2019-01-07 | Y |
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 | 2018-10-25 | 2018-11-25 | N |
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2018-10-25 | 2018-11-25 | 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 | 2018-10-25 | 2018-11-25 | N |
PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2018-10-25 | 2018-11-25 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-10-25 | 2018-11-25 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-10-25 | 2018-11-25 | N |
Provide and implement an infection prevention and control program. | Health | 2018-10-25 | 2018-11-25 | N |
Keep all essential equipment working safely. | Health | 2018-10-25 | 2018-11-25 | N |
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2018-10-25 | 2018-11-25 | N |
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2018-09-28 | 2018-10-29 | Y |
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-09-28 | 2018-10-29 | Y |
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 | 2017-11-15 | 2017-12-18 | 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 | 2017-11-15 | 2017-12-18 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-11-15 | 2017-12-18 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-11-15 | 2017-12-18 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2017-11-15 | 2017-12-18 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2017-11-15 | 2017-12-18 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-11-15 | 2017-12-18 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2017-11-15 | 2017-12-18 | N |
Have restrictions on the use of highly flammable decorations. | Fire Safety | 2017-11-15 | 2017-12-18 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-11-15 | 2017-12-18 | N |
Meet other general requirements that are deficient. | Fire Safety | 2017-11-15 | 2017-12-18 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-11-15 | 2017-12-18 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2017-11-15 | 2017-12-18 | 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 | 2017-11-02 | 2017-12-02 | N |
Provide housekeeping and maintenance services. | Health | 2017-11-02 | 2017-12-02 | N |
Ensure that residents are safe from serious medication errors. | Health | 2017-11-02 | 2017-12-02 | N |
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2017-11-02 | 2017-12-02 | N |
Store, cook, and serve food in a safe and clean way. | Health | 2017-11-02 | 2017-12-02 | N |
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2017-11-02 | 2017-12-02 | N |
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2017-11-02 | 2017-12-02 | N |
Provide and implement an infection prevention and control program. | Health | 2021-01-05 | Not Fixed | N |