Deficiency Records for Elmwood Care Center
Updated as of June 01, 2022
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? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-04-08 | 2021-05-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-04-08 | 2021-05-10 | Y |
| 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 |
| 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 requirements for the use of electrical equipment. | 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 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 |
| 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 requirements for the use of electrical equipment. | 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 |
