Deficiency Records for Elmwood Care Center
Updated as of November 01, 2023
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? |
---|---|---|---|---|
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-06-26 | 2023-07-26 | Y |
Use approved construction type or materials. | Fire Safety | 2023-01-19 | 2023-01-19 | Y |
Meet requirements for the use of electrical equipment. | Fire Safety | 2023-01-19 | 2023-01-19 | Y |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-07-28 | 2022-10-10 | N |
Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-07-28 | 2022-10-10 | N |
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-07-28 | 2022-10-10 | N |
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2022-07-28 | 2022-10-10 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-07-28 | 2022-10-10 | 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 | 2022-07-28 | 2022-10-10 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2022-07-28 | 2022-10-10 | N |
Ensure that residents are free from significant medication errors. | Health | 2022-07-28 | 2022-10-10 | 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 | 2022-07-28 | 2022-10-10 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-07-28 | 2022-10-10 | N |
Dispose of garbage and refuse properly. | Health | 2022-07-28 | 2022-10-10 | N |
Provide and implement an infection prevention and control program. | Health | 2022-07-28 | 2022-10-10 | N |
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2022-07-28 | 2022-10-10 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-08-15 | 2022-09-03 | Y |
Respond appropriately to all alleged violations. | Health | 2022-08-15 | 2022-09-03 | Y |
List the names and contact information of those in the facility. | Fire Safety | 2022-08-01 | 2022-08-22 | N |
Provide emergency officials' contact information. | Fire Safety | 2022-08-01 | 2022-08-22 | N |
Provide primary/alternate means for communication. | Fire Safety | 2022-08-01 | 2022-08-22 | N |
Use approved construction type or materials. | Fire Safety | 2022-08-01 | 2022-08-22 | 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 | 2022-08-01 | 2022-08-22 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-01 | 2022-08-22 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-08-01 | 2022-08-22 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2022-08-01 | 2022-08-22 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-08-01 | 2022-08-22 | N |
Meet requirements for the use of electrical equipment. | Fire Safety | 2022-08-01 | 2022-08-22 | N |
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 |
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2021-03-24 | 2021-04-19 | 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 |
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 and implement an infection prevention and control program. | Health | 2022-05-24 | Not Fixed | N |
Ensure staff are vaccinated for COVID-19 | Health | 2022-05-24 | Not Fixed | N |
Provide and implement an infection prevention and control program. | Health | 2021-01-05 | Not Fixed | N |