All citations for Elizabeth Church Manor Nursing Home

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Elizabeth Church Manor Nursing Home

Last standard health inspection on record

August 1, 2025

Showing 1 to 18 of 18 citations

  1. No harm, with potential for more than minimal harm

    Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

    Widespread (many residents). CMS level F.

    Health citation F-0802, Nutrition and Dietary Deficiencies. Inspection of August 1, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 26, 2025).

  2. No harm, with potential for more than minimal harm

    Have approved installation, maintenance and testing program for fire alarm systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of August 1, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 26, 2025).

  3. No harm, with potential for more than minimal harm

    Have generator or other power source capable of supplying service within 10 seconds.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of August 1, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 2, 2025).

  4. No harm, with potential for more than minimal harm

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0550, Resident Rights Deficiencies. Inspection of August 1, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 26, 2025).

  5. No harm, with potential for more than minimal harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of August 1, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 26, 2025).

  6. No harm, with potential for more than minimal harm

    Dispose of garbage and refuse properly.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0814, Nutrition and Dietary Deficiencies. Inspection of August 1, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 26, 2025).

  7. No harm, with potential for more than minimal harm

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0211, Egress Deficiencies. Inspection of August 1, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 26, 2025).

  8. No harm, with potential for more than minimal harm

    Have stairways and smokeproof enclosures used as exits that meet safety requirements.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0225, Egress Deficiencies. Inspection of August 1, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 26, 2025).

  9. No harm, with potential for more than minimal harm

    Have properly installed electrical wiring and gas equipment.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0511, Services Deficiencies. Inspection of August 1, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 26, 2025).

  10. No harm, with potential for more than minimal harm

    Ensure proper usage of power strips and extension cords.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of August 1, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 26, 2025).

  11. No harm, with potential for more than minimal harm

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0605, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of August 1, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 26, 2025).

  12. No harm, with potential for more than minimal harm

    Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0838, Administration Deficiencies. Inspection of August 1, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 26, 2025).

  13. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0880, Infection Control Deficiencies. Inspection of August 1, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 26, 2025).

  14. No harm, with potential for more than minimal harm

    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0882, Infection Control Deficiencies. Inspection of August 1, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 26, 2025).

  15. No harm, with potential for more than minimal harm

    Address subsistence needs for staff and patients.

    Isolated (one or a few residents). CMS level D.

    Emergency preparedness citation E-0015, Emergency Preparedness Deficiencies. Inspection of August 1, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 26, 2025).

  16. No harm, with potential for more than minimal harm

    Install a two-hour-resistant firewall separation.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0133, Construction Deficiencies. Inspection of August 1, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 26, 2025).

  17. No harm, with potential for more than minimal harm

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of August 1, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 26, 2025).

  18. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of August 1, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 2, 2025).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.