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 26 to 50 of 50 citations

  1. 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 September 1, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 30, 2022).

  2. 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).

  3. 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).

  4. 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).

  5. 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).

  6. 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).

  7. 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).

  8. 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).

  9. 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).

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

    Allow residents to self-administer drugs if determined clinically appropriate.

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

    Health citation F-0554, Resident Rights Deficiencies. Inspection of August 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 21, 2024).

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

    Reasonably accommodate the needs and preferences of each resident.

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

    Health citation F-0558, Resident Rights Deficiencies. Inspection of August 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 21, 2024).

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

    Provide care and assistance to perform activities of daily living for any resident who is unable.

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

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of August 22, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (October 21, 2024).

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

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of August 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 21, 2024).

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

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

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

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of August 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 21, 2024).

  15. 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 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 21, 2024).

  16. 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 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 10, 2024).

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

    Have an enclosure around a vertical opening shaft.

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

    Fire safety citation K-0311, Smoke Deficiencies. Inspection of August 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 21, 2024).

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

    Have restrictions on the use of portable space heaters.

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

    Fire safety citation K-0781, Miscellaneous Deficiencies. Inspection of August 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 21, 2024).

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

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

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

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of August 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 26, 2024).

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

    Ensure proper usage of power strips and extension cords.

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

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of August 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 21, 2024).

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

    Respond appropriately to all alleged violations.

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

    Health citation F-0610, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of April 10, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 31, 2024).

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

    Provide enough food/fluids to maintain a resident's health.

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

    Health citation F-0692, Quality of Life and Care Deficiencies. Inspection of September 1, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 28, 2022).

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

    Install an approved automatic sprinkler system.

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

    Fire safety citation K-0351, Smoke Deficiencies. Inspection of September 1, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 30, 2022).

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

    Install corridor and hallway doors that block smoke.

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

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of September 1, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 30, 2022).

  25. No harm, with potential for minimal harm

    Post nurse staffing information every day.

    Widespread (many residents). CMS level C.

    Health citation F-0732, Nursing and Physician Services Deficiencies. Inspection of September 1, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 28, 2022).

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.