All citations for Ellen Memorial Rehabilitation and Healthcare Cente

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 Ellen Memorial Rehabilitation and Healthcare Cente

Last standard health inspection on record

January 10, 2025

Showing 1 to 16 of 16 citations

  1. 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.

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of March 17, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 13, 2023).

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

    Provide and implement an infection prevention and control program.

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

    Health citation F-0880, Infection Control Deficiencies. Inspection of October 5, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 31, 2023).

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

    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.

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

    Health citation F-0585, Resident Rights Deficiencies. Inspection of March 17, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 13, 2023).

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

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

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

    Health citation F-0690, Quality of Life and Care Deficiencies. Inspection of March 17, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 13, 2023).

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

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

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

    Health citation F-0756, Pharmacy Service Deficiencies. Inspection of March 17, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 13, 2023).

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

    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.

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

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of March 17, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 13, 2023).

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

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

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

    Health citation F-0804, Nutrition and Dietary Deficiencies. Inspection of March 17, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 13, 2023).

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

    Implement a program that monitors antibiotic use.

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

    Health citation F-0881, Infection Control Deficiencies. Inspection of March 17, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 13, 2023).

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

    Ensure each resident receives an accurate assessment.

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

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of March 17, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 13, 2023).

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

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

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

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of March 17, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 13, 2023).

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

    Provide safe, appropriate pain management for a resident who requires such services.

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

    Health citation F-0697, Quality of Life and Care Deficiencies. Inspection of March 17, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 13, 2023).

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

    Provide care or services that was trauma informed and/or culturally competent.

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

    Health citation F-0699, Quality of Life and Care Deficiencies. Inspection of March 17, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 13, 2023).

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

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

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

    Health citation F-0725, Nursing and Physician Services Deficiencies. Inspection of March 17, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 13, 2023).

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

    Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.

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

    Health citation F-0729, Nursing and Physician Services Deficiencies. Inspection of March 17, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 13, 2023).

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

    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.

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

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of March 17, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 13, 2023).

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

    Ensure staff are vaccinated for COVID-19

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

    Health citation F-0888, Infection Control Deficiencies. Inspection of March 17, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 13, 2023).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.