All citations for Elmbrook of Hugo

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 Elmbrook of Hugo

Last standard health inspection on record

May 6, 2025

Showing 1 to 25 of 26 citations

  1. Immediate jeopardy to resident health or safety

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

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

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of May 6, 2025. Found during a standard inspection and a complaint inspection.

    Past non-compliance: already corrected by the time of the inspection (March 5, 2025).

  2. Immediate jeopardy to resident health or safety

    Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

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

    Health citation F-0678, Quality of Life and Care Deficiencies. Inspection of June 21, 2024. Found during a complaint inspection.

    Past non-compliance: already corrected by the time of the inspection (June 12, 2024).

  3. Harm to a resident

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

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

    Health citation F-0580, Resident Rights Deficiencies. Inspection of June 21, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 1, 2024).

  4. 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 May 6, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 19, 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.

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of December 7, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 9, 2024).

  6. 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 July 15, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 24, 2022).

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

    Have properly located and lighted "Exit" signs.

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

    Fire safety citation K-0293, Egress Deficiencies. Inspection of May 6, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 19, 2025).

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

    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.

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

    Health citation F-0688, Quality of Life and Care Deficiencies. Inspection of December 7, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 9, 2024).

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

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

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

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of July 15, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 24, 2022).

  10. 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 July 15, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 24, 2022).

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

    Install emergency lighting that can last at least 1 1/2 hours.

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

    Fire safety citation K-0291, Egress Deficiencies. Inspection of July 15, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 24, 2022).

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

    Meet other general requirements that are deficient.

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

    Fire safety citation K-0300, Egress Deficiencies. Inspection of July 15, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 26, 2022).

  13. 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.

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

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of July 15, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 24, 2022).

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

    Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

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

    Fire safety citation K-0362, Smoke Deficiencies. Inspection of July 15, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 24, 2022).

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

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

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

    Fire safety citation K-0521, Services Deficiencies. Inspection of July 15, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 24, 2022).

  16. 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 May 6, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 7, 2025).

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

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

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

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of May 6, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 7, 2025).

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

    Provide safe and appropriate respiratory care for a resident when needed.

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

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of May 6, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 7, 2025).

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

    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.

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

    Health citation F-0578, Resident Rights Deficiencies. Inspection of June 21, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 1, 2024).

  20. 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 June 21, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 1, 2024).

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

    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.

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

    Health citation F-0578, Resident Rights Deficiencies. Inspection of December 7, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 11, 2024).

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

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

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

    Health citation F-0582, Resident Rights Deficiencies. Inspection of December 7, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 8, 2024).

  23. 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 December 7, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 8, 2024).

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

    PASARR screening for Mental disorders or Intellectual Disabilities

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

    Health citation F-0645, Resident Assessment and Care Planning Deficiencies. Inspection of December 7, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 10, 2023).

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

    Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

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

    Health citation F-0661, Resident Assessment and Care Planning Deficiencies. Inspection of December 7, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 10, 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.