All citations for Elmhaven East

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 Elmhaven East

Last standard health inspection on record

June 10, 2026

Showing 1 to 25 of 57 citations

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 June 10, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (July 13, 2026).
No harm, with potential for more than minimal harm
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Widespread (many residents). CMS level F.
Health citation F-0947, Nursing and Physician Services Deficiencies. Inspection of June 10, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (July 13, 2026).
No harm, with potential for more than minimal harm
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Widespread (many residents). CMS level F.
Health citation F-0727, Nursing and Physician Services Deficiencies. Inspection of April 23, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 28, 2025).
No harm, with potential for more than minimal harm
Install emergency lighting that can last at least 1 1/2 hours.
Widespread (many residents). CMS level F.
Fire safety citation K-0291, Egress Deficiencies. Inspection of April 23, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (June 24, 2025).
No harm, with potential for more than minimal harm
Provide properly protected cooking facilities.
Widespread (many residents). CMS level F.
Fire safety citation K-0324, Smoke Deficiencies. Inspection of April 23, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (June 24, 2025).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0353, Smoke Deficiencies. Inspection of April 23, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (June 16, 2025).
No harm, with potential for more than minimal harm
Have simulated fire drills held at unexpected times.
Widespread (many residents). CMS level F.
Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of April 23, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (June 24, 2025).
No harm, with potential for more than minimal harm
Establish policies and procedures for medical documentation.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0023, Emergency Preparedness Deficiencies. Inspection of August 10, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (October 16, 2023).
No harm, with potential for more than minimal harm
Have properly located and lighted "Exit" signs.
Widespread (many residents). CMS level F.
Fire safety citation K-0293, Egress Deficiencies. Inspection of August 10, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (October 16, 2023).
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.
Widespread (many residents). CMS level F.
Fire safety citation K-0321, Smoke Deficiencies. Inspection of August 10, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (October 16, 2023).
No harm, with potential for more than minimal harm
Provide properly protected cooking facilities.
Widespread (many residents). CMS level F.
Fire safety citation K-0324, Smoke Deficiencies. Inspection of August 10, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (October 16, 2023).
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 10, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (October 16, 2023).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0353, Smoke Deficiencies. Inspection of August 10, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (October 16, 2023).
No harm, with potential for more than minimal harm
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Widespread (many residents). CMS level F.
Fire safety citation K-0372, Smoke Deficiencies. Inspection of August 10, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (October 16, 2023).
No harm, with potential for more than minimal harm
Have properly installed electrical wiring and gas equipment.
Widespread (many residents). CMS level F.
Fire safety citation K-0511, Services Deficiencies. Inspection of August 10, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (October 16, 2023).
No harm, with potential for more than minimal harm
Have simulated fire drills held at unexpected times.
Widespread (many residents). CMS level F.
Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of August 10, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (October 16, 2023).
No harm, with potential for more than minimal harm
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Widespread (many residents). CMS level F.
Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of August 10, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (October 16, 2023).
No harm, with potential for more than minimal harm
Ensure proper usage of power strips and extension cords.
Widespread (many residents). CMS level F.
Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of August 10, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (October 16, 2023).
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 June 10, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (July 13, 2026).
No harm, with potential for more than minimal harm
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.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0222, Egress Deficiencies. Inspection of June 10, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (July 20, 2026).
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 June 10, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (July 20, 2026).
No harm, with potential for more than minimal harm
Install corridor and hallway doors that block smoke.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0363, Smoke Deficiencies. Inspection of June 10, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (July 16, 2026).
No harm, with potential for more than minimal harm
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0372, Smoke Deficiencies. Inspection of June 10, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (July 23, 2026).
No harm, with potential for more than minimal harm
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Pattern (more than a few residents). CMS level E.
Health citation F-0636, Resident Assessment and Care Planning Deficiencies. Inspection of April 23, 2025. Found during a standard inspection and a complaint inspection.
The home gave a date the problem would be corrected (May 28, 2025).
No harm, with potential for more than minimal harm
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0372, Smoke Deficiencies. Inspection of April 23, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (June 16, 2025).

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.