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 24 of 24 citations

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
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Pattern (more than a few residents). CMS level E.
Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of August 10, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (September 22, 2023).
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 August 10, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (September 22, 2023).
No harm, with potential for more than minimal harm
Use approved construction type or materials.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0161, Construction 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
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 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
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Isolated (one or a few residents). CMS level D.
Health citation F-0636, Resident Assessment and Care Planning Deficiencies. Inspection of August 10, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (September 22, 2023).
No harm, with potential for more than minimal harm
Assess the resident when there is a significant change in condition
Isolated (one or a few residents). CMS level D.
Health citation F-0637, Resident Assessment and Care Planning Deficiencies. Inspection of August 10, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (September 22, 2023).
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 10, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (September 22, 2023).
No harm, with potential for more than minimal harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Isolated (one or a few residents). CMS level D.
Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of August 10, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (September 22, 2023).
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.
Isolated (one or a few residents). CMS level D.
Health citation F-0756, Pharmacy Service Deficiencies. Inspection of August 10, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (September 22, 2023).
No harm, with potential for more than minimal harm
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Isolated (one or a few residents). CMS level D.
Health citation F-0757, Pharmacy Service Deficiencies. Inspection of August 10, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (September 22, 2023).
No harm, with potential for more than minimal harm
Ensure that residents are free from significant medication errors.
Isolated (one or a few residents). CMS level D.
Health citation F-0760, Pharmacy Service Deficiencies. Inspection of August 10, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (September 22, 2023).
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 10, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (September 22, 2023).
No harm, with potential for more than minimal harm
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0741, 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).

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.