All citations for Elmwood Hills Healthcare Center LLC

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 Elmwood Hills Healthcare Center LLC

Last standard health inspection on record

May 9, 2025

Showing 1 to 21 of 21 citations

  1. Immediate jeopardy to resident health or safety

    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 J.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of October 16, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 25, 2025).

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

    Use approved construction type or materials.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0161, Construction Deficiencies. Inspection of May 9, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 22, 2025).

  3. 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.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0222, Egress Deficiencies. Inspection of May 9, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 22, 2025).

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

    Have exits that are accessible at all times.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0271, Egress Deficiencies. Inspection of May 9, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 22, 2025).

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

    Install proper backup exit lighting.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0281, Egress Deficiencies. Inspection of May 9, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 22, 2025).

  6. 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 May 9, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 22, 2025).

  7. 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 May 9, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 22, 2025).

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

    Construct fire resistant interior walls.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0331, Smoke Deficiencies. Inspection of May 9, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 22, 2025).

  9. 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 May 9, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 22, 2025).

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

    Install an approved automatic sprinkler system.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0351, Smoke Deficiencies. Inspection of May 9, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 22, 2025).

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

    Install corridor and hallway doors that block smoke.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of May 9, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 22, 2025).

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

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0374, Smoke Deficiencies. Inspection of May 9, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 22, 2025).

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

    Ensure that testing and maintenance of electrical equipment is performed.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0921, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of May 9, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 22, 2025).

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

    Ensure services provided by the nursing facility meet professional standards of quality.

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

    Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of May 9, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (June 22, 2025).

  15. 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 May 9, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 22, 2025).

  16. 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 May 9, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (June 22, 2025).

  17. 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.

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

    Health citation F-0688, Quality of Life and Care Deficiencies. Inspection of May 9, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 22, 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 9, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 22, 2025).

  19. 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 May 9, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 22, 2025).

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

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

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

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of May 9, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 22, 2025).

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

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

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

    Health citation F-0883, Infection Control Deficiencies. Inspection of May 9, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 22, 2025).

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.