All citations for Ely Manor

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 Ely Manor

Last standard health inspection on record

November 21, 2025

Showing 1 to 25 of 90 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 August 21, 2025. Found during a complaint inspection.

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

  2. 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 August 7, 2025. Found during a complaint inspection.

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

  3. Immediate jeopardy to resident health or safety

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of July 22, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 15, 2025).

  4. 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 July 22, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 15, 2025).

  5. 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 August 23, 2023. Found during a standard inspection.

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

  6. Harm to a resident

    Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

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

    Health citation F-0909, Environmental Deficiencies. Inspection of July 22, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 15, 2025).

  7. 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 June 30, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 21, 2026).

  8. 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 November 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 9, 2025).

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

    Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.

    Widespread (many residents). CMS level F.

    Health citation F-0841, Nursing and Physician Services Deficiencies. Inspection of November 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 9, 2025).

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

    Provide and implement an infection prevention and control program.

    Widespread (many residents). CMS level F.

    Health citation F-0880, Infection Control Deficiencies. Inspection of November 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 9, 2025).

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

    Conduct testing and exercise requirements.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of November 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 9, 2025).

  12. 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 November 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 24, 2025).

  13. 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 November 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 9, 2025).

  14. 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 November 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 24, 2025).

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

    Properly select, install, inspect, or maintain portable fire extinguishes.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0355, Smoke Deficiencies. Inspection of November 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 24, 2025).

  16. 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 November 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 30, 2025).

  17. 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 November 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 24, 2025).

  18. 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 November 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 24, 2025).

  19. 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 August 7, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 3, 2025).

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

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    Widespread (many residents). CMS level F.

    Health citation F-0867, Administration Deficiencies. Inspection of July 22, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 15, 2025).

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

    Develop and maintain an Emergency Preparedness Program (EP).

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of July 11, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 12, 2024).

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

    Address subsistence needs for staff and patients.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0015, Emergency Preparedness Deficiencies. Inspection of July 11, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 12, 2024).

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

    Conduct testing and exercise requirements.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of July 11, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 12, 2024).

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

    Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0342, Smoke Deficiencies. Inspection of July 11, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 12, 2024).

  25. 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 23, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 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.