All citations for Manor at Elfindale, the

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 Manor at Elfindale, the

Last standard health inspection on record

November 17, 2025

Showing 1 to 19 of 19 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 November 17, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (December 29, 2025).
No harm, with potential for more than minimal harm
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Widespread (many residents). CMS level F.
Health citation F-0921, Environmental Deficiencies. Inspection of November 17, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (December 29, 2025).
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 November 17, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (December 29, 2025).
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 17, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (December 29, 2025).
No harm, with potential for more than minimal harm
Install a fire alarm system that can be heard throughout the facility.
Widespread (many residents). CMS level F.
Fire safety citation K-0341, Smoke Deficiencies. Inspection of February 2, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (March 15, 2024).
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 February 2, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (March 15, 2024).
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 February 2, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (March 15, 2024).
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 3, 2021. Found during a standard inspection.
The home gave a date the problem would be corrected (January 11, 2022).
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 November 17, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (December 29, 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 February 2, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (March 15, 2024).
No harm, with potential for more than minimal harm
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Pattern (more than a few residents). CMS level E.
Health citation F-0700, Quality of Life and Care Deficiencies. Inspection of December 3, 2021. Found during a standard inspection.
The home gave a date the problem would be corrected (January 11, 2022).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0353, Smoke Deficiencies. Inspection of December 3, 2021. Found during a standard inspection.
The home gave a date the problem would be corrected (January 11, 2022).
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-0500, Services Deficiencies. Inspection of December 3, 2021. Found during a standard inspection.
The home gave a date the problem would be corrected (January 11, 2022).
No harm, with potential for more than minimal harm
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Isolated (one or a few residents). CMS level D.
Health citation F-0655, Resident Assessment and Care Planning Deficiencies. Inspection of November 17, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (December 29, 2025).
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 November 17, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (December 29, 2025).
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 November 17, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (December 29, 2025).
No harm, with potential for more than minimal harm
Ensure medication error rates are not 5 percent or greater.
Isolated (one or a few residents). CMS level D.
Health citation F-0759, Pharmacy Service Deficiencies. Inspection of November 17, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (December 29, 2025).
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 November 17, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (December 29, 2025).
No harm, with potential for more than minimal harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Isolated (one or a few residents). CMS level D.
Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of December 3, 2021. Found during a standard inspection.
The home gave a date the problem would be corrected (January 11, 2022).

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.