All citations for St Elizabeth Care Center

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 St Elizabeth Care Center

Last standard health inspection on record

February 27, 2026

Showing 51 to 71 of 71 citations

  1. 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 February 6, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 14, 2025).

  2. 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 February 6, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 14, 2025).

  3. 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 February 6, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 14, 2025).

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

    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

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

    Health citation F-0887, Infection Control Deficiencies. Inspection of February 6, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 14, 2025).

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

    Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

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

    Health citation F-0568, Resident Rights Deficiencies. Inspection of October 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 1, 2023).

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

    Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

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

    Health citation F-0569, Resident Rights Deficiencies. Inspection of October 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 1, 2023).

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

    Keep residents' personal and medical records private and confidential.

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

    Health citation F-0583, Resident Rights Deficiencies. Inspection of October 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 1, 2023).

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

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

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

    Health citation F-0584, Resident Rights Deficiencies. Inspection of October 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 1, 2023).

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

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

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

    Health citation F-0623, Resident Rights Deficiencies. Inspection of October 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 1, 2023).

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

    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

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

    Health citation F-0625, Resident Rights Deficiencies. Inspection of October 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 1, 2023).

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

    Ensure each resident receives an accurate assessment.

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

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of October 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 1, 2023).

  12. 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.

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

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of October 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 1, 2023).

  13. 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 October 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 1, 2023).

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

    Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.

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

    Health citation F-0728, Nursing and Physician Services Deficiencies. Inspection of October 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 2, 2023).

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

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

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

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of October 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 1, 2023).

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

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

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

    Health citation F-0883, Infection Control Deficiencies. Inspection of October 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 1, 2023).

  17. 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.

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

    Health citation F-0947, Nursing and Physician Services Deficiencies. Inspection of October 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 1, 2023).

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

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

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

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of November 7, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 1, 2024).

  19. 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 November 7, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 1, 2024).

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

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

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

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of October 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 2, 2023).

  21. No harm, with potential for minimal harm

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

    Widespread (many residents). CMS level C.

    Health citation F-0585, Resident Rights Deficiencies. Inspection of October 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 1, 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.