All citations for St Elizabeth Healthcare 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 Healthcare Center

Last standard health inspection on record

March 19, 2026

Showing 1 to 19 of 19 citations

  1. 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 May 5, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 21, 2023).

  2. 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.

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

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of May 5, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 21, 2023).

  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 May 5, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 21, 2023).

  4. 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 July 31, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 24, 2024).

  5. 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 May 7, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 30, 2024).

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

    Reasonably accommodate the needs and preferences of each resident.

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

    Health citation F-0558, Resident Rights Deficiencies. Inspection of May 5, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 21, 2023).

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

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

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

    Health citation F-0578, Resident Rights Deficiencies. Inspection of May 5, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 21, 2023).

  8. 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 May 5, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 21, 2023).

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

    Provide activities to meet all resident's needs.

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

    Health citation F-0679, Quality of Life and Care Deficiencies. Inspection of May 5, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 21, 2023).

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

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

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of May 5, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 21, 2023).

  11. 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 May 5, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 21, 2023).

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

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

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

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of May 5, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 21, 2023).

  13. 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 May 5, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 21, 2023).

  14. 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 May 5, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 21, 2023).

  15. 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 May 5, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 21, 2023).

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

    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

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

    Health citation F-0803, Nutrition and Dietary Deficiencies. Inspection of May 5, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 21, 2023).

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

    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 D.

    Health citation F-0909, Environmental Deficiencies. Inspection of May 5, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 21, 2023).

  18. No harm, with potential for minimal harm

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

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

    Health citation F-0580, Resident Rights Deficiencies. Inspection of January 31, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 31, 2024).

  19. No harm, with potential for minimal harm

    Keep all essential equipment working safely.

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

    Health citation F-0908, Environmental Deficiencies. Inspection of May 5, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 21, 2023).

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.