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 51 to 72 of 72 citations

  1. 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).

  2. 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).

  3. 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).

  4. 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).

  5. 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).

  6. 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).

  7. 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).

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

    Meet other general requirements.

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

    Fire safety citation K-0200, Egress Deficiencies. Inspection of May 5, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 17, 2023).

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

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

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

    Fire safety citation K-0211, Egress Deficiencies. Inspection of May 5, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 17, 2023).

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

    Inspect, test, and maintain automatic sprinkler systems.

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

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of May 5, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 17, 2023).

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

    Have properly installed electrical wiring and gas equipment.

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

    Fire safety citation K-0511, Services Deficiencies. Inspection of May 5, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 17, 2023).

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

    Have proper medical gas storage and administration areas.

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

    Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of May 5, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 17, 2023).

  13. No harm, with potential for minimal harm

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

    Widespread (many residents). CMS level C.

    Fire safety citation K-0914, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 19, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 25, 2026).

  14. No harm, with potential for minimal harm

    Address subsistence needs for staff and patients.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0015, Emergency Preparedness Deficiencies. Inspection of December 17, 2024. Found during a standard inspection.

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

  15. No harm, with potential for minimal harm

    List the names and contact information of those in the facility.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0030, Emergency Preparedness Deficiencies. Inspection of December 17, 2024. Found during a standard inspection.

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

  16. No harm, with potential for minimal harm

    Reasonably accommodate the needs and preferences of each resident.

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

    Health citation F-0558, Resident Rights Deficiencies. Inspection of September 9, 2025. Found during a complaint inspection.

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

  17. No harm, with potential for minimal harm

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

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

    Health citation F-0605, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of September 9, 2025. Found during a complaint inspection.

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

  18. No harm, with potential for minimal harm

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

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

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of July 10, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 8, 2025).

  19. No harm, with potential for minimal harm

    Reasonably accommodate the needs and preferences of each resident.

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

    Health citation F-0558, Resident Rights Deficiencies. Inspection of December 17, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 10, 2025).

  20. No harm, with potential for minimal harm

    Keep residents' personal and medical records private and confidential.

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

    Health citation F-0583, Resident Rights Deficiencies. Inspection of December 17, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 10, 2025).

  21. 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).

  22. 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 September 30, 2026. Inspection results describe the home at the time of each inspection.