All citations for St Elizabeth Nursing Home

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 Nursing Home

Last standard health inspection on record

April 28, 2026

Showing 1 to 25 of 32 citations

  1. 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 October 17, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 15, 2024).

  2. Harm to a resident

    Implement a program that monitors antibiotic use.

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

    Health citation F-0881, Infection Control Deficiencies. Inspection of January 8, 2025. Found during a complaint inspection.

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

  3. 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 February 13, 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

    Develop and maintain an Emergency Preparedness Program (EP).

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of February 13, 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

    Conduct risk assessment and an All-Hazards approach.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0006, Emergency Preparedness Deficiencies. Inspection of February 13, 2025. Found during a standard inspection.

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

  6. 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 February 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 13, 2025).

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

    Fire safety citation K-0914, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of February 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 18, 2025).

  8. 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 13, 2025. Found during a standard inspection.

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

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

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Widespread (many residents). CMS level F.

    Health citation F-0725, Nursing and Physician Services Deficiencies. Inspection of October 17, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 15, 2024).

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

    Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

    Widespread (many residents). CMS level F.

    Health citation F-0838, Administration Deficiencies. Inspection of October 17, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 15, 2024).

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

    Construct fire resistant interior walls.

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

    Fire safety citation K-0331, Smoke Deficiencies. Inspection of February 13, 2025. Found during a standard inspection.

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

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

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

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

    Fire safety citation K-0374, Smoke Deficiencies. Inspection of February 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 4, 2025).

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

    Have power receptacles that are properly grounded.

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

    Fire safety citation K-0912, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of February 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 26, 2025).

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

    Ensure proper usage of power strips and extension cords.

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

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of February 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 26, 2025).

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

    Provide appropriate foot care.

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

    Health citation F-0687, Quality of Life and Care Deficiencies. Inspection of October 17, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 15, 2024).

  16. 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 February 13, 2025. Found during a standard inspection.

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

  17. 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 February 13, 2025. Found during a standard inspection.

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

  18. 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 February 13, 2025. Found during a standard inspection.

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

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

    Provide safe, appropriate pain management for a resident who requires such services.

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

    Health citation F-0697, Quality of Life and Care Deficiencies. Inspection of February 13, 2025. Found during a standard inspection.

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

  20. 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 February 13, 2025. Found during a standard inspection.

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

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

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

  22. 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.

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

    Health citation F-0887, Infection Control Deficiencies. Inspection of February 13, 2025. Found during a standard inspection.

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

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

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

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

    Fire safety citation K-0741, Miscellaneous Deficiencies. Inspection of February 13, 2025. Found during a standard inspection.

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

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

    Meet requirements for the use of electrical equipment.

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

    Fire safety citation K-0919, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of February 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 26, 2025).

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

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

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

    Health citation F-0580, Resident Rights Deficiencies. Inspection of January 8, 2025. Found during a complaint inspection.

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

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.