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 36 citations

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

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

    Widespread (many residents). CMS level F.

    Health citation F-0727, Nursing and Physician Services Deficiencies. Inspection of July 17, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 16, 2024).

  2. 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 January 30, 2024. Found during a standard inspection and a complaint inspection.

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

  3. 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 January 30, 2024. Found during a standard inspection.

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

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

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

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

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of July 17, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 16, 2024).

  5. 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 January 30, 2024. Found during a standard inspection and a complaint inspection.

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

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

    Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

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

    Health citation F-0678, Quality of Life and Care Deficiencies. Inspection of January 30, 2024. Found during a standard inspection and a complaint inspection.

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

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

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

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of January 30, 2024. Found during a standard inspection and a complaint inspection.

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

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

    Have properly located and lighted "Exit" signs.

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

    Fire safety citation K-0293, Egress Deficiencies. Inspection of January 30, 2024. Found during a standard inspection.

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

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

    Have approved installation, maintenance and testing program for fire alarm systems.

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

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of January 30, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 4, 2024).

  10. 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 January 30, 2024. Found during a standard inspection.

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

  11. 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 January 30, 2024. Found during a standard inspection.

    A waiver was granted (May 29, 2024).

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

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

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

    Fire safety citation K-0521, Services Deficiencies. Inspection of January 30, 2024. Found during a standard inspection.

    A waiver was granted (May 10, 2024).

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

    Have restrictions on the use of highly flammable decorations.

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

    Fire safety citation K-0753, Miscellaneous Deficiencies. Inspection of January 30, 2024. Found during a standard inspection.

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

  14. 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 January 30, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 8, 2024).

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

    Allow residents to self-administer drugs if determined clinically appropriate.

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

    Health citation F-0554, Resident Rights Deficiencies. Inspection of July 17, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 16, 2024).

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

    Respond appropriately to all alleged violations.

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

    Health citation F-0610, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of July 17, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 16, 2024).

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

    Plan the resident's discharge to meet the resident's goals and needs.

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

    Health citation F-0660, Resident Assessment and Care Planning Deficiencies. Inspection of July 17, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 16, 2024).

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

    Provide care and assistance to perform activities of daily living for any resident who is unable.

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

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of July 17, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 16, 2024).

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

    Provide and implement an infection prevention and control program.

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

    Health citation F-0880, Infection Control Deficiencies. Inspection of July 17, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 16, 2024).

  20. 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 June 21, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 18, 2024).

  21. 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 June 21, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 18, 2024).

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

    Prepare residents for a safe transfer or discharge from the nursing home.

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

    Health citation F-0624, Resident Rights Deficiencies. Inspection of June 21, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 18, 2024).

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

    Ensure residents have reasonable access to and privacy in their use of communication methods.

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

    Health citation F-0576, Resident Rights Deficiencies. Inspection of January 30, 2024. Found during a standard inspection and a complaint inspection.

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

  24. No harm, with potential for more than 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.

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

    Health citation F-0585, Resident Rights Deficiencies. Inspection of January 30, 2024. Found during a standard inspection and a complaint inspection.

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

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

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

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

    Health citation F-0607, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of January 30, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 23, 2024).

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.