All citations for The Haven of St. Elmo

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 The Haven of St. Elmo

Last standard health inspection on record

June 12, 2026

Showing 1 to 25 of 46 citations

  1. Immediate jeopardy to resident health or safety

    Provide and implement an infection prevention and control program.

    Widespread (many residents). CMS level L.

    Health citation F-0880, Infection Control Deficiencies. Inspection of June 12, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 13, 2026).

  2. Harm to a resident

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

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

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of June 12, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 13, 2026).

  3. Harm to a resident

    Ensure that residents are free from significant medication errors.

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

    Health citation F-0760, Pharmacy Service Deficiencies. Inspection of May 7, 2026. Found during a complaint inspection.

    Past non-compliance: already corrected by the time of the inspection (April 29, 2026).

  4. Harm to a resident

    Ensure that residents are free from significant medication errors.

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

    Health citation F-0760, Pharmacy Service Deficiencies. Inspection of May 20, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 2, 2025).

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

    Implement a program that monitors antibiotic use.

    Widespread (many residents). CMS level F.

    Health citation F-0881, Infection Control Deficiencies. Inspection of June 12, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 13, 2026).

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

    Have properly located and lighted "Exit" signs.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0293, Egress Deficiencies. Inspection of June 12, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 23, 2026).

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

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of June 12, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 23, 2026).

  8. 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 August 25, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 13, 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 May 20, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 2, 2025).

  10. 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 24, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 6, 2024).

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

    Address subsistence needs for staff and patients.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0015, Emergency Preparedness Deficiencies. Inspection of July 24, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 9, 2024).

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

    Create arrangements with other facilities to receive patients.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0025, Emergency Preparedness Deficiencies. Inspection of July 24, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 6, 2024).

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

    Establish roles under a Waiver declared by secretary.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0026, Emergency Preparedness Deficiencies. Inspection of July 24, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 5, 2024).

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

    Establish staff and initial training requirements.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0037, Emergency Preparedness Deficiencies. Inspection of July 24, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 5, 2024).

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

    Conduct testing and exercise requirements.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of July 24, 2024. Found during a standard inspection.

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

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

    Implement emergency and standby power systems.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0041, Emergency Preparedness Deficiencies. Inspection of July 24, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 9, 2024).

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

    Have proper fire barriers, ventilation and signs for the transfilling of oxygen.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0927, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of July 24, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 5, 2024).

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

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

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

    Fire safety citation K-0222, Egress Deficiencies. Inspection of June 12, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 23, 2026).

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

    Have exits that are accessible at all times.

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

    Fire safety citation K-0271, Egress Deficiencies. Inspection of June 12, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 23, 2026).

  20. 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 June 12, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 23, 2026).

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

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

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

    Health citation F-0550, Resident Rights Deficiencies. Inspection of May 20, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 2, 2025).

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

    Install emergency lighting that can last at least 1 1/2 hours.

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

    Fire safety citation K-0291, Egress Deficiencies. Inspection of May 20, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 17, 2025).

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

    Have proper fire barriers, ventilation and signs for the transfilling of oxygen.

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

    Fire safety citation K-0927, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of May 20, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 17, 2025).

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

    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

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

    Health citation F-0805, Nutrition and Dietary Deficiencies. Inspection of July 24, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 5, 2024).

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

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

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

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of July 24, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 5, 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.