Facility profile · CCN 335090
Elizabeth Church Manor Nursing Home
25 federal citations on record , including 2 at the Immediate Jeopardy level, and 1 federal enforcement actions totaling $151,625.
Record summary
Federal record · Q1 202625
Total citations
23
Last 3 years
2
Actual harm+
1
Federal penalties
$151,625
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
25 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Aug 1, 2025 | F882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | D | Standard |
| Aug 1, 2025 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Aug 1, 2025 | F838 | 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. | D | Standard |
| Aug 1, 2025 | F814 | Dispose of garbage and refuse properly. | E | Standard |
| Aug 1, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Aug 1, 2025 | F802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | F | Standard |
| Aug 1, 2025 | F605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Standard |
| Aug 1, 2025 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard |
| Sep 30, 2024 | F837 | Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | F | Complaint |
| Sep 30, 2024 | F700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | L | Complaint |
| Sep 30, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | L | Complaint |
| Aug 22, 2024 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint |
| Aug 22, 2024 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint |
| Aug 22, 2024 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Aug 22, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Aug 22, 2024 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard |
| Aug 22, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| Aug 22, 2024 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard |
| Aug 22, 2024 | F585 | 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. | E | Standard |
| Aug 22, 2024 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard |
| Aug 22, 2024 | F554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard |
| Apr 10, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Complaint |
| Apr 10, 2024 | F610 | Respond appropriately to all alleged violations. | D | Complaint |
| Sep 1, 2022 | F732 | Post nurse staffing information every day. | C | Standard |
| Sep 1, 2022 | F692 | Provide enough food/fluids to maintain a resident's health. | D | Standard |
Federal enforcement history
Federal regulators have imposed 1 enforcement actions against this facility, including 1 civil money penalties totaling $151,625 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Aug 22, 2024 | Fine | $151,625 | — |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
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