Independent · Federal inspection records, searchable
Not a law firm · Not a government agency
Facility profile · CCN 395844

Elizabethtown Nursing And Rehabilitation

53 federal citations on record , including 1 at the Immediate Jeopardy level, and 1 federal enforcement actions totaling $88,614.

1 Immediate Jeopardy

Record summary

Federal record · Q1 2026
53
Total citations
50
Last 3 years
1
Actual harm+
1
Federal penalties
$88,614
Total fines
1
Overall ★ rating

Most common violation categories here

Most common F-tags at this facility

Citation history

53 on record
SurveyF-TagViolationSeveritySource
Jun 18, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Jun 18, 2025F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.DStandard
Jun 18, 2025F730Observe each nurse aide's job performance and give regular training.EStandard
Jun 18, 2025F699Provide care or services that was trauma informed and/or culturally competent.DStandard
Jun 18, 2025F692Provide enough food/fluids to maintain a resident's health.DStandard
Jun 18, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Jun 18, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard
Jun 18, 2025F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard
Jun 18, 2025F641Ensure each resident receives an accurate assessment.DStandard
Jun 18, 2025F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.EStandard
Mar 4, 2025F880Provide and implement an infection prevention and control program.DComplaint
Jul 18, 2024F887Educate 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.EStandard
Jul 18, 2024F883Develop and implement policies and procedures for flu and pneumonia vaccinations.EStandard
Jul 18, 2024F882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.FStandard
Jul 18, 2024F881Implement a program that monitors antibiotic use.EStandard
Jul 18, 2024F880Provide and implement an infection prevention and control program.FStandard
Jul 18, 2024F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyDStandard
Jul 18, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Jul 18, 2024F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.DStandard
Jul 18, 2024F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Jul 18, 2024F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Jul 18, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.DStandard
Jul 18, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Jul 18, 2024F625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.DStandard
Jul 18, 2024F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard
Jul 18, 2024F585Honor 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.EStandard
Jul 18, 2024F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard
Jul 18, 2024F578Honor 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.EStandard
Jul 18, 2024F577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.DStandard
Jul 18, 2024F575Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.DStandard
Sep 28, 2023F660Plan the resident's discharge to meet the resident's goals and needs.DComplaint
Aug 17, 2023F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.DStandard
Aug 17, 2023F880Provide and implement an infection prevention and control program.EStandard
Aug 17, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Aug 17, 2023F759Ensure medication error rates are not 5 percent or greater.DStandard
Aug 17, 2023F730Observe each nurse aide's job performance and give regular training.EStandard
Aug 17, 2023F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EStandard
Aug 17, 2023F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Aug 17, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Aug 17, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Aug 17, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Aug 17, 2023F637Assess the resident when there is a significant change in conditionDStandard
Aug 17, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.EStandard
Aug 17, 2023F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard
Jul 5, 2023F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
May 8, 2023F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.DComplaint
May 8, 2023F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.DComplaint
May 8, 2023F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.LComplaint
May 8, 2023F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
May 8, 2023F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
Mar 31, 2023F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.DComplaint
Mar 31, 2023F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint
Mar 31, 2023F554Allow residents to self-administer drugs if determined clinically appropriate.DComplaint

Federal enforcement history

Federal regulators have imposed 1 enforcement actions against this facility, including 1 civil money penalties totaling $88,614 .

DateTypeFinePayment denial
Mar 31, 2023Fine$88,614
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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