Facility profile · CCN 395357
Ellen Memorial Rehabilitation And Healthcare Cente
30 federal citations on record .
Record summary
Federal record · Q1 202630
Total citations
15
Last 3 years
0
Actual harm+
0
Federal penalties
$0
Total fines
2
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
30 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Dec 10, 2025 | F770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Complaint |
| Dec 10, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Dec 10, 2025 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint |
| Apr 9, 2025 | F610 | Respond appropriately to all alleged violations. | D | Complaint |
| Jan 10, 2025 | F849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | Standard |
| Jan 10, 2025 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard |
| Jan 10, 2025 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
| Mar 15, 2024 | F744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | E | Standard |
| Mar 15, 2024 | F740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Standard |
| Mar 15, 2024 | F692 | Provide enough food/fluids to maintain a resident's health. | E | Standard |
| Mar 15, 2024 | F679 | Provide activities to meet all resident's needs. | E | Standard |
| Mar 15, 2024 | F610 | Respond appropriately to all alleged violations. | D | Standard |
| Mar 15, 2024 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | Standard |
| Oct 5, 2023 | F880 | Provide and implement an infection prevention and control program. | E | Complaint |
| Aug 29, 2023 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Mar 17, 2023 | F888 | Ensure staff are vaccinated for COVID-19 | D | Standard |
| Mar 17, 2023 | F881 | Implement a program that monitors antibiotic use. | E | Standard |
| Mar 17, 2023 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Mar 17, 2023 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard |
| Mar 17, 2023 | F761 | Ensure 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. | E | Standard |
| Mar 17, 2023 | F758 | 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. | D | Standard |
| Mar 17, 2023 | F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Standard |
| Mar 17, 2023 | F729 | Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | D | Standard |
| Mar 17, 2023 | F725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | Standard |
| Mar 17, 2023 | F699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard |
| Mar 17, 2023 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard |
| Mar 17, 2023 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | E | Standard |
| Mar 17, 2023 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard |
| Mar 17, 2023 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| Mar 17, 2023 | 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 |
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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