Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 525639

St Elizabeth Nursing Home

60 federal citations on record , including 2 at the Immediate Jeopardy level, and 2 federal enforcement actions totaling $31,171.

2 Immediate Jeopardy

Record summary

Federal record · Q1 2026
60
Total citations
50
Last 3 years
3
Actual harm+
2
Federal penalties
$31,171
Total fines
1
Overall ★ rating

Most common violation categories here

Quality of Care15 Resident Rights10 Infection Control10 Abuse & Neglect8 Medication & Pharmacy7

Most common F-tags at this facility

F8804 F6104 F6893 F7583 F6843

Citation history

60 on record
SurveyF-TagViolationSeveritySource
Feb 13, 2025F887Educate 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.DStandard
Feb 13, 2025F880Provide and implement an infection prevention and control program.FStandard
Feb 13, 2025F758Implement 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.DStandard
Feb 13, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Feb 13, 2025F697Provide safe, appropriate pain management for a resident who requires such services.DStandard
Feb 13, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Feb 13, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Feb 13, 2025F578Honor 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.DStandard
Jan 8, 2025F881Implement a program that monitors antibiotic use.GComplaint
Jan 8, 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.DComplaint
Jan 8, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
Jan 8, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Oct 17, 2024F838Conduct 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.FComplaint
Oct 17, 2024F760Ensure that residents are free from significant medication errors.DComplaint
Oct 17, 2024F758Implement 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.DComplaint
Oct 17, 2024F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.FComplaint
Oct 17, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint
Oct 17, 2024F687Provide appropriate foot care.EComplaint
Oct 17, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.JComplaint
Oct 17, 2024F610Respond appropriately to all alleged violations.DComplaint
Jul 17, 2024F880Provide and implement an infection prevention and control program.DComplaint
Jul 17, 2024F727Have 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.FComplaint
Jul 17, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Jul 17, 2024F660Plan the resident's discharge to meet the resident's goals and needs.DComplaint
Jul 17, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EComplaint
Jul 17, 2024F610Respond appropriately to all alleged violations.DComplaint
Jul 17, 2024F554Allow residents to self-administer drugs if determined clinically appropriate.DComplaint
Jun 21, 2024F624Prepare residents for a safe transfer or discharge from the nursing home.DComplaint
Jun 21, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Jun 21, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Jan 30, 2024F883Develop and implement policies and procedures for flu and pneumonia vaccinations.DComplaint
Jan 30, 2024F881Implement a program that monitors antibiotic use.DComplaint
Jan 30, 2024F880Provide and implement an infection prevention and control program.FComplaint
Jan 30, 2024F758Implement 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.DComplaint
Jan 30, 2024F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DComplaint
Jan 30, 2024F693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DComplaint
Jan 30, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Jan 30, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Jan 30, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EComplaint
Jan 30, 2024F678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.EComplaint
Jan 30, 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.DComplaint
Jan 30, 2024F584Honor 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.EComplaint
Jan 30, 2024F576Ensure residents have reasonable access to and privacy in their use of communication methods.DComplaint
Jan 30, 2024F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyCStandard
Jan 30, 2024F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DStandard
Nov 9, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Aug 15, 2023F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Aug 15, 2023F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DComplaint
Aug 15, 2023F610Respond appropriately to all alleged violations.DComplaint
Aug 15, 2023F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Nov 7, 2022F887Educate 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.DStandard
Nov 7, 2022F883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard
Nov 7, 2022F880Provide and implement an infection prevention and control program.DStandard
Nov 7, 2022F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Nov 7, 2022F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JStandard
Nov 7, 2022F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Nov 7, 2022F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Nov 7, 2022F610Respond appropriately to all alleged violations.DStandard
Nov 7, 2022F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard
Nov 7, 2022F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard

Federal enforcement history

Federal regulators have imposed 2 enforcement actions against this facility, including 2 civil money penalties totaling $31,171 .

DateTypeFinePayment denial
Jan 8, 2025Fine$8,824—
Oct 17, 2024Fine$22,347—
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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