Inspection Reports for Elizabeth Care Center

The visit was conducted as an investigation survey triggered by a complaint, with a review of plans of correction and credible evidence accepted in lieu of an onsite revisit.

Elizabeth Care Center is in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and West Virginia Nursing Home Licensure Rules. The facility is in substantial compliance with previously cited deficient practices.

Investigation survey concluding on 09/25/24 with acceptance of plans of correction and credible evidence instead of onsite revisit.

An unannounced annual recertification/licensure/FRI survey was conducted at Elizabeth Care Center from 09/23/24 to 09/25/24 to assess compliance with federal and state long term care regulations.

The facility was found out of substantial compliance with deficiencies related to failure to ensure all required members attended quarterly Quality Assurance and Performance Improvement Committee meetings, and failure to maintain adequate, appetizing temperatures for breakfast foods served in resident rooms.

The inspection was a routine survey conducted to assess compliance with NFPA 101 fire safety standards, emergency preparedness, and other regulatory requirements for the nursing facility.

The facility was found deficient in multiple areas including hazardous area enclosures, cooking facilities maintenance, smoke barrier construction, emergency generator maintenance, emergency preparedness drills, and fire door inspections. Deficiencies could potentially affect all residents, staff, and visitors. Plans of correction were provided with expected completion dates.

An unannounced complaint investigation survey was conducted at Elizabeth Care Center from 05/20/24 to 05/22/24.

The facility was found to be in substantial compliance with applicable regulations. Complaints #31379 and #31612 were unsubstantiated with no related or unrelated deficiencies cited.

Complaints #31379 and #31612 were unsubstantiated with no related or unrelated deficiencies cited.

An unannounced complaint investigation survey was conducted at Elizabeth Care Center on September 6, 2023.

The facility was in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and West Virginia Nursing Home Licensure Rule. Complaint 28258 was unsubstantiated with no related or unrelated deficiencies cited.

Complaint 28258 was unsubstantiated with no related or unrelated deficiencies cited.

The inspection was conducted to review facility documentation and staff interviews to determine compliance with Federal, State, and local Emergency Preparedness requirements.

The facility was found to be without waivers and in compliance with all applicable Federal, State, and local Emergency Preparedness requirements.

The visit was conducted as an annual recertification and annual relicensure survey to assess compliance with 42 CFR Part 483 and West Virginia nursing home licensure rules.

Elizabeth Care Center was found to be in substantial compliance with the applicable federal and state regulations, with credible evidence accepted in lieu of an onsite revisit. The facility was in substantial compliance with previously cited deficient practices.

An unannounced annual recertification, annual relicensure, complaint investigation survey was conducted at Elizabeth Care Center from December 5-7, 2022.

The facility was found deficient in multiple areas including accuracy of assessments, drug regimen review, care planning, arbitration agreements, respiratory care, resident records, psychotropic medication management, transfer and discharge procedures, and bed hold policy notification.

Complaint #26679 was unsubstantiated with no related or unrelated deficiencies cited. Complaint #27629 was unsubstantiated with no related or unrelated deficiencies cited.

Routine inspection conducted to assess compliance with NFPA fire safety codes, electrical system maintenance, fire drills, and patient care equipment testing.

The facility was found deficient in multiple areas including hazardous area enclosures, cooking facility inspections, fire alarm system maintenance, sprinkler system maintenance, smoke barrier construction, HVAC fire damper inspections, fire drills, emergency generator testing, electrical equipment maintenance, and fire door inspections. No immediate harm to residents was noted, and corrective actions were planned or underway.

An unannounced complaint investigation survey was conducted at Elizabeth Care Center on March 14, 2022.

The facility was in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and 64 CSR 13 Legislative Rules West Virginia Division of Health Nursing Home Licensure Rule. Complaints #26187 and #25982 were unsubstantiated with no related or unrelated deficiencies cited.

Complaint #26187 was unsubstantiated with no related or unrelated deficiencies cited. Complaint #25982 was unsubstantiated with no related or unrelated deficiencies cited.

The visit was conducted as an annual recertification and relicensure survey to assess compliance with 42 CFR Part 483 and West Virginia nursing home licensure rules.

Elizabeth Care Center was found to be in substantial compliance with the applicable federal and state regulations based on review of plans of correction and credible evidence, with no onsite revisit required.

Routine inspection conducted to assess compliance with various regulatory requirements including emergency lighting, sprinkler system maintenance, fire drills, electrical systems, emergency preparedness, and fire door maintenance.

The facility was found deficient in multiple areas including failure to document required testing of emergency lighting, sprinkler system obstructions, incomplete fire drills on all shifts, inadequate generator maintenance, incomplete emergency preparedness plan, and lack of annual fire door inspections. Corrective actions and education were planned or implemented for each deficiency.

An unannounced annual re-certification and annual re-licensure survey was conducted at Elizabeth Care Center from August 16-18, 2021.

The survey identified multiple deficiencies including failure to ensure resident rights and dignity, improper completion of advance directives, failure to notify residents of Medicare Part A discharge, unresolved resident grievances, inaccurate resident assessments, failure to provide ordered therapeutic diets, improper medication labeling, failure to maintain food safety and storage standards, and lapses in infection prevention and control practices.

The visit was conducted as a complaint investigation survey, with review of plans of correction and credible evidence accepted in lieu of an onsite revisit.

Elizabeth Care Center was found to be in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and West Virginia Nursing Home Licensure Rules. The facility was in substantial compliance with previously cited deficient practices.

Complaint reference number #25616. The complaint investigation survey concluded on 06/15/2021 with substantial compliance found.

An unannounced complaint investigation survey was conducted at Elizabeth Care Center from June 14 to June 15, 2021, in response to complaint #25616.

The facility failed to report the results of investigations to officials within 5 working days as required by State law for one of three reportable incidents reviewed. Specifically, Resident #1 was left unattended on a bedpan for over an hour, and the required five-day follow-up report to Adult Protective Services was not sent or documented.

Complaint #25616 was unsubstantiated with an unrelated deficiency cited at F609. The facility failed to timely report investigation results for allegations of neglect involving Resident #1, who was found unattended on a bedpan for approximately 1 hour and 10 minutes. The required five-day follow-up report to Adult Protective Services was not documented as sent.

The inspection was conducted to assess the facility's compliance with COVID-19 reporting requirements to the Centers for Disease Control and Prevention's National Healthcare Safety Network (NHSN).

The facility failed to report complete information about COVID-19 to the NHSN during a seven-day period from 11/30/2020 to 12/06/2020, which has the potential to cause more than minimal harm to all residents.

The inspection was conducted due to a complaint investigation regarding the facility's failure to report complete COVID-19 information to the CDC's National Healthcare Safety Network (NHSN) as required by regulation.

The facility failed to report complete information about COVID-19 infections, deaths, supplies, staffing, and other required data to the NHSN during the seven-day period from 11/23/2020 to 11/29/2020, which has the potential to cause more than minimal harm to residents.

The complaint investigation found that between 11/23/2020 and 11/29/2020, the facility did not report complete COVID-19 data to the NHSN as required, potentially causing more than minimal harm to residents.

The inspection was conducted to assess the facility's compliance with COVID-19 reporting requirements to the Centers for Disease Control and Prevention's National Healthcare Safety Network (NHSN).

The facility failed to report complete information about COVID-19 to the NHSN during a seven-day period between 11/16/2020 and 11/22/2020, which has the potential to cause more than minimal harm to all residents.

The inspection was conducted to review the facility's compliance with COVID-19 reporting requirements to the Centers for Disease Control and Prevention's National Healthcare Safety Network (NHSN).

The facility failed to report complete information about COVID-19 to the NHSN during a seven-day period between 11/09/2020 and 11/15/2020 as required by CMS and CDC regulations, which has the potential to cause more than minimal harm to residents.

The visit was conducted as an initial certification and licensure survey for Elizabeth Health Care Center, with a review of plans of correction and credible evidence accepted in lieu of an onsite revisit.

Elizabeth Health Care Center is in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and West Virginia Nursing Home Licensure Rules, with previously cited deficient practices corrected.

The inspection was conducted based on a review of facility documentation and staff interview to assess compliance with Federal, State, and local Emergency Preparedness requirements.

The facility was found to be without waivers and in compliance with all applicable Federal, State, and local Emergency Preparedness requirements.

An unannounced initial certification and licensure survey was conducted at Elizabeth Care Center from August 31 to September 1, 2020.

The facility was found deficient in medication storage and labeling, failing to date medications when opened, and in infection prevention and control practices, specifically failing to prevent cross-contamination during medication administration in a resident's room.

The inspection was conducted to evaluate compliance with NFPA 101 Electrical Systems and Electrical Equipment testing and maintenance requirements in the facility.

The facility failed to ensure proper maintenance and testing of the emergency generator batteries and patient-care related electrical equipment in accordance with NFPA standards. Deficiencies included lack of documentation for weekly battery voltage and monthly conductance testing of generator batteries, and failure to inspect or electrically safety check various patient-care equipment prior to use.