Elcor Nursing and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Elcor Nursing and Rehabilitation Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF584Apr 21, 2026

  Based on observations, interviews, and record review, the facility failed to ensure a sanitary, orderly, and comfortable environment for residents for three (3) of eight (8) resident units reviewed (Colonial Ridge South, Colonial Ridge North, and Maple Creek Meadows). Specifically, resident rooms and Resident #247's shared bathroom were observed in unsanitary condition, and Resident #48 who resided in a shared room did not have a privacy curtain in place to support a homelike and dignified environment.Issue One (1):The facility policy Daily Patient Room Cleaning and Common Areas revised 11/20/2018 documented bathroom toilets are cleaned inside and out with toilet cleaner, sanitizer is used on all horizontal surfaces, vertical surfaces are to be spot cleaned, and damp mop solution is used… […]

• No harm, potential for more than minimal, patternF677Apr 21, 2026

  Based on observations, interviews, and record review, the facility did not ensure residents who were unable to carry out activities of daily living received the necessary services to maintain good grooming and personal hygiene for two (2) of eight (8) residents reviewed (Resident #5 and Resident #247). Specifically, Resident #5 was observed on multiple occasions with long chin hair and unclean fingernails and had not received assistance with nail care, or facial hair removal. Resident #247 did not receive scheduled hygiene care including shaving, and the facility did not ensure care was completed, documented, or reattempted when missed.The findings include: The facility policy Activities of Daily Living dated September 2016 documented self-care needs included hair combing, bathing,… […]

• No harm, potential for more than minimal, patternF689Apr 21, 2026

  Based on observations, interviews, and record review, the facility failed to ensure the resident environment remained as free of accident hazards as possible and did not ensure adequate supervision to prevent accidents for two (2) of eleven (11) residents reviewed (Residents #11 and Resident #49). Specifically, Resident #49 had multiple prepared medications left unattended at the bedside without an assessment or physician order for self-administration, and Resident #11 had unsafe smoking practices with access to smoking materials and an incomplete safety assessment.The findings include:Issue One (1):The facility policy, Medication Administration, last reviewed 08/12/2021, included medications shall not be left at the bedside unless the resident has a physician order and has been assessed… […]

• No harm, potential for more than minimal, patternF809Apr 21, 2026

  Based on observations, interviews, and record review, the facility failed to ensure suitable, nourishing snacks were available and provided consistent with resident needs, preferences, and plan of care for two (2) of six (6) residents reviewed (Resident #45 and Resident #189). Specifically, Resident #45 and Resident #189 were offered only limited snack items and staff were unable to provide alternative snack options when those items were not desired or appropriate, and the facility did not sustain interventions to address ongoing concerns regarding snack availability.The findings include:The facility policy Resident Rights dated 02/05/2026 documented when providing care and services, staff must respect each resident's individuality and honor and value resident input to ensure… […]

• No harm, potential for more than minimal, patternF689Nov 14, 2024

  Based on observations, interviews, and record review conducted during an Abbreviated Survey (NY00333741) for six (Residents #16, #17, #18, #19, #20, and #21) of six residents reviewed, the facility did not ensure the environment remained free from accident hazards. Specifically, the facility did not ensure that all six residents who were identified as cigarette smokers had been assessed and care planned for safe smoking. This is evidenced by, but not limited to, the following: 1. Resident #16 had diagnoses including peripheral vascular disease and congestive heart failure. […]