Elizabeth Scott Community

In the surveyor’s words

From the most serious findings on record at Elizabeth Scott Community, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF880Jun 11, 2026

  Based on review of infection control logs, staff interview and review of the facility policy, the facility failed to maintain an adequate infection surveillance program. This had the potential to affect all residents residing in the facility. The facility census was 54.Findings include:Review of the facility's infection control surveillance logs for December 2025, January 2026, February 2026, March 2026, April 2026, and May 2026 revealed the pathogen associated with infections was not identified. Interview on 06/11/26 at 1:55 P.M. […]

• No harm, potential for more than minimal, patternF605Jun 11, 2026

  Based on medical record review, staff interview and review of facility policy, the facility failed to adequately monitor residents for effectiveness, adverse reactions and side effects of psychotropic medication use. This affected five (#5, #10, #20, #29, and #49) of five residents reviewed for unnecessary medications. Additionally, the facility failed to ensure psychotropic medications were not given unless the medication was necessary to treat a specific condition as diagnosed and documented in the clinical record. This affected one (#10) of five residents reviewed for unnecessary medications. The facility census was 54. Findings include: 1. Review of the medical record revealed Resident #10 was admitted on [DATE]. […]

• No harm, potential for more than minimal, isolatedF684Sep 12, 2024

  Based on record review, staff interview, and review of the facility policy, the facility failed to ensure residents were treated for constipation. This affected one (#6) of one resident reviewed for bowel movements. The facility census was 52. Findings include: Review of the medical record for Resident #6 revealed an admitted [DATE] with diagnoses of dementia, heart disease, and heart failure. Review of the comprehensive admission Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #6 had impaired cognition and was occasionally incontinent of stool and was dependent for toileting hygiene. Review of the current care plan revealed Resident #6 was frequently incontinent of bowel and bladder. Interventions included documenting bowel movements. […]

• No harm, potential for more than minimal, isolatedF880Sep 12, 2024

  Based on observations, staff interview, and review of facility policy, the facility failed to ensure used bed pans were cleaned after use. This affected one resident (#210) reviewed for use of bedpans. The facility identified four residents that use bedpans (#13, #42, #206, and #209). The facility census was 52. Findings include: Review of the medical record for Resident #210 revealed an admitted [DATE] with diagnosis of infection and inflammatory reaction to right knee prosthesis. Review of the Minimum Data Set (MDS) dated [DATE] for Resident #210 revealed she was cognitively intact. Observation on 09/09/24 at 11:00 A.M. revealed a used, uncovered bedpan sitting on top of the toilet riser in the bathroom for Resident #210. Observation on 09/09/24 at 5:02 P.M. […]

• No harm, potential for more than minimal, isolatedF883Sep 12, 2024

  Based on medical record review, review of immunization records, staff interview, review of policy, and review of the Centers of Disease Control and Prevention (CDC) guidance, the facility failed to ensure residents received or were offered the influenza and pneumococcal vaccinations per CDC recommendations. This affected two (#5 and #26) of five residents reviewed for influenza and pneumococcal vaccination. The facility census was 52. Findings include: 1. Review of the medical record revealed Resident #5 was admitted on [DATE]. Diagnoses included cerebral atherosclerosis, chronic kidney disease stage 2, hyperkalemia, essential (primary) hypertension, type two diabetes mellitus without complications, hyperlipidemia, and unspecified dementia. […]