Elkton Nursing and Rehabilitation Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF880Sep 12, 2024

  Based on observation, interview, record review, and review of facility policy, the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of communicable diseases and infections. Staff failed to maintain infection control practices during urostomy care for Resident (R)2; during wound care for R26; and during medication administration for R4. Additionally, the facility failed to ensure staff was fit tested for a N95 respirator mask required for respiratory protection when working with Coronavirus Disease 2019 (COVID-19) positive residents. These failures had the potential to affect all residents that resided in the facility. […]

• No harm, potential for more than minimal, widespreadF585Sep 22, 2022

  Based on interviews, and review of the facility's policy, it was determined the facility failed to maintain evidence of the result of all grievance documenting facility staff's investigation of the grievance and provide the resident information toward the resolution of the grievance. Interviews revealed staff failed to maintain documentation of grievances filed, to include the investigations, and results, for the past twelve (12) months, if residents had filed any grievances. […]

• No harm, potential for more than minimal, patternF558Jul 25, 2025

  Based on observation, interview, and review of facility policy, the facility failed to ensure residents had the right to receive services in the facility with reasonable accommodations of resident needs and preferences for 7 out of 15 sampled residents, Resident (R)8, R9, R30, R32, R33, R36, and R49. R32 and R36 complained call lights were not answered timely. Additionally, observations on 07/22/2024, and 07/24/2025, revealed R8, R9, R30, R33, and R49's call light was out of reach, and inaccessible to the residents.Review of the facility policy titled, Resident Rights, undated, revealed the resident has the right to a dignified existence, self-determination, and communication with and access to persons and services inside and outside the facility. […]

• No harm, potential for more than minimal, patternF584Jul 25, 2025

  Based on observation, interview, and review of facility policy, staff failed to ensure a clean, comfortable, and home-like environment. Observations on 07/23/2025, 07/24/2025, and 07/24/2025, revealed the handrails along the hall corridor were filled with food wrappers, and crumbs. Also, there was a Styrofoam cup containing a liquid substance on the handrail by room [ROOM NUMBER].The findings include: Review of facility policy titled, Resident Rights, undated, revealed the resident has a right to a safe, clean, comfortable and homelike environment including but not limited to receiving treatment and supports for daily living safely. […]

• No harm, potential for more than minimal, patternF755Sep 12, 2024

  Based on observation, interview, record review, and review of facility policy, the facility failed to ensure medications were obtained from the pharmacy in a timely manner for two (2) of three (3) sampled residents reviewed for pharmacy services, Resident (R)8 and R32. (Refer to F658) The findings include: Review of the facility policy titled, Administering Medications, revised on 11/15/2011, revealed, Medications will be administered in a timely manner and as prescribed by the resident's attending physician or the facility's Medical Director. 1. Review of R32's Admission Record revealed the facility admitted the resident on 02/17/2020. […]