Ellen Memorial Rehabilitation and Healthcare Cente

In the surveyor’s words

From the most serious findings on record at Ellen Memorial Rehabilitation and Healthcare Cente, in the surveyor’s own words.

• Actual harm, isolatedF600Mar 31, 2026

  Based on a review of clinical records, the facility's abuse prohibition policy, facility investigative documentation, and staff interviews, it was determined the facility failed to ensure that a resident was free from neglect by not providing care with the required assistance of two staff members and the use of a mechanical lift as planned to ensure safety and prevent major injuries. As a result, the resident sustained a fracture of the ankle with actual harm for one out of five residents reviewed (Resident CR1). […]

• Actual harm, isolatedF689May 6, 2022

  Based on a review of select facility policy, clinical records, and facility investigation reports and staff interviews, it was determined that the facility failed to provide necessary staff supervision and timely assistance with activities of daily living for residents at risk for falls and known unsafe behaviors and failed to implement planned and effective safety measures based on individual resident needs to promote resident safety and prevent repeated falls, which resulted in major injuries for two residents, a [CONDITION(S)] and thigh bone, (Resident 64 and 4) and minor injuries for one resident (Resident 52) out of 18 residents sampled. […]

• No harm, potential for more than minimal, widespreadF812Mar 17, 2023

  Based on observation and staff interview, it was determined that the facility failed to maintain acceptable practices for the storage and service of food to prevent the potential for contamination and microbial growth in food, which increased the risk of food-borne illness. Findings include: Food safety and inspection standards for safe food handling indicate that everything that comes in contact with food must be kept clean and food that is mishandled can lead to foodborne illness. Safe steps in food handling, cooking, and storage are essential in preventing foodborne illness. You cannot always see, smell, or taste harmful bacteria that may cause illness according to the USDA (The United States Department of Agriculture, also known as the Agriculture Department, is the U.S. […]

• No harm, potential for more than minimal, widespreadF812May 6, 2022

  Based on observation and staff interview, it was determined that the facility failed to maintain acceptable practices for the storage and service of food to prevent the potential for contamination and microbial growth in food, which increased the risk of food-borne illness. Findings include: Food safety and inspection standards for safe food handling indicate that everything that comes in contact with food must be kept clean and food that is mishandled can lead to foodborne illness. Safe steps in food handling, cooking, and storage are essential in preventing foodborne illness. You cannot always see, smell, or taste harmful bacteria that may cause illness according to the USDA (The United States Department of Agriculture, also known as the Agriculture Department, is the U.S. […]

• No harm, potential for more than minimal, widespreadF812Jun 17, 2021

  Based on observation, review of select facility policy and staff interview, it was determined that the facility failed to maintain acceptable practices for the storage and service of food to prevent the potential for contamination and microbial growth in food, which increased the risk of food-borne illness. Findings include: Food safety and inspection standards for safe food handling indicate that everything that comes in contact with food must be kept clean and food that is mishandled can lead to foodborne illness. Safe steps in food handling, cooking, and storage are essential in preventing foodborne illness. […]