Elwood Care Center

In the surveyor’s words

From the most serious findings on record at Elwood Care Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF880Mar 12, 2024

  LICENSURE REFERNCE NUMBER 175 NAC 12-006.17 Based on observation, record review, and interview the facility failed to use proper hand sanitization during the application and removal of personal protective equipment and use the recommended personal protective equipment when providing care for residents with a communicable disease to prevent the potential for cross contamination and Covid-19 which had the potential to affect all facility residents; and the facility failed to perform peri care in a manner to prevent the potential for cross contamination for 2 Residents (Resident 33 and 12) The facility census was 33. Findings are: A. […]

• No harm, potential for more than minimal, widespreadF888May 3, 2022

  LICENSURE REFERENCE NUMBER 175 NAC 12-006.17 Based on observation, record review, and interview; the facility failed to ensure that contingency measures (additional precautions intended to mitigate the transmission and spread of COVID-19) for all staff who were not fully vaccinated were in place. This had the potential to affect all facility residents. The facility census was 31. Findings are: Record review of the facility policy titled COVID-19 Vaccine Mandate Policy dated 5/3/22 revealed that all employees (staff) are required to receive vaccinations as determined by the Centers for Medicare and Medicaid Services (CMS), unless an exemption is approved and the employee accepts reasonable accommodation (additional precautions to mitigate the transmission and spread of COVID-19). […]

• No harm, potential for more than minimal, widespreadF803Dec 7, 2021

  LICENSURE REFERENCE NUMBER 175 NAC 12-006.11A1 Based on observation, interview, and record review; the facility staff failed to follow the menu during meal service for the residents. This affected 29 of 31 residents who were served the lunch meal, Residents 29, 4, 28, 32, 27, 23, 21, 14, 6, 1, 31, 22, 12, 3, 20, 7, 83, 5, 8, 2, 19, 11, 9, 25, 30, 17, 26, 16, and 10. The facility identified a census of 33 at the time of survey. Findings are: Observation of the facility kitchen on 12/02/21 at 10:18 AM revealed DC-B (Dietary Cook) prepared a ham and scalloped potatoes casserole. DC-B washed their hands and placed a pan liner in a large pan and sprayed the liner with non-stick cooking spray. DC-B donned gloves and opened 2 bags of freeze dried scalloped potato casserole mix. […]

• No harm, potential for more than minimal, patternF641May 6, 2026

  Licensure Reference Number 175 NAC 12-006.09(B)Based on record review and interview the facility failed to accurately code the Minimum Data Set (MDS) (a mandatory comprehensive assessment tool used for care planning) for 5 residents (Resident 2, 3, 25,16, and 29) of 12 sampled residents. The facility census was 30.Findings are:A. A record review of a Minimum Data Set (MDS, a federally mandated comprehensive assessment tool used to determine a resident's functional capabilities and helps nursing home staff identify health problems) dated 4/24/26 for Resident 2 revealed under: -Section A states Resident 2 had a readmission from a hospital on 3/10/26. […]

• No harm, potential for more than minimal, patternF880May 6, 2026

  Licensure Reference Number 175 NAC 1-005.06(D)Licensure Reference Number 175 NAC 12-006.18(B)Based on observation, record review, and interview the facility failed to ensure that staff performed hand sanitization (hand washing using soap and water or an alcohol-based hand rub (ABHR) to remove germs for reducing the risk of transmitting infection among residents and health care personnel) between resident contacts to prevent the potential for cross contamination. This affected 12 of 12 residents observed (Residents 9, 31, 10, 3, 17, 30, 25, 2, 22, 23, 14, and 26). […]