Elizabeth Church Manor Nursing Home

Inspection history (25)

• August 1, 2025 · F

  Citation F0802

  Federal surveyors cited this nursing home on 2025-08-01 under CMS tag F0802 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. The deficiency was recorded as corrected on 2025-09-26. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-01.GOV

• August 1, 2025 · D

  Citation F0838

  Federal surveyors cited this nursing home on 2025-08-01 under CMS tag F0838 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. The deficiency was recorded as corrected on 2025-09-26. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-01.GOV

• August 1, 2025 · E

  Citation F0550

  Federal surveyors cited this nursing home on 2025-08-01 under CMS tag F0550 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. The deficiency was recorded as corrected on 2025-09-26. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-01.GOV

• August 1, 2025 · D

  Citation F0882

  Federal surveyors cited this nursing home on 2025-08-01 under CMS tag F0882 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. The deficiency was recorded as corrected on 2025-09-26. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-01.GOV

• August 1, 2025 · D

  Citation F0605

  Federal surveyors cited this nursing home on 2025-08-01 under CMS tag F0605 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. The deficiency was recorded as corrected on 2025-09-26. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-01.GOV

• August 1, 2025 · E

  Citation F0812

  Federal surveyors cited this nursing home on 2025-08-01 under CMS tag F0812 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. The deficiency was recorded as corrected on 2025-09-26. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-01.GOV

• August 1, 2025 · E

  Citation F0814

  Federal surveyors cited this nursing home on 2025-08-01 under CMS tag F0814 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Dispose of garbage and refuse properly. The deficiency was recorded as corrected on 2025-09-26. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-01.GOV

• August 1, 2025 · D

  Citation F0880

  Federal surveyors cited this nursing home on 2025-08-01 under CMS tag F0880 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2025-09-26. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-01.GOV

• September 30, 2024 · L

  Citation F0689

  Federal surveyors cited this nursing home on 2024-09-30 under CMS tag F0689 (CMS scope/severity L: widespread, immediate jeopardy) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2024-11-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-09-30.GOV

• September 30, 2024 · L

  Citation F0700

  Federal surveyors cited this nursing home on 2024-09-30 under CMS tag F0700 (CMS scope/severity L: widespread, immediate jeopardy) for Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. The deficiency was recorded as corrected on 2024-11-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-09-30.GOV

• September 30, 2024 · F

  Citation F0837

  Federal surveyors cited this nursing home on 2024-09-30 under CMS tag F0837 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. The deficiency was recorded as corrected on 2024-11-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-09-30.GOV

• August 22, 2024 · E

  Citation F0656

  Federal surveyors cited this nursing home on 2024-08-22 under CMS tag F0656 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. The deficiency was recorded as corrected on 2024-10-21. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-08-22.GOV

• August 22, 2024 · D

  Citation F0880

  Federal surveyors cited this nursing home on 2024-08-22 under CMS tag F0880 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2024-10-21. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-08-22.GOV

• August 22, 2024 · D

  Citation F0554

  Federal surveyors cited this nursing home on 2024-08-22 under CMS tag F0554 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Allow residents to self-administer drugs if determined clinically appropriate. The deficiency was recorded as corrected on 2024-10-21. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-08-22.GOV

• August 22, 2024 · E

  Citation F0585

  Federal surveyors cited this nursing home on 2024-08-22 under CMS tag F0585 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. The deficiency was recorded as corrected on 2024-10-21. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-08-22.GOV

• August 22, 2024 · E

  Citation F0804

  Federal surveyors cited this nursing home on 2024-08-22 under CMS tag F0804 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. The deficiency was recorded as corrected on 2024-10-21. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-08-22.GOV

• August 22, 2024 · D

  Citation F0558

  Federal surveyors cited this nursing home on 2024-08-22 under CMS tag F0558 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Reasonably accommodate the needs and preferences of each resident. The deficiency was recorded as corrected on 2024-10-21. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-08-22.GOV

• August 22, 2024 · E

  Citation F0812

  Federal surveyors cited this nursing home on 2024-08-22 under CMS tag F0812 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. The deficiency was recorded as corrected on 2024-10-21. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-08-22.GOV

• August 22, 2024 · D

  Citation F0686

  Federal surveyors cited this nursing home on 2024-08-22 under CMS tag F0686 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate pressure ulcer care and prevent new ulcers from developing. The deficiency was recorded as corrected on 2024-10-21. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-08-22.GOV

• August 22, 2024 · D

  Citation F0684

  Federal surveyors cited this nursing home on 2024-08-22 under CMS tag F0684 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate treatment and care according to orders, resident’s preferences and goals. The deficiency was recorded as corrected on 2024-10-21. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-08-22.GOV

Penalties

Total fines on file: $151,625

Staffing

Latest: 3.70 nurse staffing hours per resident per day (2026-06-01)

Ownership

Non profit - Corporation

1. Parent organization: Umh Management Services CORP

   chain · PAC 1254430184