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Citadel Elizabeth City Llc

📍 901 South Halstead Boulevard, Elizabeth-city, NC 27909 📞 (252) 338-0137 🛏️ 108 beds

Inspection History Overview

Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2021 1 penalties totaling $23,056

$23,056
May 10, 2021

Fine

2020 2 penalties totaling $45,540

$45,540
Jul 14, 2020

Fine

$0
Jul 14, 2020

Payment Denial

2018 1 penalties totaling $9,861

$9,861
Aug 3, 2018

Fine

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Health Violations by Year

2024 6 violations

Tag 0655 D May 22, 2024

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

✓ Corrected: Jun 19, 2024
Tag 0656 D May 22, 2024

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Jun 19, 2024
Tag 0657 E May 22, 2024

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: Jun 19, 2024
Tag 0695 D May 22, 2024

Provide safe and appropriate respiratory care for a resident when needed.

✓ Corrected: Jun 19, 2024
Tag 0810 D May 22, 2024

Provide special eating equipment and utensils for residents who need them and appropriate assistance.

✓ Corrected: Jun 19, 2024
Tag 0812 E May 22, 2024

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Jun 19, 2024

2023 15 violations

Tag 0584 B Mar 2, 2023

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

✓ Corrected: Mar 30, 2023
Tag 0641 B Mar 2, 2023

Ensure each resident receives an accurate assessment.

✓ Corrected: Mar 30, 2023
Tag 0655 B Mar 2, 2023

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

✓ Corrected: Mar 30, 2023
Tag 0656 D Mar 2, 2023

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Mar 30, 2023
Tag 0677 D Mar 2, 2023

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Mar 30, 2023
Tag 0686 D Mar 2, 2023

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Mar 30, 2023
Tag 0688 D Mar 2, 2023

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

✓ Corrected: Mar 30, 2023
Tag 0690 D Mar 2, 2023

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

✓ Corrected: Mar 30, 2023
Tag 0697 D Mar 2, 2023

Provide safe, appropriate pain management for a resident who requires such services.

✓ Corrected: Mar 30, 2023
Tag 0698 D Mar 2, 2023

Provide safe, appropriate dialysis care/services for a resident who requires such services.

✓ Corrected: Mar 30, 2023
Tag 0758 D Mar 2, 2023

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

✓ Corrected: Mar 30, 2023
Tag 0810 D Mar 2, 2023

Provide special eating equipment and utensils for residents who need them and appropriate assistance.

✓ Corrected: Mar 30, 2023
Tag 0812 D Mar 2, 2023

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Mar 30, 2023
Tag 0867 E Mar 2, 2023

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

✓ Corrected: Mar 30, 2023
Tag 0883 E Mar 2, 2023

Develop and implement policies and procedures for flu and pneumonia vaccinations.

✓ Corrected: Mar 30, 2023
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2022 13 violations

Tag 0567 C Mar 30, 2022

Honor the resident's right to manage his or her financial affairs.

✓ Corrected: Apr 27, 2022
Tag 0568 C Mar 30, 2022

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

✓ Corrected: May 10, 2022
Tag 0576 C Mar 30, 2022

Ensure residents have reasonable access to and privacy in their use of communication methods.

✓ Corrected: May 10, 2022
Tag 0580 D Mar 30, 2022

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: May 10, 2022
Tag 0584 D Mar 30, 2022

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

✓ Corrected: May 10, 2022
Tag 0607 D Mar 30, 2022

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

✓ Corrected: May 10, 2022
Tag 0623 B Mar 30, 2022

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

✓ Corrected: May 10, 2022
Tag 0644 D Mar 30, 2022

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

✓ Corrected: May 10, 2022
Tag 0656 D Mar 30, 2022

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: May 10, 2022
Tag 0689 D Mar 30, 2022

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: May 10, 2022
Tag 0729 D Mar 30, 2022

Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.

✓ Corrected: May 10, 2022
Tag 0755 E Mar 30, 2022

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: May 10, 2022
Tag 0842 D Mar 30, 2022

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

✓ Corrected: May 10, 2022

2021 7 violations

Tag 0641 D May 10, 2021

Ensure each resident receives an accurate assessment.

✓ Corrected: May 31, 2021
Tag 0656 D May 10, 2021

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: May 31, 2021
Tag 0686 G May 10, 2021

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: May 31, 2021
Tag 0689 J May 10, 2021

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Apr 11, 2021
Tag 0755 E May 10, 2021

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: May 31, 2021
Tag 0761 E May 10, 2021

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

✓ Corrected: May 31, 2021
Tag 0883 D May 10, 2021

Develop and implement policies and procedures for flu and pneumonia vaccinations.

✓ Corrected: May 31, 2021
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2020 10 violations

Tag 0880 D Oct 16, 2020

Provide and implement an infection prevention and control program.

✓ Corrected: Oct 28, 2020
Tag 0583 D Sep 2, 2020

Keep residents' personal and medical records private and confidential.

✓ Corrected: Oct 16, 2020
Tag 0641 D Sep 2, 2020

Ensure each resident receives an accurate assessment.

✓ Corrected: Oct 28, 2020
Tag 0686 E Sep 2, 2020

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Oct 16, 2020
Tag 0563 D Jul 14, 2020

Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.

✓ Corrected: Sep 2, 2020
Tag 0580 D Jul 14, 2020

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: Sep 2, 2020
Tag 0690 D Jul 14, 2020

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

✓ Corrected: Sep 2, 2020
Tag 0727 D Jul 14, 2020

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

✓ Corrected: Sep 2, 2020
Tag 0880 E Jul 14, 2020

Provide and implement an infection prevention and control program.

✓ Corrected: Sep 2, 2020
Tag 0925 F Jul 14, 2020

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

✓ Corrected: Sep 2, 2020

2019 11 violations

Tag 0585 D Aug 1, 2019

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.

✓ Corrected: Aug 29, 2019
Tag 0641 D Aug 1, 2019

Ensure each resident receives an accurate assessment.

✓ Corrected: Aug 29, 2019
Tag 0644 D Aug 1, 2019

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

✓ Corrected: Aug 29, 2019
Tag 0657 D Aug 1, 2019

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: Aug 29, 2019
Tag 0690 D Aug 1, 2019

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

✓ Corrected: Aug 29, 2019
Tag 0695 D Aug 1, 2019

Provide safe and appropriate respiratory care for a resident when needed.

✓ Corrected: Aug 29, 2019
Tag 0761 D Aug 1, 2019

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

✓ Corrected: Aug 29, 2019
Tag 0838 F Aug 1, 2019

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies.

✓ Corrected: Aug 29, 2019
Tag 0867 D Aug 1, 2019

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

✓ Corrected: Aug 29, 2019
Tag 0689 D Apr 25, 2019

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: May 17, 2019
Tag 0759 D Apr 25, 2019

Ensure medication error rates are not 5 percent or greater.

✓ Corrected: May 17, 2019
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2018 14 violations

Tag 0585 D Aug 3, 2018

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.

✓ Corrected: Aug 29, 2018
Tag 0655 D Aug 3, 2018

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

✓ Corrected: Aug 29, 2018
Tag 0656 D Aug 3, 2018

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Oct 16, 2018
Tag 0657 D Aug 3, 2018

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: Aug 29, 2018
Tag 0658 D Aug 3, 2018

Ensure services provided by the nursing facility meet professional standards of quality.

✓ Corrected: Aug 29, 2018
Tag 0688 D Aug 3, 2018

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

✓ Corrected: Aug 29, 2018
Tag 0692 D Aug 3, 2018

Provide enough food/fluids to maintain a resident's health.

✓ Corrected: Aug 29, 2018
Tag 0693 D Aug 3, 2018

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

✓ Corrected: Oct 16, 2018
Tag 0756 D Aug 3, 2018

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

✓ Corrected: Aug 29, 2018
Tag 0759 D Aug 3, 2018

Ensure medication error rates are not 5 percent or greater.

✓ Corrected: Aug 29, 2018
Tag 0761 D Aug 3, 2018

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

✓ Corrected: Aug 29, 2018
Tag 0842 D Aug 3, 2018

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

✓ Corrected: Aug 29, 2018
Tag 0865 D Aug 3, 2018

Have a plan that describes the process for conducting QAPI and QAA activities.

✓ Corrected: Oct 16, 2018
Tag 0880 D Aug 3, 2018

Provide and implement an infection prevention and control program.

✓ Corrected: Aug 29, 2018

2017 3 violations

Tag 0272 D Aug 2, 2017

Conduct initial and periodic assessments of each resident's functional capacity.

✓ Corrected: Aug 23, 2017
Tag 0279 D Aug 2, 2017

Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Aug 23, 2017
Tag 0328 D Aug 2, 2017

Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.

✓ Corrected: Aug 23, 2017
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