CITADEL ELIZABETH CITY LLC

📍 901 SOUTH HALSTEAD BOULEVARD, elizabeth-city, NC 27909 📞 2523380137 🛏️ 108 beds

Overall Rating

⭐⭐
2/5

Health Inspection

⭐⭐
2/5

Staffing

⭐⭐
2/5

Quality Measures

⭐⭐⭐⭐
4/5

Inspection History Overview

79
Total Violations
8 years of data
$78,457
Total Fines
4 penalties
5
Inspections
Since 2014
21
Quality Metrics
Tracked measures

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

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

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

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

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
Fine
May 10, 2021
Average: $23,056 | Range: $23,056 - $23,056

2020 2 penalties totaling $45,540

$45,540
Fine
July 14, 2020
$0
Payment Denial
July 14, 2020
Average: $22,770 | Range: $0 - $45,540

2018 1 penalties totaling $9,861

$9,861
Fine
August 3, 2018
Average: $9,861 | Range: $9,861 - $9,861

Fire Safety Deficiencies

Unknown Date

No description available

Inspection Survey Reports

Health

May 22, 2024
0.00

Health

March 2, 2023
0.00

Health

March 30, 2022
0.00

Health

May 10, 2021
0.00

Health

August 1, 2019
0.00

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Ownership Information

For profit - Corporation
Independent (Not part of a chain)
345184
345184
2523380137
Pasquotank

Historical Ownership Records

August 25, 2025
Organization
August 25, 2025
Individual
August 25, 2025
Individual