Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Elim Park Baptist Home, Inc during CMS and state inspections, most recent first.
The facility failed to ensure proper food storage and labeling, with multiple opened items lacking dates and some showing spoilage. Sanitation practices were inadequate, as a staff member handled food with contaminated gloves, and dishwashing procedures were deficient, with incorrect temperatures and improper hygiene observed.
A facility failed to supervise a resident during meals and did not follow physician orders for meal preparation, leading to unsupervised eating despite aspiration precautions. Another resident did not receive prescribed TEDS due to staff miscommunication, and a third resident with CHF was not weighed daily as ordered, with no documentation of refusal. These deficiencies highlight a lack of adherence to physician orders and facility policies.
The facility failed to serve meals at appropriate temperatures, as residents reported cold and overcooked food. Temperature checks revealed that kielbasa, roast beef, and mashed potatoes were below required levels. The Dietary Manager acknowledged the issue, noting that the foods did not hold their temperature well, and identified a need to revise the menu.
The facility failed to provide a dignified dining experience and timely meal service. A resident with Alzheimer's was assisted with eating while the NA stood over them, contrary to facility practice. Another resident experienced delays in meal service, with a salad substitution taking 41 minutes to be served. Staff interviews revealed inadequate staffing and unclear responsibilities for meal preparation and service.
A resident with CHF experienced a 4.6-pound weight gain, but the facility failed to notify the physician as required by the physician's order. The resident was to be weighed daily, and any significant weight gain was to be reported. However, the nurses' progress notes did not reflect this weight gain, and the APRN was not informed, contrary to facility policy.
A resident with dementia was prescribed Trazodone as needed for agitation without a required 14-day stop date. Despite a pharmacist's recommendation for reevaluation, the facility failed to comply with its policy and regulatory requirements, as confirmed by an APRN.
The facility did not ensure the Surety Bond was adequate to cover the Resident Trust Account balance, which was $73,524.38, while the bond was only $10,000, leaving a $63,524.38 shortfall. The Accounts Receivable person and the Administrator were unaware of this insufficiency.
A resident with Alzheimer's Disease and mobility issues fell and sustained fractures because the facility staff did not use a gait belt during ambulation, contrary to facility policy. The resident required moderate assistance and was being assessed by physical and occupational therapists when the fall occurred.
Deficiencies in Food Storage, Sanitation, and Dishwashing Practices
Penalty
Summary
The facility failed to ensure proper food storage and labeling practices in the Dietary Department. During a tour, it was observed that multiple opened food items, including various cheeses, salsa, sauces, and pureed foods, were not dated when opened, and some had no visible expiration dates. Additionally, the walk-in refrigerator and reach-in coolers contained items with visible spoilage and contamination, such as a white substance on cheese and liquid accumulation in a broccoli package. The facility's policy required accurate labeling to minimize foodborne illness risk, but this was not adhered to, as confirmed by interviews with the Dietary Manager and Sous Chef. Sanitation practices in the kitchen were also found to be lacking. A staff member was observed handling food with gloves after touching a personal cell phone without changing gloves or performing hand hygiene, contrary to facility policy. The Dietary Manager confirmed that personal belongings should not be on kitchen counters and that proper hand hygiene should be followed if an emergency call is necessary. The dishwashing area was found to have deficiencies in temperature monitoring and hygiene practices. The dish machine's wash temperature was below the required level, and there was confusion about the accuracy of temperature readings. Additionally, a Dietary Aide was observed changing gloves without washing hands and stacking wet dishes without air drying, which was against the facility's handwashing and dish machine temperature policies. Interviews revealed a lack of clarity among staff regarding responsibilities for monitoring dish machine temperatures and proper hygiene practices.
Failure to Follow Physician Orders and Supervise Residents
Penalty
Summary
The facility failed to appropriately supervise a resident during meals and did not follow physician orders for meal preparation and assistance. Resident #18, diagnosed with dementia and moderate protein-calorie malnutrition, was observed eating unsupervised despite orders for supervision and pre-cut bite-sized food due to aspiration precautions. The meal ticket clearly indicated the need for supervision and assistance, but staff failed to adhere to these instructions, leading to the resident eating alone on multiple occasions. Additionally, the facility did not obtain weekly weights for Resident #18 as ordered by the physician, with only two out of four required weights being recorded. For Resident #53, who had heart failure and atrial fibrillation, the facility did not apply TEDS (compression stockings) as per the physician's order. Observations revealed that the resident was not wearing TEDS on several occasions, despite documentation indicating they had been applied. Interviews with staff revealed a lack of clarity and communication regarding the responsibility for applying TEDS, leading to the resident not receiving the prescribed treatment. Resident #72, diagnosed with congestive heart failure, was not weighed daily as required by physician orders. The facility's records showed multiple missed opportunities for weight monitoring, and there was no documentation of the resident refusing to be weighed. The failure to record daily weights was attributed to the resident's COVID-positive status, but there was no official documentation to support the suspension of weight monitoring. This lack of adherence to physician orders and facility policy resulted in inadequate monitoring of the resident's condition.
Failure to Serve Meals at Appropriate Temperatures
Penalty
Summary
The facility failed to provide lunch at appropriate and appetizing temperatures, as evidenced by multiple resident interviews and temperature checks conducted by surveyors. Residents reported that vegetables were consistently cold, and some food items were overcooked and mushy. The Dietary Manager outlined a process for ensuring hot food, which included taking temperatures before removing food from the oven, checking holding temperatures in the hot box, and taking temperatures when plating. However, a review of the temperature log revealed that while cooking temperatures were recorded, there was no documentation of temperatures in the hot box or on plated food. Additionally, a staff member was unaware of the requirement to check plated food temperatures. During a test tray conducted with the Dietary Manager, it was found that the internal temperatures of kielbasa, roast beef, and mashed potatoes were below the required levels. The kielbasa and roast beef were both below the 145 degrees Fahrenheit standard, and the mashed potatoes were below the 165 degrees Fahrenheit standard. The Dietary Manager acknowledged that the temperatures were low and attributed it to the foods not holding their temperature well, indicating a need to revise the menu to include items that maintain temperature better. The facility's policy on Meal Assembly Procedures and Taste/Temperature Record required all food items to be monitored for temperature, but this was not adequately followed, leading to the deficiency.
Deficiency in Dignified Dining Experience and Meal Service Timeliness
Penalty
Summary
The facility failed to ensure a dignified dining experience for residents in one of its dining rooms. Resident #65, who was diagnosed with Alzheimer's dementia, anxiety, and depression, was observed sleeping with a meal in front of them. A nursing assistant (NA) was seen standing over the resident while assisting with the meal, which was against the facility's practice of being seated at eye level. The facility's policy on feeding dependent residents did not specify the caregiver's position during assistance, contributing to the deficiency. Additionally, the facility did not provide timely meal service to residents. Resident #35, who was cognitively intact and independent in eating, reported delays in receiving meals. Resident #430, who was severely cognitively impaired, experienced significant delays in meal service compared to their tablemates. On one occasion, a requested salad substitution took 41 minutes to be served, far exceeding the expected 15-minute preparation time. Interviews with staff revealed that only one dietary aide was available to plate meals, and the dietary operations manager acknowledged the delay but could not explain why it took so long.
Failure to Notify Physician of Weight Gain in CHF Resident
Penalty
Summary
The facility failed to notify the physician of a significant weight gain in a resident with congestive heart failure (CHF), as per the physician's order. The resident, who was cognitively intact and had diagnoses including unspecified diastolic CHF, chronic kidney disease, and essential hypertension, was to be weighed daily. The physician's order required notification if the resident's weight increased by more than 3 pounds in one day or 5 pounds in one week. On 8/25/24, the resident's weight increased by 4.6 pounds from the previous recorded weight on 8/23/24, but no notification was made to the physician or Advanced Practice Registered Nurse (APRN). Interviews and record reviews revealed that nurse aides were responsible for obtaining weights, and the facility policy required notifying the provider of significant weight gains in residents with CHF. However, the nurses' progress notes did not reflect the weight gain, nor was the physician or APRN notified. The APRN confirmed that she was not informed of the weight gain and expected an RN assessment for signs of fluid retention, which was not documented in the clinical records. The facility's CHF Residents Policy also directed that practitioners be notified of weight gains greater than 3 pounds, which was not adhered to in this case.
Failure to Limit PRN Psychotropic Medication to 14 Days
Penalty
Summary
The facility failed to ensure compliance with the requirement that as needed (PRN) psychotropic medications are limited to 14 days, as evidenced by the case of a resident diagnosed with dementia, hypertension, and a fractured left femur. The resident was prescribed Trazodone, an antidepressant, to be administered as needed for agitation. However, the physician orders from the resident's admission and subsequent readmission did not include a stop date for the medication, which is a requirement for PRN psychotropic medications. A pharmacist's recommendation highlighted the need for reevaluation of the Trazodone order after 14 days, but this was not acted upon. The facility's policy clearly states that PRN orders for psychotropic drugs must be limited to 14 days unless a physician provides documented justification for an extension. An interview with an APRN confirmed that the omission of a stop date was an error, and the medication order was not compliant with the facility's policy or regulatory requirements.
Insufficient Surety Bond Coverage for Resident Trust Account
Penalty
Summary
The facility failed to ensure that the current Surety Bond was sufficient to cover the total balance in the Resident Trust Account. A review of the Resident Trust Account balance statement dated September 12, 2024, showed a balance of $73,524.38. However, the Surety Bond from the insurance provider, effective from June 4, 2024, to June 4, 2025, was only for $10,000, resulting in a shortage of $63,524.38. During an interview on September 13, 2024, the Accounts Receivable person revealed that she was unaware of the insufficiency of the surety bond. Similarly, the Administrator, during an interview on the same day, acknowledged the discrepancy and was unaware that the surety bond amount was inadequate to cover the Resident Trust Account balance.
Failure to Utilize Gait Belt During Resident Ambulation
Penalty
Summary
The facility failed to ensure a gait belt was utilized when ambulating a resident in accordance with facility policy. Resident #1, who had diagnoses including Alzheimer's Disease, left artificial knee joint, and osteoarthritis, required moderate assistance with transfers and ambulation and utilized a walker for mobility. During an initial assessment by physical and occupational therapists, Resident #1 fell backwards, hitting their head on the floor and complaining of pain in the left foot and head. The resident was not wearing a gait belt at the time of the fall, despite facility policy requiring its use for residents needing assistance with transfers and ambulation. The physical therapy evaluation indicated that Resident #1 required moderate assistance to sit at the edge of the bed and to transfer from a sit to stand position with a rolling walker. During ambulation, the support was adjusted to contact guard, and Resident #1 was not wearing a gait belt. The occupational therapy evaluation corroborated this, noting that Resident #1's knee buckled, causing the fall. Both therapists acknowledged that the facility policy mandated the use of a gait belt for residents requiring assistance, and they were aware of this requirement. Following the fall, the charge nurse assessed Resident #1, who was then sent to the emergency department. The hospital records revealed that Resident #1 sustained a transverse fracture of the medial malleolus and a comminuted oblique fracture of the distal fibula, requiring immobilization and follow-up for potential surgery. Interviews with the therapists and review of the facility's mandatory in-service training confirmed that the staff were aware of the gait belt policy, yet it was not followed during the incident, leading to the resident's fall and subsequent injuries.
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What surveyors actually found near you
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Cheshire
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Skyview Rehab And Nursing | 3.1 mi | ★★★★★ | 22 | 0 |
| Masonicare Health Center | 3.4 mi | ★★★★★ | 0 | 0 |
| Civita Care Center At Cheshire | 3.5 mi | ★★★★★ | 2 | 0 |
| Whitney Rehabilitation Care Center | 4.8 mi | ★★★★★ | 0 | 0 |
| Hamden Rehabilitation & Healthcare Center | 5.3 mi | ★★★★★ | 10 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.