Average — CMS composite of the measures below.
A standard survey is most likely before around December 2026
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 Elizabethtown Healthcare & Rehab Center during CMS and state inspections, most recent first.
A deficiency was cited due to the facility's failure to keep an area free from accident hazards and to provide adequate supervision to prevent accidents. The report notes that the environment was not maintained to safety standards and supervision was lacking, but does not specify further details.
Ten bottles of expired nutritional supplements were found in the kitchen's reach-in refrigerator, which staff had missed during their routine checks. The Dietary Manager confirmed the supplements were expired, and the Administrator stated that staff are usually diligent about discarding expired items. This issue had the potential to affect residents with physician-ordered nutritional supplements.
A nurse and a Wound Aide failed to wear gowns as required by the facility's Enhanced Barrier Precautions policy while providing wound care to a resident with a pressure ulcer. Both staff members wore only gloves during the high-contact procedure, and interviews revealed the lapse was due to forgetfulness and misunderstanding of the policy. The SDC and DON confirmed that gowns should have been worn during the dressing change.
A working call system was not available in each resident's bathroom and bathing area, as observed during the survey. This deficiency was noted based on the lack of required equipment to allow residents to request assistance in these areas.
A resident with vascular dementia reported an abuse allegation to a housekeeper, which was not promptly reported by a nurse to the administration due to the resident's known attention-seeking behavior. The DON conducted an investigation, but the nurse's failure to report the allegation immediately led to a deficiency in the facility's abuse policy implementation.
The facility failed to maintain a safe and homelike environment, with deficiencies observed in multiple resident rooms and common areas. Issues included broken floor linoleum, black substance around commode bases, missing bathroom door threshold strips, broken clothes cabinets, missing light covers, broken window blinds, dirty air conditioner vents, and loose floor baseboards. The Maintenance Director and Administrator acknowledged these issues, indicating a lack of timely maintenance and repair.
Failure to Maintain Safe Environment and Adequate Supervision
Penalty
Summary
A deficiency was identified in the facility's failure to ensure that an area was free from accident hazards and that adequate supervision was provided to prevent accidents. The report notes that the environment did not meet safety standards, and supervision was insufficient to prevent potential or actual accidents. Specific details regarding the nature of the hazards, the supervision provided, or the individuals affected are not included in the report.
Expired Nutritional Supplements Found in Kitchen Refrigerator
Penalty
Summary
Surveyors observed that the facility failed to discard expired nutritional supplements stored in the kitchen's reach-in refrigerator. Specifically, ten bottles of a nutritional supplement with an expiration date of 04/2025 were found during an inspection. The Dietary Manager confirmed that these supplements were expired and acknowledged that staff had missed them during their routine check for expired food that morning. The Administrator expressed surprise at the finding, noting that dietary staff are typically diligent about removing expired items and that a recent inspection by the Registered Dietitian had not identified any expired food. The facility's stated expectation is that no expired food items should be present in the kitchen or nourishment rooms. This deficiency was identified through direct observation and staff interviews, and it had the potential to affect residents who had physician orders for nutritional supplements.
Failure to Follow Enhanced Barrier Precautions During Wound Care
Penalty
Summary
During an observation of wound care for a resident with a pressure ulcer, both a nurse and a Wound Aide failed to follow the facility's infection control policy regarding Enhanced Barrier Precautions (EBP). The facility's policy, dated 9/22, requires the use of both gowns and gloves during high contact care activities, including wound care for residents identified as requiring EBP. However, during the dressing change, both staff members wore only gloves and did not don gowns before or during the procedure, despite the presence of personal protective equipment (PPE) in the room. Interviews following the incident revealed that the Wound Aide admitted to forgetting to wear a gown due to nervousness, while the nurse believed a gown was unnecessary since she was only assisting with positioning the resident. The Staff Development Coordinator (SDC), who was present to observe the dressing change, did not initially notice the lack of gowns until after the procedure had begun. Both the SDC and the Director of Nursing (DON) confirmed that the staff should have been wearing gowns during the dressing change, in accordance with facility policy.
Nonfunctional Call System in Resident Bathrooms and Bathing Areas
Penalty
Summary
A deficiency was identified due to the lack of a working call system in each resident's bathroom and bathing area. This observation indicates that the required call system, which allows residents to request assistance when needed, was not available or functional in these specific areas of the facility. The absence of a working call system in these locations was directly noted during the survey, but no additional details about specific residents, their medical history, or their condition at the time were provided in the report.
Failure to Report Abuse Allegation Promptly
Penalty
Summary
The facility failed to implement its abuse policy when a staff member did not promptly report an allegation of abuse involving a resident. The incident involved a resident with moderately impaired cognition due to vascular dementia, who reported to a housekeeper that a nurse aide had swiped a rag across her face and attempted to pour water into her mouth. The resident was known for attention-seeking behavior, and the allegation was initially communicated to a nurse by the resident's family member. However, the nurse did not report the allegation to the administration, believing it to be another instance of the resident's attention-seeking behavior. The Director of Nursing (DON) was informed of the allegation by the housekeeper and subsequently conducted an investigation. The investigation included interviews with the resident, who described the alleged perpetrator, and with the resident's roommate, who did not witness the incident. The DON also spoke with the family member who had initially reported the allegation to the nurse. Despite the resident's cognitive impairments and the lack of corroborating evidence, the facility was required to investigate the allegation thoroughly. The nurse involved in the incident admitted to receiving the report from the family member but failed to report it to the administration. This inaction was a direct violation of the facility's abuse policy, which mandates immediate reporting of any allegations of abuse. The nurse was subsequently suspended and re-educated on the importance of timely reporting of abuse allegations. The facility's failure to ensure that all staff adhered to the abuse reporting policy resulted in a deficiency being noted during the survey.
Facility Fails to Maintain Safe and Homelike Environment
Penalty
Summary
The facility failed to maintain a safe, clean, and homelike environment for its residents, as evidenced by multiple deficiencies observed across various resident rooms and common areas. Observations revealed broken floor linoleum in room 215, black substance and missing caulking around commode bases in several rooms, and broken or missing bathroom door threshold strips in numerous rooms, which could pose tripping hazards. Additionally, broken standing clothes cabinets, missing overhead light covers, broken window blinds, dirty air conditioner vents, and loose floor baseboards were noted in various rooms, indicating a lack of timely maintenance and repair. The Maintenance Director acknowledged the issues during a facility tour, agreeing that the items needed to be addressed. Despite having a small maintenance team, the director admitted to struggling with keeping up with repairs. The Administrator also confirmed the presence of these deficiencies during a follow-up tour, recognizing the need for a safe and homelike environment for residents. The report highlights the facility's failure to ensure a clean and well-maintained living space, impacting the overall quality of care provided to the residents.
What surveyors are citing around you — mapped
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Illustrative
What surveyors actually found near you
We read the 35 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
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Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Elizabethtown
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Bladen East Health And Rehab | 0.3 mi | ★★★★★ | 0 | 0 |
| Liberty Commons Nursing And Rehabilitation Center | 19.8 mi | ★★★★★ | 0 | 0 |
| Shoreland Health Care And Retirement Center Inc | 20.6 mi | ★★★★★ | 10 | 0 |
| Premier Living And Rehab Center | 21.4 mi | ★★★★★ | 0 | 0 |
| The Carrolton Of Lumberton | 21.8 mi | ★★★★★ | 9 | 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.