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 Elizabeth Nursing And Rehab Center during CMS and state inspections, most recent first.
The facility failed to maintain proper kitchen sanitation practices, as a surveyor observed a black substance inside the ice machine. The Chef was unaware of the issue, and the Maintenance Director confirmed monthly cleaning but could not identify the substance. The facility's policy requires regular cleaning and maintenance of kitchen equipment, including ice machines, but this was not followed.
A resident with severe cognitive impairment was observed in a wheelchair missing a left-side armrest cushion, necessary for support and comfort. Despite the facility's Medical Equipment Management Plan, staff acknowledged the oversight, and the cushion was found in the resident's room and reattached.
The facility failed to manage medications properly, with a discontinued medication found in a resident's cart and improper storage of medications on two carts. An LPN acknowledged the discontinued Memantine 5 mg should have been removed. Additionally, a PPD vial and Basaglar insulin pen were improperly stored outside the refrigerator, and expired Timolol eye drops were found. These actions were not in compliance with the facility's policies.
Improper Kitchen Sanitation Practices
Penalty
Summary
The facility failed to maintain proper kitchen sanitation practices, as observed during a surveyor's inspection. On the morning of September 15, 2024, the surveyor, accompanied by the Chef, noticed a black colored substance inside the ice machine in two areas. The Chef mentioned that the maintenance department was responsible for cleaning the ice machine and was unaware of the substance's presence. Later, the Maintenance Director (MD) confirmed that the ice machine was cleaned monthly, typically in the middle of the month, but could not identify the substance or determine how long it had been there. The facility's policy titled 'Cleaning Kitchen Equipment,' revised in December 2023, mandates that all utensils, counters, shelves, and equipment be kept clean and in good repair, free from breaks, corrosions, open seams, cracks, and chipped areas. It also specifies that ice machines and storage containers should be drained, cleaned, and sanitized according to the manufacturer's instructions and facility policy. Despite these guidelines, the facility failed to adhere to its policy, as evidenced by the presence of the black substance in the ice machine. During a meeting with the surveyor team, the Facility Operator and other administrative staff were unable to provide additional information regarding the issue.
Deficiency in Wheelchair Armrest Cushion for Resident
Penalty
Summary
The facility failed to provide a safe medical equipment for a resident, specifically a wheelchair with a missing armrest pad, which was necessary for additional support and comfort. This deficiency was observed during a survey when the resident was seen seated in a high back wheelchair without a cushion on the left-side armrest. The resident, who had severe cognitive impairment as indicated by a Brief Interview for Mental Status score of 00 out of 15, was admitted with multiple diagnoses including Type 2 Diabetes Mellitus, Hypertension, Major Depressive Disorder, and Anxiety Disorder. The deficiency was further confirmed through interviews with facility staff. A Registered Nurse acknowledged the absence of the armrest cushion and stated that it needed to be fixed. A Certified Nursing Assistant also confirmed the missing cushion and mentioned that it was inside the resident's room. The RN later retrieved and attached the cushion to the wheelchair. The facility's Medical Equipment Management Plan, which outlines procedures for maintaining equipment, was reviewed but did not prevent this oversight.
Medication Management Deficiencies
Penalty
Summary
The facility failed to properly manage medications for its residents, as evidenced by the presence of discontinued and improperly stored medications. During a medication pass observation, an LPN was found to have a bingo card containing Memantine 5 mg tablets for a resident, despite the resident's physician's orders indicating that the medication had been discontinued. The LPN acknowledged that the medication should have been removed from the cart. The resident involved had a history of hypertension, hyperlipidemia, Alzheimer's disease, and diabetes mellitus, and was cognitively intact at the time of the incident. Additionally, the surveyor identified issues with medication storage on two medication carts. On the first-floor cart, an opened vial of PPD and an unopened Basaglar insulin pen were improperly stored outside the refrigerator. On the second-floor cart, expired Timolol eye drops were found. The LPNs acknowledged these storage errors, which were not in compliance with the manufacturer's specifications and the facility's policies. The facility's policies require that expired or discontinued medications be removed and stored at appropriate temperatures, which was not adhered to in these instances.
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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 Elizabeth
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Plaza Healthcare & Rehabilitation Center | 0.2 mi | ★★★★★ | 0 | 0 |
| Elmora Hills Health & Rehabilitation Center | 0.4 mi | ★★★★★ | 7 | 0 |
| Trinitas Hospital | 1.4 mi | ★★★★★ | 0 | 0 |
| Cornell Hall Care & Rehabilitation Center | 2.4 mi | ★★★★★ | 0 | 0 |
| Aristacare At Parkside | 2.6 mi | ★★★★★ | 0 | 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.