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Inspection visit

Follow-up on corrections

ELIM PLACELicense 1072095431 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

11/4/25, Licensing Program Analyst (LPA) J. Leffall conducted a case management – deficiency visit regarding an incident report received in the Regional Office on 10/14/25. The incident occurred on 10/6/25, during which R1 was given the wrong dose of morphine. The medication error was found during a review conducted by the hospice nurse. Citation for failing to administer medications as prescribed for R1 is on the attached 809-D. Exit interview was conducted. A copy of this report with appeal rights were provided to A1, whose signature confirms receipt of this report.

Citations

1 citation recorded*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

  • 87465(c)(2)Type A

    (c) If the resident's physician has stated in writing that the resident is unable to determine his/her own need for nonprescription PRN medication but can communicate his/her symptoms clearly, facility staff designated by the licensee shall be permitted to assist the resident with self-administration, provided all of the following requirements are met:(2) Once ordered by the physician the medication is given according to the physician's directions. Based on records reviewed and interviews conducted, R1 was given the wrong dose of morphine, which poses an immediate Health & Safety risk to the residents.

FAQ · About this visit

Common questions about this visit

What happened during the November 4, 2025 inspection of ELIM PLACE?

This was a other inspection of ELIM PLACE on November 4, 2025. 1 citation were issued: 1 Type A (serious).

Were any citations issued to ELIM PLACE on November 4, 2025?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "(c) If the resident's physician has stated in writing that the resident is unable to determine his/her own need for nonp..."

What type of inspection was this?

This was a other inspection. other inspections are conducted by CCLD as part of their licensing oversight.

SourceView on CCLDView original report

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Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.