Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around November 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Ellsworth Health Services during CMS and state inspections, most recent first.
A resident with CHF experienced significant weight gain and worsening symptoms over several months, but the facility failed to conduct comprehensive cardiovascular and respiratory assessments. Despite monitoring weight and symptoms, the facility relied on exception-based documentation, leading to a lack of timely intervention. The resident was eventually hospitalized for acute on chronic diastolic CHF, highlighting deficiencies in ongoing assessment and care.
Failure to Conduct Comprehensive Assessments for CHF
Penalty
Summary
The facility failed to ensure that a resident with congestive heart failure (CHF) received treatment and care in accordance with professional standards of practice. The resident, who had a history of CHF, hypertensive heart disease, mitral valve stenosis, pulmonary hypertension, and chronic kidney disease, experienced a significant weight gain and worsening symptoms over several months. Despite these changes, the facility did not conduct comprehensive cardiovascular and respiratory assessments, such as auscultating lung and heart sounds or assessing jugular venous distention, which are critical for monitoring CHF. The resident's care plan included monitoring for symptoms of CHF, such as edema and shortness of breath, but the facility's documentation was incomplete. Nurses documented the presence of shortness of breath and edema but did not perform or record detailed cardiovascular examinations. The facility relied on exception-based documentation, meaning assessments were only recorded if concerns were noted, which led to a lack of regular, thorough assessments. This approach contributed to the resident's condition worsening without timely intervention. Interviews with staff revealed that while the resident's weight and symptoms were monitored, there was a lack of urgency in addressing the gradual weight gain and worsening symptoms. The facility's primary provider was aware of the resident's condition but chose to wait for a cardiology appointment to adjust medications, given the resident's kidney function. Ultimately, the resident was hospitalized for acute on chronic diastolic CHF after a cardiology appointment, highlighting the deficiency in ongoing assessment and timely intervention by the facility.
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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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Nursing homes near Ellsworth
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Kinnic Health And Rehabilitation Center | 10.4 mi | — | 0 | 0 |
| Spring Valley Health And Rehab Center | 12.5 mi | — | 13 | 0 |
| St Crispin Living Community | 14.2 mi | — | 15 | 1 |
| Prescott Nursing And Rehab Community | 14.7 mi | — | 0 | 0 |
| Baldwin Care Center | 16.2 mi | — | 11 | 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 August 2026) and official state health department websites.