Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around February 2027
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 Elizabeth Care Center during CMS and state inspections, most recent first.
The facility failed to serve breakfast at adequate temperatures, as observed during a survey. Two residents reported receiving cold breakfasts, and an observation confirmed that scrambled eggs and pancakes were served below the recommended temperature. Dietary staff acknowledged the issue.
The facility's QAPI Committee meetings lacked attendance from all required members, including the IP, DON, and Medical Director, across multiple months. This failure was confirmed by the DON and Administrator.
A resident with a full code status was found unresponsive and exhibiting signs of death, but the nurse on duty did not initiate CPR, believing the resident's condition indicated irreversible signs of death. The resident's advanced directives were not followed, leading to a deficiency citation.
Inadequate Breakfast Food Temperatures
Penalty
Summary
The facility failed to maintain adequate and appetizing temperatures for breakfast foods served in resident rooms, as observed during a Long Term Care Survey process. During a resident council meeting, two residents reported that their breakfast was often delivered cold, affecting its taste. On a subsequent morning, an observation of breakfast tray delivery revealed that the last tray was served at 7:36 AM, with scrambled eggs and pancakes measured at temperatures of 103.5 degrees Fahrenheit and 93.8 degrees Fahrenheit, respectively. These temperatures were below the recommended 120 degrees Fahrenheit at the point of service. Dietary Staff #12 acknowledged that the food temperatures were not within the recommended range.
QAPI Committee Attendance Deficiency
Penalty
Summary
The facility failed to ensure that all required members of the Quality Assurance and Performance Improvement Committee (QAPI) attended the quarterly meetings as mandated. The facility's QAPI Committee is scheduled to meet every second Tuesday of each month, with a list of required attendees including the Medical Director, Consultant Pharmacists, Director of Nursing (DON), Administrator, and other key personnel. However, a review of the QAPI meeting sign-in sheets for four quarters starting in September 2023 revealed that not all required members were present at any meeting during the specified periods. Specifically, in March, April, and May 2024, the Infection Preventionist (IP) was absent from all meetings, with additional absences of the Medical Director and Administrator in April and May, respectively. Similarly, in June, July, and August 2024, the IP, DON, and Medical Director were absent from multiple meetings. The Director of Nursing and the Administrator confirmed the absence of required personnel for two of the four quarterly meetings.
Failure to Implement Advanced Directives for Full Code Resident
Penalty
Summary
The facility failed to implement advanced directives for a resident who had completed a Physician Order for Scope of Treatment (POST) form indicating her wishes to be a full code. The resident was found unresponsive, not breathing, with no pulse, and exhibiting signs of death such as fixed and non-reactive pupils, cold extremities, and a rigid torso. Despite the resident's full code status, the nurse on duty did not initiate CPR and instead monitored the resident for signs of life for five minutes. The nurse aide initially reported the resident's difficulty breathing and nausea to the registered nurse, who then assessed the resident and found her unresponsive. The nurse attempted sternal rubs and called the resident's name, but these actions were ineffective. The nurse did not initiate CPR, as she believed the resident's condition indicated irreversible signs of death, and she was in the mode of pronouncing death rather than considering resuscitation efforts. The incident was substantiated by the facility, and the nurse was later terminated following an investigation. The failure to follow the resident's advanced directives and initiate CPR as per the full code status was identified as a deficiency during the survey.
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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 Elizabeth
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Ohio Valley Health Care | 13 mi | — | 21 | 0 |
| Parkersburg Center | 15.4 mi | — | 34 | 1 |
| Roane General Hospital | 16.7 mi | — | 14 | 0 |
| Willows Center | 16.7 mi | — | 31 | 0 |
| Miletree Center | 17 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 August 2026) and official state health department websites.