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Deficiency Records for The Pearl of Naperville
A list of the most recent deficiencies for The Pearl of Naperville. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for The Pearl of Naperville. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
---|---|---|---|---|
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-09-26 | 2024-12-21 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-09-19 | 2024-10-14 | N |
Ensure that residents are free from significant medication errors. | Health | 2024-09-19 | 2024-10-14 | N |
Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. | Fire Safety | 2024-09-26 | 2024-10-07 | N |
Have properly located and lighted "Exit" signs. | Fire Safety | 2024-09-26 | 2024-10-07 | N |
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2024-09-26 | 2024-10-07 | N |
Provide properly protected cooking facilities. | Fire Safety | 2024-09-26 | 2024-10-07 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-09-26 | 2024-10-07 | N |
Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2024-09-26 | 2024-10-07 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2024-09-26 | 2024-10-07 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-09-26 | 2024-10-07 | N |
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-09-26 | 2024-10-07 | N |
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2024-09-26 | 2024-10-07 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-09-26 | 2024-10-07 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2024-09-26 | 2024-10-07 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-09-26 | 2024-10-07 | N |
Provide properly sized and located linen or trash receptacles. | Fire Safety | 2024-09-26 | 2024-10-07 | N |
Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2024-09-26 | 2024-10-07 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-09-26 | 2024-10-07 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-09-19 | 2024-10-01 | N |
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-09-19 | 2024-10-01 | N |
PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-09-19 | 2024-10-01 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-09-19 | 2024-10-01 | N |
Provide and implement an infection prevention and control program. | Health | 2024-09-19 | 2024-10-01 | N |
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2024-09-19 | 2024-10-01 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-08-18 | 2024-08-22 | Y |
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-08-18 | 2024-08-22 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-08-01 | 2024-08-06 | Y |
Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2024-08-01 | 2024-08-06 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-05-20 | 2024-05-22 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-20 | 2024-05-22 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-04-04 | 2024-04-11 | Y |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-12-21 | 2024-01-12 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-12-21 | 2024-01-08 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-12-21 | 2024-01-02 | N |
Install a two-hour-resistant firewall separation. | Fire Safety | 2023-12-21 | 2023-12-29 | N |
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-12-21 | 2023-12-29 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-12-21 | 2023-12-29 | N |
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-12-21 | 2023-12-29 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2023-12-21 | 2023-12-29 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2023-12-21 | 2023-12-29 | N |
Have restrictions on the use of portable space heaters. | Fire Safety | 2023-12-21 | 2023-12-29 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-12-21 | 2023-12-29 | N |
Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-11-30 | 2023-12-08 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-11-30 | 2023-12-08 | N |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-11-30 | 2023-12-08 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-11-30 | 2023-12-08 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-30 | 2023-12-08 | N |
Provide and implement an infection prevention and control program. | Health | 2023-11-30 | 2023-12-08 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-11-21 | 2023-12-05 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-15 | 2023-11-22 | Y |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-02-16 | 2023-03-07 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-02-16 | 2023-03-07 | N |
Develop a communication plan. | Fire Safety | 2023-02-16 | 2023-03-03 | N |
Conduct testing and exercise requirements. | Fire Safety | 2023-02-16 | 2023-03-03 | N |
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-02-16 | 2023-03-03 | N |
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2023-02-16 | 2023-03-03 | N |
Have exits that are accessible at all times. | Fire Safety | 2023-02-16 | 2023-03-03 | N |
Have properly located and lighted "Exit" signs. | Fire Safety | 2023-02-16 | 2023-03-03 | N |
Provide properly protected cooking facilities. | Fire Safety | 2023-02-16 | 2023-03-03 | N |
Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-02-16 | 2023-03-03 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-16 | 2023-03-03 | N |
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-02-16 | 2023-03-03 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2023-02-16 | 2023-03-03 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-02-16 | 2023-03-03 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-02-16 | 2023-03-03 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-02-16 | 2023-03-03 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2023-02-16 | 2023-03-03 | N |
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2023-02-16 | 2023-03-03 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2023-02-18 | 2023-02-23 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-02 | 2023-02-17 | Y |
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2023-01-20 | 2023-02-10 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-01-20 | 2023-02-09 | N |
Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-01-20 | 2023-02-09 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-01-20 | 2023-02-09 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-01-20 | 2023-02-09 | N |
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2023-01-20 | 2023-02-09 | N |
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-01-20 | 2023-02-09 | N |
Provide and implement an infection prevention and control program. | Health | 2023-01-20 | 2023-02-09 | N |
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-01-20 | 2023-02-09 | N |
Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-01-20 | 2023-02-09 | N |
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2023-01-20 | 2023-02-09 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-20 | 2023-02-09 | Y |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-11-14 | 2022-11-22 | Y |
Ensure that residents are free from significant medication errors. | Health | 2022-11-03 | 2022-11-14 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-12 | 2022-09-20 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-06-10 | 2022-06-17 | Y |
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-06-10 | 2022-06-17 | Y |
Ensure that residents are free from significant medication errors. | Health | 2022-06-10 | 2022-06-17 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-16 | 2021-12-28 | Y |
Provide and implement an infection prevention and control program. | Health | 2021-12-16 | 2021-12-28 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-10 | 2021-12-21 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-11-12 | 2021-11-19 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-12 | 2021-11-19 | Y |
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2021-11-12 | 2021-11-19 | Y |
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