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Deficiency Records for Aliya of Oak Lawn
A list of the most recent deficiencies for Aliya of Oak Lawn. 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 Aliya of Oak Lawn. 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? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-05-30 | 2024-06-03 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-04-16 | 2024-05-14 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-04-16 | 2024-05-10 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2024-04-16 | 2024-04-26 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2024-04-16 | 2024-04-18 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2024-04-16 | 2024-04-18 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2024-04-16 | 2024-04-18 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-04-16 | 2024-04-18 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2024-04-16 | 2024-04-18 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-04-16 | 2024-04-18 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2024-04-16 | 2024-04-18 | 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 | 2024-04-16 | 2024-04-18 | N |
| Construct fire resistant interior walls. | Fire Safety | 2024-04-16 | 2024-04-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-04-16 | 2024-04-18 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-04-16 | 2024-04-18 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2024-04-16 | 2024-04-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-04-16 | 2024-04-18 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-04-16 | 2024-04-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-04-16 | 2024-04-18 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2024-04-16 | 2024-04-18 | N |
| Ensure gas and vacuum piping is labeled. | Fire Safety | 2024-04-16 | 2024-04-18 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2024-04-16 | 2024-04-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-04-16 | 2024-04-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-04-16 | 2024-04-18 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-04-16 | 2024-04-18 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2024-04-16 | 2024-04-18 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2024-04-16 | 2024-04-18 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-04-12 | 2024-04-13 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-04-12 | 2024-04-13 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2024-04-12 | 2024-04-13 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-04-12 | 2024-04-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-12 | 2024-04-13 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-03-14 | 2024-03-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-14 | 2024-03-18 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-03-14 | 2024-03-18 | 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 | 2024-03-14 | 2024-03-18 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-03-14 | 2024-03-15 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-03-14 | 2024-03-15 | Y |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2024-01-25 | 2024-01-29 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-01-25 | 2024-01-29 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-01-25 | 2024-01-29 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-25 | 2024-01-29 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-01-25 | 2024-01-29 | Y |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2024-01-25 | 2024-01-29 | Y |
| Keep all essential equipment working safely. | Health | 2024-01-25 | 2024-01-29 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-11-14 | 2023-11-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-14 | 2023-11-15 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-11-14 | 2023-11-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-14 | 2023-11-15 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-11-14 | 2023-11-15 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-10-11 | 2023-10-12 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-09-22 | 2023-09-23 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-14 | 2023-08-16 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-08-14 | 2023-08-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-14 | 2023-08-16 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-21 | 2023-08-16 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-07-21 | 2023-08-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-21 | 2023-08-16 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-07-21 | 2023-07-26 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-07-21 | 2023-07-26 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-07-21 | 2023-07-26 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2023-07-21 | 2023-07-26 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-07-21 | 2023-07-26 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2023-07-21 | 2023-07-26 | 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 | 2023-07-21 | 2023-07-26 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-07-21 | 2023-07-26 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-07-21 | 2023-07-26 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-07-21 | 2023-07-26 | Y |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2023-07-21 | 2023-07-26 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-07-21 | 2023-07-26 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-07-21 | 2023-07-26 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-05-12 | 2023-05-25 | Y |
| 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 | 2022-10-25 | 2022-11-18 | N |
| Install proper backup exit lighting. | Fire Safety | 2022-10-25 | 2022-11-18 | 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 | 2022-10-25 | 2022-11-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-10-25 | 2022-11-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-10-25 | 2022-11-18 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2022-10-25 | 2022-11-18 | N |
| Ensure medical gas and vacuum systems have documented maintenance programs. | Fire Safety | 2022-10-25 | 2022-11-18 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2022-10-25 | 2022-11-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-10-25 | 2022-11-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-10-25 | 2022-11-17 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-10-25 | 2022-11-10 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-10-14 | 2022-11-07 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2022-10-14 | 2022-11-07 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-10-14 | 2022-11-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-14 | 2022-11-07 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-10-14 | 2022-11-07 | N |
| 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 | 2022-10-14 | 2022-11-07 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-10-14 | 2022-11-07 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2022-10-14 | 2022-11-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-10-14 | 2022-11-07 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-02-21 | 2022-03-03 | Y |
| Establish policies and procedures for sheltering. | Fire Safety | 2021-11-23 | 2021-12-17 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-11-23 | 2021-12-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-11-10 | 2021-12-15 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-11-19 | 2021-12-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-11-19 | 2021-12-15 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-11-23 | 2021-12-15 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-11-23 | 2021-12-15 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2021-11-23 | 2021-12-15 | 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 | 2021-11-23 | 2021-12-15 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-11-23 | 2021-12-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-11-23 | 2021-12-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-11-23 | 2021-12-15 | N |
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