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Deficiency Records for Bella Terra Morton Grove
A list of the most recent deficiencies for Bella Terra Morton Grove. 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 Bella Terra Morton Grove. 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 that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-18 | 2024-08-19 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-04-23 | 2024-05-01 | 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 | 2024-04-23 | 2024-05-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-04-23 | 2024-05-01 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-04-23 | 2024-05-01 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2024-04-23 | 2024-05-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-04-23 | 2024-05-01 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-04-23 | 2024-05-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-04-23 | 2024-05-01 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-04-19 | 2024-04-24 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2024-04-19 | 2024-04-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-19 | 2024-04-24 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2024-04-19 | 2024-04-24 | 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 | 2024-04-19 | 2024-04-24 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2024-04-19 | 2024-04-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-04-19 | 2024-04-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-07 | 2024-03-08 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-10-31 | 2023-11-13 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-31 | 2023-11-13 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-09-23 | 2023-10-02 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-29 | 2023-08-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-31 | 2023-08-05 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-03-31 | 2023-05-31 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-04-11 | 2023-05-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-11 | 2023-05-15 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2023-04-11 | 2023-04-30 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-04-11 | 2023-04-30 | 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 | 2023-04-11 | 2023-04-30 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-04-11 | 2023-04-30 | 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 | 2023-04-11 | 2023-04-30 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-04-11 | 2023-04-30 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-04-11 | 2023-04-30 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2023-04-11 | 2023-04-30 | N |
| Ensure gas and vacuum piping is labeled. | Fire Safety | 2023-04-11 | 2023-04-30 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-03-31 | 2023-04-18 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-03-31 | 2023-04-18 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-03-31 | 2023-04-18 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2023-03-31 | 2023-04-18 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-03-31 | 2023-04-18 | 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 | 2023-03-31 | 2023-04-18 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2023-03-31 | 2023-04-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-31 | 2023-04-18 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-03-31 | 2023-04-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-31 | 2023-04-18 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-03-31 | 2023-04-18 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-31 | 2023-04-18 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-12-02 | 2022-12-22 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-09-22 | 2022-10-06 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-21 | 2022-09-09 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-04-14 | 2022-05-06 | Y |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2022-02-18 | 2022-03-04 | Y |
| 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 | 2022-02-18 | 2022-03-04 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-02-18 | 2022-03-04 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-02-18 | 2022-03-04 | Y |
| Provide activities to meet all resident's needs. | Health | 2021-03-18 | 2021-04-20 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-03-18 | 2021-04-20 | 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 | 2021-03-18 | 2021-04-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-03-18 | 2021-04-20 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2021-03-18 | 2021-04-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-03-18 | 2021-04-20 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-03-18 | 2021-04-16 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2021-03-18 | 2021-04-16 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2021-03-18 | 2021-04-14 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2021-03-18 | 2021-04-14 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2021-03-18 | 2021-04-14 | 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 | 2021-03-18 | 2021-04-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-03-18 | 2021-04-14 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-03-18 | 2021-04-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-03-18 | 2021-04-14 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-03-18 | 2021-04-14 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2021-03-18 | 2021-04-12 | N |
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