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Deficiency Records for The Pearl of Hinsdale
A list of the most recent deficiencies for The Pearl of Hinsdale. 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 Hinsdale. 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? |
|---|---|---|---|---|
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-09-03 | 2024-09-17 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-09-03 | 2024-09-17 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-09-03 | 2024-09-17 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-09-03 | 2024-09-17 | 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 | 2024-07-12 | 2024-07-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-23 | 2024-06-04 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-03-27 | 2024-03-29 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-12-29 | 2024-01-15 | Y |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2023-01-11 | 2023-12-21 | N |
| Use approved construction type or materials. | Fire Safety | 2023-09-28 | 2023-12-15 | N |
| Use approved construction type or materials. | Fire Safety | 2023-01-11 | 2023-12-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-28 | 2023-11-14 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-09-28 | 2023-10-31 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-09-28 | 2023-10-31 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-09-28 | 2023-10-19 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2023-09-28 | 2023-10-16 | 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 | 2023-09-28 | 2023-10-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-09-28 | 2023-10-16 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-09-28 | 2023-10-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-09-28 | 2023-10-16 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-09-28 | 2023-10-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-09-28 | 2023-10-16 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2023-09-28 | 2023-10-16 | N |
| 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 | 2023-09-21 | 2023-10-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-21 | 2023-10-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-21 | 2023-10-05 | 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 | 2023-09-21 | 2023-10-05 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-09-21 | 2023-10-05 | 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 | 2023-09-21 | 2023-10-05 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2023-09-21 | 2023-10-05 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-09-21 | 2023-10-05 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-09-28 | 2023-09-28 | 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 | 2023-08-18 | 2023-09-05 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-08-18 | 2023-09-05 | Y |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2023-08-18 | 2023-09-05 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-07-21 | 2023-07-31 | 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 | 2023-07-31 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-01-11 | 2023-03-09 | 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 | 2023-01-11 | 2023-03-09 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-01-11 | 2023-03-09 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-01-11 | 2023-03-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-01-11 | 2023-02-13 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-01-11 | 2023-02-13 | 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 | 2023-01-11 | 2023-02-10 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-01-11 | 2023-02-10 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-01-11 | 2023-02-10 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-01-11 | 2023-02-10 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-01-11 | 2023-02-10 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-01-11 | 2023-02-10 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-01-11 | 2023-02-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-01-11 | 2023-02-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-01-11 | 2023-02-10 | N |
| Install proper backup exit lighting. | Fire Safety | 2023-01-11 | 2023-01-31 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-12-08 | 2023-01-06 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-08 | 2023-01-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-08 | 2023-01-05 | 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 | 2022-12-08 | 2023-01-05 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2022-12-08 | 2023-01-05 | 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 | 2022-12-08 | 2023-01-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-08 | 2023-01-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-12-08 | 2023-01-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-29 | 2022-10-17 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-02-24 | 2022-03-15 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-02-24 | 2022-03-15 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-02-24 | 2022-03-15 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-02-24 | 2022-03-15 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-08-18 | 2021-09-12 | N |
| 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 | 2021-08-18 | 2021-09-12 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-08-18 | 2021-09-12 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2021-08-18 | 2021-09-12 | 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 | 2021-08-18 | 2021-09-12 | 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 | 2021-08-18 | 2021-09-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-08-18 | 2021-09-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-08-18 | 2021-09-12 | N |
| Provide emergency officials' contact information. | Fire Safety | 2021-08-26 | 2021-09-12 | 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 | 2021-08-26 | 2021-09-12 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-08-18 | 2021-09-10 | N |
| Install noncombustible or limited-combustible interior walls. | Fire Safety | 2021-08-26 | 2021-09-10 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-08-26 | 2021-09-10 | N |
| Have exits that are accessible at all times. | Fire Safety | 2021-08-26 | 2021-09-10 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-08-26 | 2021-09-10 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-08-26 | 2021-09-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-08-26 | 2021-09-10 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-08-26 | 2021-09-10 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-08-26 | 2021-09-10 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2021-08-26 | 2021-09-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-08-26 | 2021-09-10 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-08-26 | 2021-09-10 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-08-26 | 2021-09-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-08-26 | 2021-09-10 | N |
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