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Deficiency Records for Alden Terrace of Mchenry Rehab
A list of the most recent deficiencies for Alden Terrace of Mchenry Rehab. 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 Alden Terrace of Mchenry Rehab. 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 exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2024-05-21 | 2024-06-19 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-05-21 | 2024-06-19 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2024-05-21 | 2024-06-10 | 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 | 2024-05-16 | 2024-06-07 | 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 | 2024-05-16 | 2024-06-07 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-05-16 | 2024-06-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-05-16 | 2024-06-07 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-05-16 | 2024-06-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-16 | 2024-06-07 | 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 | 2024-05-16 | 2024-06-07 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2024-05-16 | 2024-06-07 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-05-16 | 2024-06-07 | 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 | 2024-05-16 | 2024-06-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-05-16 | 2024-06-07 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-05-21 | 2024-05-30 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2024-05-21 | 2024-05-23 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-05-21 | 2024-05-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-03-11 | 2024-03-27 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-02 | 2023-11-16 | Y |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-07-19 | 2023-10-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-13 | 2023-10-07 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-07-12 | 2023-08-04 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-07-12 | 2023-08-04 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-07-12 | 2023-08-04 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-07-12 | 2023-08-04 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-12 | 2023-08-04 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-07-12 | 2023-08-04 | 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 | 2023-07-12 | 2023-08-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-12 | 2023-08-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-07-12 | 2023-08-04 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-07-19 | 2023-08-01 | 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 | 2023-07-19 | 2023-07-31 | N |
| Meet requirements for the installation and maintenance of medical gas and medical vacuum systems. | Fire Safety | 2023-07-19 | 2023-07-31 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-07-19 | 2023-07-31 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-07-19 | 2023-07-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-07-19 | 2023-07-27 | 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 | 2023-07-19 | 2023-07-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-07-19 | 2023-07-21 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-07-19 | 2023-07-21 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-10-06 | 2023-02-15 | 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 | 2022-10-24 | 2022-10-31 | Y |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2022-10-06 | 2022-10-26 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2022-10-06 | 2022-10-25 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-10-06 | 2022-10-25 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-10-06 | 2022-10-21 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-09-28 | 2022-10-14 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2022-09-28 | 2022-10-14 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-09-28 | 2022-10-14 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-09-28 | 2022-10-14 | N |
| Provide activities to meet all resident's needs. | Health | 2022-09-28 | 2022-10-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-28 | 2022-10-14 | 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 | 2022-09-28 | 2022-10-14 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-09-28 | 2022-10-14 | 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 | 2022-09-28 | 2022-10-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-09-28 | 2022-10-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-10-06 | 2022-10-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-09 | 2022-08-20 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-08 | 2022-04-25 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-02-01 | 2022-03-01 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-01-12 | 2022-01-28 | Y |
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