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Deficiency Records for Carlinville Rehab and Hcc
A list of the most recent deficiencies for Carlinville Rehab and Hcc. 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 Carlinville Rehab and Hcc. 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? |
|---|---|---|---|---|
| Install proper backup exit lighting. | Fire Safety | 2024-06-26 | 2024-09-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-05-29 | 2024-08-29 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-07-01 | 2024-08-29 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-06-26 | 2024-07-12 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-07-01 | 2024-07-02 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2024-07-01 | 2024-07-02 | 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 | 2024-07-01 | 2024-07-02 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2024-07-01 | 2024-07-02 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-07-01 | 2024-07-02 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-07-01 | 2024-07-02 | 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 | 2024-07-01 | 2024-07-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-07-01 | 2024-07-02 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-07-01 | 2024-07-02 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-07-01 | 2024-07-02 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-07-01 | 2024-07-02 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-07-01 | 2024-07-02 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-07-01 | 2024-07-02 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-07-01 | 2024-07-02 | 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 | 2024-07-01 | 2024-07-02 | Y |
| Establish staff and initial training requirements. | Fire Safety | 2024-06-26 | 2024-07-02 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-06-26 | 2024-07-02 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-06-26 | 2024-07-01 | 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 | 2024-06-26 | 2024-07-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-06-26 | 2024-07-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-06-26 | 2024-07-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-06-26 | 2024-07-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-06-26 | 2024-06-26 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2024-06-26 | 2024-06-26 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-06-26 | 2024-06-26 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-06-26 | 2024-06-26 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2024-05-29 | 2024-05-29 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-09-26 | 2023-10-06 | Y |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-08-15 | 2023-08-24 | 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 | 2023-07-27 | 2023-08-23 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-07-27 | 2023-08-23 | 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 | 2023-07-27 | 2023-08-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-07-27 | 2023-08-23 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2023-08-15 | 2023-08-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-15 | 2023-08-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-08-15 | 2023-08-15 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-05-30 | 2023-06-13 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-18 | 2023-05-12 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-04-18 | 2023-05-12 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2023-04-06 | 2023-05-12 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-04-06 | 2023-05-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-01 | 2023-03-22 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-09 | 2023-03-07 | 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 | 2023-02-09 | 2023-03-07 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-02-09 | 2023-03-07 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-01-10 | 2023-01-27 | 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 | 2022-11-03 | 2022-11-26 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-08-25 | 2022-09-11 | 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 | 2022-08-25 | 2022-09-11 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-08-17 | 2022-09-02 | 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 | 2022-08-17 | 2022-09-02 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-08-17 | 2022-09-02 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-08-02 | 2022-08-31 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2022-07-29 | 2022-08-26 | N |
| Develop a communication plan. | Fire Safety | 2022-07-29 | 2022-08-26 | N |
| Provide emergency officials' contact information. | Fire Safety | 2022-07-29 | 2022-08-26 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2022-07-29 | 2022-08-26 | N |
| Establish emergency prep training and testing. | Fire Safety | 2022-07-29 | 2022-08-26 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-07-29 | 2022-08-26 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-07-29 | 2022-08-26 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2022-07-29 | 2022-08-26 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-07-29 | 2022-08-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-07-29 | 2022-08-26 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-07-29 | 2022-08-25 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-08-02 | 2022-08-24 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-08-02 | 2022-08-24 | 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 | 2022-08-02 | 2022-08-24 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-08-02 | 2022-08-24 | 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 | 2022-08-02 | 2022-08-24 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-08-02 | 2022-08-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-02 | 2022-08-24 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-08-02 | 2022-08-24 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-02-10 | 2022-03-04 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-02-10 | 2022-03-04 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-02-10 | 2022-03-04 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-11-17 | 2021-11-19 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-11-17 | 2021-11-19 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-11-17 | 2021-11-19 | Y |
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