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Deficiency Records for The Citadel of Skokie
A list of the most recent deficiencies for The Citadel of Skokie. 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 Citadel of Skokie. 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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-04-26 | 2024-04-27 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-04-05 | 2024-04-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-05 | 2024-04-06 | Y |
| 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 | 2024-02-29 | 2024-03-11 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2023-12-05 | 2023-12-29 | 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 | 2023-12-05 | 2023-12-29 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-12-05 | 2023-12-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-12-05 | 2023-12-29 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-12-05 | 2023-12-29 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2023-12-05 | 2023-12-29 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-12-05 | 2023-12-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-12-05 | 2023-12-29 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-12-05 | 2023-12-29 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-12-05 | 2023-12-29 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2023-11-22 | 2023-12-13 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-11-22 | 2023-12-13 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-11-22 | 2023-12-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-22 | 2023-12-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-22 | 2023-12-13 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2023-08-10 | 2023-08-31 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-05-26 | 2023-06-01 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-05-26 | 2023-06-01 | 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 | 2023-03-01 | 2023-03-21 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-01 | 2023-03-21 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-03-01 | 2023-03-21 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-03-01 | 2023-03-21 | Y |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2023-03-01 | 2023-03-21 | Y |
| Establish staff and initial training requirements. | Fire Safety | 2023-01-04 | 2023-01-25 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-01-04 | 2023-01-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-01-04 | 2023-01-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-01-04 | 2023-01-25 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-01-04 | 2023-01-25 | N |
| Have an externally vented heating system. | Fire Safety | 2023-01-04 | 2023-01-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-01-04 | 2023-01-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-01-04 | 2023-01-25 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-12-21 | 2023-01-06 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2022-12-21 | 2023-01-06 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2022-12-21 | 2023-01-06 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-12-21 | 2023-01-06 | 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 | 2022-12-21 | 2023-01-06 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-12-21 | 2023-01-06 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-12-21 | 2023-01-06 | 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 | 2022-12-21 | 2023-01-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-21 | 2023-01-06 | N |
| Post nurse staffing information every day. | Health | 2022-12-21 | 2023-01-06 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2022-12-21 | 2023-01-06 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-12-21 | 2023-01-06 | 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 | 2022-12-21 | 2023-01-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-21 | 2023-01-06 | N |
| Provide a neutral and fair arbitration process and agree to arbitrator and venue. | Health | 2022-12-21 | 2023-01-06 | 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 | 2022-12-21 | 2023-01-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-12-21 | 2023-01-06 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-12-21 | 2023-01-06 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-11-21 | 2022-12-09 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-02 | 2022-10-20 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2022-08-10 | 2022-08-23 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-08-10 | 2022-08-23 | Y |
| Use approved construction type or materials. | Fire Safety | 2021-11-30 | 2021-12-21 | N |
| Meet other general requirements. | Fire Safety | 2021-11-30 | 2021-12-21 | 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 | 2021-11-30 | 2021-12-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-11-30 | 2021-12-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-11-30 | 2021-12-21 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-11-30 | 2021-12-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-11-30 | 2021-12-21 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2021-11-30 | 2021-12-21 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-11-30 | 2021-12-21 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2021-11-30 | 2021-12-21 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2021-11-18 | 2021-12-14 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-11-18 | 2021-12-14 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-11-18 | 2021-12-14 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-11-18 | 2021-12-14 | 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 | 2021-11-18 | 2021-12-14 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-11-18 | 2021-12-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-11-18 | 2021-12-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-11-18 | 2021-12-14 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-10-03 | 2021-10-15 | Y |
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