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Deficiency Records for Palm Garden of Mattoon
A list of the most recent deficiencies for Palm Garden of Mattoon. 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 Palm Garden of Mattoon. 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? |
|---|---|---|---|---|
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-01-22 | 2025-02-28 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-01-22 | 2025-02-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-01-22 | 2025-02-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-01-22 | 2025-02-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-01-22 | 2025-02-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-01-22 | 2025-02-13 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2025-01-22 | 2025-02-12 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2025-01-22 | 2025-02-11 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-01-22 | 2025-02-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-01-22 | 2025-02-10 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-01-24 | 2025-01-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-01-24 | 2025-01-31 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-01-24 | 2025-01-29 | 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 | 2025-01-24 | 2025-01-29 | 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 | 2025-01-24 | 2025-01-29 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2025-01-24 | 2025-01-28 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2025-01-24 | 2025-01-28 | 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 | 2025-01-24 | 2025-01-28 | 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 | 2025-01-07 | 2025-01-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-01-07 | 2025-01-16 | Y |
| Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2025-01-07 | 2025-01-15 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-01-07 | 2025-01-14 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-01-07 | 2025-01-14 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-01-07 | 2025-01-14 | 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 | 2025-01-07 | 2025-01-14 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-01-07 | 2025-01-14 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-01-07 | 2025-01-13 | Y |
| 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 | 2024-12-02 | 2024-12-18 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-12-02 | 2024-12-18 | 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 | 2024-09-12 | 2024-09-25 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-06-26 | 2024-07-12 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-06-12 | 2024-07-08 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2024-05-21 | 2024-06-14 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-05-21 | 2024-06-11 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-21 | 2024-06-11 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-03-27 | 2024-05-10 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2024-03-15 | 2024-04-17 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2024-03-15 | 2024-04-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-03-15 | 2024-04-15 | N |
| Establish methods for sharing information. | Fire Safety | 2024-03-27 | 2024-04-11 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2024-03-27 | 2024-04-11 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2024-03-27 | 2024-04-11 | N |
| Establish staff and initial training requirements. | Fire Safety | 2024-03-27 | 2024-04-11 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-03-27 | 2024-04-11 | 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 | 2024-03-27 | 2024-04-11 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-03-27 | 2024-04-11 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-03-27 | 2024-04-11 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-03-27 | 2024-04-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-03-27 | 2024-04-11 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-03-27 | 2024-04-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-03-27 | 2024-04-11 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-03-15 | 2024-04-09 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2024-03-15 | 2024-04-09 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-03-15 | 2024-04-03 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2024-03-15 | 2024-04-02 | 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 | 2024-03-15 | 2024-04-02 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-03-15 | 2024-04-02 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-03-15 | 2024-04-02 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2024-03-15 | 2024-04-02 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-03-15 | 2024-04-02 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-15 | 2024-04-02 | 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 | 2024-03-15 | 2024-04-02 | N |
| Post nurse staffing information every day. | Health | 2024-03-15 | 2024-04-02 | 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 | 2024-03-15 | 2024-04-02 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-03-15 | 2024-04-02 | 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 | 2024-03-15 | 2024-04-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-03-15 | 2024-04-02 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2024-03-15 | 2024-04-02 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-03-15 | 2024-04-02 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2024-03-15 | 2024-04-02 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-02-20 | 2024-03-07 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-02-20 | 2024-03-07 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-02-20 | 2024-03-07 | 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 | 2024-02-02 | 2024-02-20 | 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 | 2024-02-02 | 2024-02-20 | Y |
| 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 | 2024-02-02 | 2024-02-20 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2024-01-17 | 2024-01-26 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-01-17 | 2024-01-26 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-11-05 | 2023-11-25 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-09-20 | 2023-09-27 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-07-18 | 2023-09-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-15 | 2023-09-20 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-08-31 | 2023-09-12 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-07-18 | 2023-09-12 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-23 | 2023-07-17 | N |
| Keep all essential equipment working safely. | Health | 2023-05-23 | 2023-07-17 | 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 | 2023-05-23 | 2023-06-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-06-05 | 2023-06-26 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-05-23 | 2023-06-23 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-06-05 | 2023-06-23 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-06-05 | 2023-06-23 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-06-05 | 2023-06-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-05 | 2023-06-23 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-06-05 | 2023-06-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-06-05 | 2023-06-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-06-05 | 2023-06-23 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-06-05 | 2023-06-23 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-05-23 | 2023-06-08 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-05-23 | 2023-06-08 | 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 | 2023-05-23 | 2023-06-08 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-05-23 | 2023-06-08 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-05-23 | 2023-06-08 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-05-23 | 2023-06-08 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-05-23 | 2023-06-08 | 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 | 2023-05-23 | 2023-06-08 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2023-05-23 | 2023-06-08 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-05-23 | 2023-06-08 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-05-23 | 2023-06-08 | 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 | 2023-01-31 | 2023-04-03 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-02-22 | 2023-03-14 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-02-22 | 2023-03-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-22 | 2023-03-14 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-01-31 | 2023-03-14 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-01-31 | 2023-02-22 | Y |
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