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Deficiency Records for Palm Terrace of Mattoon

A list of the most recent deficiencies for Palm Terrace 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 Terrace 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?
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
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 2022-08-17 2022-09-16 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2022-08-24 2022-09-12 N
Have properly located and lighted "Exit" signs. Fire Safety 2022-08-24 2022-09-12 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2022-08-24 2022-09-12 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-08-24 2022-09-12 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2022-08-24 2022-09-12 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-08-24 2022-09-12 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 2022-08-17 2022-09-08 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 2022-08-17 2022-09-07 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2022-08-17 2022-09-01 N
Honor the resident's right to manage his or her financial affairs. Health 2022-08-17 2022-09-01 N
Assure the security of all personal funds of residents deposited with the facility. Health 2022-08-17 2022-09-01 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 2022-08-17 2022-09-01 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2022-08-17 2022-09-01 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2022-08-17 2022-09-01 N
Plan the resident's discharge to meet the resident's goals and needs. Health 2022-08-17 2022-09-01 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-08-17 2022-09-01 N
Provide for the safe, appropriate administration of IV fluids for a resident when needed. Health 2022-08-17 2022-09-01 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 2022-08-17 2022-09-01 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 2022-08-17 2022-09-01 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-08-17 2022-09-01 N
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). Health 2022-01-28 2022-02-18 Y
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2022-01-28 2022-02-18 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 2022-01-28 2022-02-18 Y
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Health 2022-01-28 2022-02-18 Y
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Health 2022-01-28 2022-02-18 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2021-10-29 2021-11-17 Y

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