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Deficiency Records for Avantara Libertyville
A list of the most recent deficiencies for Avantara Libertyville. 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 Avantara Libertyville. 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 | 2023-12-14 | 2023-12-18 | Y |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-11-30 | 2023-12-13 | N |
| Install proper backup exit lighting. | Fire Safety | 2023-11-30 | 2023-12-04 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-11-30 | 2023-12-04 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2023-11-30 | 2023-12-01 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2023-11-30 | 2023-12-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-11-30 | 2023-12-01 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-11-30 | 2023-12-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-11-30 | 2023-12-01 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-11-30 | 2023-12-01 | 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 | 2023-11-08 | 2023-11-10 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-11-08 | 2023-11-10 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-11-08 | 2023-11-10 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-11-08 | 2023-11-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-08 | 2023-11-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-23 | 2023-06-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-23 | 2023-05-24 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-04-25 | 2023-05-01 | 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 | 2023-03-21 | 2023-03-27 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-03-21 | 2023-03-27 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-11-23 | 2022-12-08 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-11-23 | 2022-12-08 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2022-11-17 | 2022-12-07 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-11-17 | 2022-12-06 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-11-17 | 2022-12-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-17 | 2022-12-02 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-11-17 | 2022-12-02 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2022-11-17 | 2022-12-02 | 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 | 2022-11-17 | 2022-12-01 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-11-17 | 2022-12-01 | 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 | 2022-11-17 | 2022-12-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-11-17 | 2022-12-01 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-11-17 | 2022-12-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-11-17 | 2022-12-01 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-10-26 | 2022-11-29 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2022-10-26 | 2022-11-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-26 | 2022-11-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-26 | 2022-11-29 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-10-26 | 2022-11-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-26 | 2022-11-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-10-26 | 2022-11-29 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2022-11-17 | 2022-11-17 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-02-08 | 2022-02-18 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2021-12-29 | 2022-01-06 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-11-23 | 2021-12-13 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-09 | 2021-11-24 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2021-08-17 | 2021-09-08 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2021-08-17 | 2021-09-07 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-08-17 | 2021-09-07 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2021-08-17 | 2021-09-07 | N |
| Provide emergency officials' contact information. | Fire Safety | 2021-08-17 | 2021-09-07 | N |
| Establish methods for sharing information. | Fire Safety | 2021-08-17 | 2021-09-07 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2021-08-17 | 2021-09-07 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-08-17 | 2021-09-07 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-08-17 | 2021-09-07 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-08-17 | 2021-09-07 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-08-17 | 2021-09-03 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-08-17 | 2021-08-30 | 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 | 2021-07-28 | 2021-08-27 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-07-28 | 2021-08-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-28 | 2021-08-27 | N |
| 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 | 2021-07-28 | 2021-08-27 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-07-28 | 2021-08-27 | 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 | 2021-07-28 | 2021-08-27 | 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 | 2021-07-28 | 2021-08-27 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2021-07-28 | 2021-08-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-07-28 | 2021-08-27 | 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 | 2021-08-17 | 2021-08-19 | 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 | 2021-08-17 | 2021-08-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-08-17 | 2021-08-18 | N |
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