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Deficiency Records for The Loft Rehab of Peoria
A list of the most recent deficiencies for The Loft Rehab of Peoria. 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 Loft Rehab of Peoria. 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 and implement an infection prevention and control program. | Health | 2024-08-23 | 2024-09-13 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-08-21 | 2024-09-13 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2024-08-21 | 2024-09-13 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-08-21 | 2024-09-13 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-08-23 | 2024-09-12 | 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 | 2024-08-23 | 2024-09-12 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-08-23 | 2024-09-12 | 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 | 2024-08-23 | 2024-09-12 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-08-23 | 2024-09-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-23 | 2024-09-12 | 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 | 2024-08-23 | 2024-09-12 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-08-23 | 2024-09-12 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-08-23 | 2024-09-12 | 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 | 2024-08-23 | 2024-09-12 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-05-11 | 2024-06-03 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-05-11 | 2024-06-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-11 | 2024-06-03 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-05-11 | 2024-06-03 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-03-12 | 2024-03-22 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2024-03-12 | 2024-03-22 | Y |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2024-03-12 | 2024-03-22 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-03-12 | 2024-03-22 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2024-02-15 | 2024-03-06 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-02-15 | 2024-03-06 | 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 | 2024-02-15 | 2024-03-06 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-01-26 | 2024-02-15 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-01-26 | 2024-02-15 | 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 | 2023-12-15 | 2023-12-26 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-12-15 | 2023-12-26 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-15 | 2023-12-26 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-12-15 | 2023-12-26 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-11-16 | 2023-11-21 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-11-01 | 2023-11-21 | 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 | 2023-11-08 | 2023-11-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-08 | 2023-11-16 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-11-01 | 2023-11-09 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-11-01 | 2023-11-09 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-11-01 | 2023-11-09 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-11-01 | 2023-11-09 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-11-01 | 2023-11-09 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-11-01 | 2023-11-09 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-06-02 | 2023-07-18 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-06-02 | 2023-07-18 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-06-02 | 2023-07-13 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2023-06-02 | 2023-07-13 | 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 | 2023-06-02 | 2023-07-13 | 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 | 2023-06-02 | 2023-07-13 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-06-02 | 2023-07-13 | 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 | 2023-06-02 | 2023-07-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-02 | 2023-07-13 | 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 | 2023-06-02 | 2023-07-13 | 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 | 2023-06-02 | 2023-07-13 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-06-02 | 2023-07-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-02 | 2023-07-13 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-06-02 | 2023-07-13 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-06-02 | 2023-07-13 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-02 | 2023-07-13 | Y |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-06-01 | 2023-06-16 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-03-23 | 2023-04-10 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2023-03-23 | 2023-04-10 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-03-23 | 2023-04-10 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-23 | 2023-04-10 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-23 | 2023-04-10 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-03-23 | 2023-04-10 | 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 | 2023-03-23 | 2023-04-10 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-03-23 | 2023-04-10 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-03-23 | 2023-04-10 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-03-23 | 2023-04-10 | Y |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2023-03-23 | 2023-04-10 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-01-13 | 2023-01-26 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-13 | 2023-01-26 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-12-29 | 2023-01-16 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-12-29 | 2023-01-16 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-12-29 | 2023-01-16 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-12-29 | 2023-01-16 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-12-01 | 2022-12-15 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-12-01 | 2022-12-13 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2022-10-15 | 2022-10-21 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-07-18 | 2022-07-20 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-07-18 | 2022-07-20 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-07-18 | 2022-07-20 | Y |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2022-06-16 | 2022-06-23 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-06-08 | 2022-06-17 | 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 | 2022-06-08 | 2022-06-17 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-06-08 | 2022-06-17 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-05-31 | 2022-06-17 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-05-31 | 2022-06-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-31 | 2022-06-17 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2022-05-31 | 2022-06-17 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-05-31 | 2022-06-17 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-05-31 | 2022-06-17 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-04-28 | 2022-05-24 | 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 | 2022-04-19 | 2022-04-28 | Y |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-04-07 | 2022-04-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-07 | 2022-04-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-04-07 | 2022-04-28 | 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 | 2022-04-07 | 2022-04-22 | 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 | 2022-04-07 | 2022-04-22 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-04-07 | 2022-04-22 | 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 | 2022-04-07 | 2022-04-22 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-04-07 | 2022-04-22 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2022-04-07 | 2022-04-22 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-04-07 | 2022-04-22 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-03-07 | 2022-03-09 | Y |
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