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Deficiency Records for Bria of Palos Hills

A list of the most recent deficiencies for Bria of Palos Hills. 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 Bria of Palos Hills. 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 2024-09-20 2024-09-21 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2024-08-29 2024-08-30 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2024-08-29 2024-08-30 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-08-29 2024-08-30 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-08-29 2024-08-30 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-08-29 2024-08-30 Y
Have proper power supply for life support equipment. Fire Safety 2024-02-28 2024-08-30 N
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Health 2024-07-29 2024-07-30 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 2024-07-29 2024-07-30 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2024-07-29 2024-07-30 Y
Provide enough food/fluids to maintain a resident's health. Health 2024-07-29 2024-07-30 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2024-07-29 2024-07-30 Y
Provide and implement an infection prevention and control program. Health 2024-07-29 2024-07-30 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-06-14 2024-06-15 Y
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-02-28 2024-05-22 N
Establish policies and procedures for sheltering. Fire Safety 2024-02-28 2024-03-15 N
Conduct testing and exercise requirements. Fire Safety 2024-02-28 2024-03-15 N
Install a two-hour-resistant firewall separation. Fire Safety 2024-02-28 2024-03-15 N
Use approved construction type or materials. Fire Safety 2024-02-28 2024-03-15 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2024-02-28 2024-03-15 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 2024-02-28 2024-03-15 N
Have stairways and smokeproof enclosures used as exits that meet safety requirements. Fire Safety 2024-02-28 2024-03-15 N
Install proper backup exit lighting. Fire Safety 2024-02-28 2024-03-15 N
Have properly located and lighted "Exit" signs. Fire Safety 2024-02-28 2024-03-15 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 2024-02-28 2024-03-15 N
Provide properly protected cooking facilities. Fire Safety 2024-02-28 2024-03-15 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2024-02-28 2024-03-15 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2024-02-28 2024-03-15 N
Install corridor and hallway doors that block smoke. Fire Safety 2024-02-28 2024-03-15 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2024-02-28 2024-03-15 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2024-02-28 2024-03-15 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2024-02-28 2024-03-15 N
Provide a written emergency evacuation plan. Fire Safety 2024-02-28 2024-03-15 N
Have simulated fire drills held at unexpected times. Fire Safety 2024-02-28 2024-03-15 N
Provide properly sized and located linen or trash receptacles. Fire Safety 2024-02-28 2024-03-15 N
Have restrictions on the use of portable space heaters. Fire Safety 2024-02-28 2024-03-15 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2024-02-28 2024-03-15 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-02-28 2024-03-15 N
Ensure proper usage of power strips and extension cords. Fire Safety 2024-02-28 2024-03-15 N
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. Fire Safety 2024-02-28 2024-03-15 N
Ensure precautions for handling oxygen cylinders and equipment are correctly followed. Fire Safety 2024-02-28 2024-03-15 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-02-16 2024-02-17 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-02-16 2024-02-17 N
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2024-02-16 2024-02-17 N
Ensure medication error rates are not 5 percent or greater. Health 2024-02-16 2024-02-17 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-02-16 2024-02-17 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 2024-02-16 2024-02-17 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 2024-02-16 2024-02-17 Y
Provide and implement an infection prevention and control program. Health 2024-02-16 2024-02-17 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-12-21 2023-12-22 Y
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2023-12-21 2023-12-22 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-09-26 2023-09-27 Y
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2022-11-16 2023-09-26 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 2023-08-21 2023-09-19 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-08-21 2023-09-19 Y
Respond appropriately to all alleged violations. Health 2023-08-21 2023-09-19 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-08-21 2023-09-19 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-08-21 2023-09-19 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-08-21 2023-09-19 Y
Have elevators that firefighters can control in the event of a fire. Fire Safety 2022-11-16 2023-09-07 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-11-16 2023-07-15 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2022-11-16 2023-07-08 N
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Health 2023-06-09 2023-06-28 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-06-09 2023-06-28 Y
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2023-06-09 2023-06-28 Y
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2023-06-09 2023-06-28 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-06-09 2023-06-28 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-06-09 2023-06-28 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-06-09 2023-06-28 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 2023-06-09 2023-06-28 Y
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2022-11-16 2023-03-17 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-02-05 2023-02-16 Y
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2022-11-16 2022-12-14 N
Conduct testing and exercise requirements. Fire Safety 2022-11-16 2022-12-14 N
Implement emergency and standby power systems. Fire Safety 2022-11-16 2022-12-14 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2022-11-16 2022-12-14 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-11-16 2022-12-14 N
Address patient/client population and determine types of services needed. Fire Safety 2022-11-16 2022-12-13 N
Establish policies and procedures for volunteers. Fire Safety 2022-11-16 2022-12-13 N
Create arrangements with other facilities to receive patients. Fire Safety 2022-11-16 2022-12-13 N
Provide family notifications of emergency plan. Fire Safety 2022-11-16 2022-12-13 N
Establish staff and initial training requirements. Fire Safety 2022-11-16 2022-12-13 N
Install a two-hour-resistant firewall separation. Fire Safety 2022-11-16 2022-12-13 N
Use approved construction type or materials. Fire Safety 2022-11-16 2022-12-13 N
Have properly located and lighted "Exit" signs. Fire Safety 2022-11-16 2022-12-12 N
Install corridor and hallway doors that block smoke. Fire Safety 2022-11-16 2022-12-12 N
Provide a written emergency evacuation plan. Fire Safety 2022-11-16 2022-12-12 N
Provide properly sized and located linen or trash receptacles. Fire Safety 2022-11-16 2022-12-09 N
Address subsistence needs for staff and patients. Fire Safety 2022-11-16 2022-12-07 N
Establish procedures for tracking staff and patients during an emergency. Fire Safety 2022-11-16 2022-12-07 N
Establish policies and procedures including evacuation. Fire Safety 2022-11-16 2022-12-07 N
Establish policies and procedures for sheltering. Fire Safety 2022-11-16 2022-12-07 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 2022-11-16 2022-12-07 N
Install proper backup exit lighting. Fire Safety 2022-11-16 2022-12-07 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 2022-11-16 2022-12-07 N
Provide properly protected cooking facilities. Fire Safety 2022-11-16 2022-12-07 N
Have properly installed hallway dispensers for alcohol-based hand rub. Fire Safety 2022-11-16 2022-12-07 N
Have simulated fire drills held at unexpected times. Fire Safety 2022-11-16 2022-12-07 N
Ensure proper usage of power strips and extension cords. Fire Safety 2022-11-16 2022-12-07 N
Have proper medical gas storage and administration areas. Fire Safety 2022-11-16 2022-12-07 N
Ensure precautions for handling oxygen cylinders and equipment are correctly followed. Fire Safety 2022-11-16 2022-12-07 N
Have an alternate power supply for its alarm system. Fire Safety 2022-11-16 2022-12-02 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 2022-11-03 2022-11-04 Y
PASARR screening for Mental disorders or Intellectual Disabilities Health 2022-11-03 2022-11-04 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 2022-11-03 2022-11-04 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 2022-11-03 2022-11-04 N
Reasonably accommodate the needs and preferences of each resident. Health 2022-11-03 2022-11-04 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 2022-11-03 2022-11-04 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-11-03 2022-11-04 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-11-03 2022-11-04 Y
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2022-11-03 2022-11-04 Y
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2022-09-27 2022-10-29 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-08-25 2022-10-29 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-09-27 2022-09-28 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-09-27 2022-09-28 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-08-25 2022-08-26 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-08-25 2022-08-26 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-06-20 2022-06-21 Y
Ensure that residents are free from significant medication errors. Health 2022-06-20 2022-06-21 Y
Reasonably accommodate the needs and preferences of each resident. Health 2022-04-19 2022-04-20 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-04-19 2022-04-20 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-04-19 2022-04-20 Y
Ensure that residents are free from significant medication errors. Health 2022-04-19 2022-04-20 Y
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2022-04-19 2022-04-20 Y
Provide and implement an infection prevention and control program. Health 2022-04-19 2022-04-20 Y
Ensure staff are vaccinated for COVID-19 Health 2022-04-19 2022-04-20 Y
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2022-04-19 2022-04-20 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-02-17 2022-02-18 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-02-17 2022-02-18 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-02-17 2022-02-18 Y
Have properly located and lighted "Exit" signs. Fire Safety 2021-12-20 2022-01-21 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 2022-01-03 2022-01-04 Y
Establish an Emergency Preparedness Program (EP). Fire Safety 2021-12-20 2021-12-21 N
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2021-12-20 2021-12-21 N
Conduct risk assessment and an All-Hazards approach. Fire Safety 2021-12-20 2021-12-21 N
Address patient/client population and determine types of services needed. Fire Safety 2021-12-20 2021-12-21 N
Develop Emergency Preparedness policies and procedures. Fire Safety 2021-12-20 2021-12-21 N
Address subsistence needs for staff and patients. Fire Safety 2021-12-20 2021-12-21 N
Establish procedures for tracking staff and patients during an emergency. Fire Safety 2021-12-20 2021-12-21 N
Establish policies and procedures including evacuation. Fire Safety 2021-12-20 2021-12-21 N
Establish policies and procedures for sheltering. Fire Safety 2021-12-20 2021-12-21 N
Establish policies and procedures for medical documentation. Fire Safety 2021-12-20 2021-12-21 N
Establish policies and procedures for volunteers. Fire Safety 2021-12-20 2021-12-21 N
Create arrangements with other facilities to receive patients. Fire Safety 2021-12-20 2021-12-21 N
Develop a communication plan. Fire Safety 2021-12-20 2021-12-21 N
List the names and contact information of those in the facility. Fire Safety 2021-12-20 2021-12-21 N
Provide emergency officials' contact information. Fire Safety 2021-12-20 2021-12-21 N
Provide primary/alternate means for communication. Fire Safety 2021-12-20 2021-12-21 N
Establish methods for sharing information. Fire Safety 2021-12-20 2021-12-21 N
Provide a means of sharing information on occupancy/needs. Fire Safety 2021-12-20 2021-12-21 N
Provide family notifications of emergency plan. Fire Safety 2021-12-20 2021-12-21 N
Establish emergency prep training and testing. Fire Safety 2021-12-20 2021-12-21 N
Establish staff and initial training requirements. Fire Safety 2021-12-20 2021-12-21 N
Conduct testing and exercise requirements. Fire Safety 2021-12-20 2021-12-21 N
Implement emergency and standby power systems. Fire Safety 2021-12-20 2021-12-21 N
Install a two-hour-resistant firewall separation. Fire Safety 2021-12-20 2021-12-21 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2021-12-20 2021-12-21 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 2021-12-20 2021-12-21 N
Have stairways and smokeproof enclosures used as exits that meet safety requirements. Fire Safety 2021-12-20 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 2021-12-20 2021-12-21 N
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. Fire Safety 2021-12-20 2021-12-21 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2021-12-20 2021-12-21 N
Follow proper procedures when the fire alarm was out of service for more than 4 hours. Fire Safety 2021-12-20 2021-12-21 N
Install an approved automatic sprinkler system. Fire Safety 2021-12-20 2021-12-21 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2021-12-20 2021-12-21 N
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Fire Safety 2021-12-20 2021-12-21 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2021-12-20 2021-12-21 N
Provide a written emergency evacuation plan. Fire Safety 2021-12-20 2021-12-21 N
Have simulated fire drills held at unexpected times. Fire Safety 2021-12-20 2021-12-21 N
Provide properly sized and located linen or trash receptacles. Fire Safety 2021-12-20 2021-12-21 N
Meet requirements for the installation and maintenance of electrical systems. Fire Safety 2021-12-20 2021-12-21 N
Have a battery powered remote alarm panel in a location accessible by operating personnel. Fire Safety 2021-12-20 2021-12-21 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2021-12-20 2021-12-21 N
Ensure proper usage of power strips and extension cords. Fire Safety 2021-12-20 2021-12-21 N
Have proper medical gas storage and administration areas. Fire Safety 2021-12-20 2021-12-21 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2021-12-16 2021-12-17 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2021-12-16 2021-12-17 N
Ensure medication error rates are not 5 percent or greater. Health 2021-12-16 2021-12-17 N
Ensure that residents are free from significant medication errors. Health 2021-12-16 2021-12-17 N
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Health 2021-12-16 2021-12-17 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-12-16 2021-12-17 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2021-11-23 2021-11-23 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2021-11-23 2021-11-23 Y
Plan the resident's discharge to meet the resident's goals and needs. Health 2021-11-10 2021-11-12 Y
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Health 2021-11-10 2021-11-12 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-11-10 2021-11-12 Y

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