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Deficiency Records for Illini Restorative Care
A list of the most recent deficiencies for Illini Restorative Care. 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 Illini Restorative Care. 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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-06-22 | 2024-07-12 | 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 | 2024-05-23 | 2024-07-07 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2024-05-23 | 2024-07-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-05-23 | 2024-06-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-23 | 2024-06-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-05-23 | 2024-06-30 | N |
| Establish staff and initial training requirements. | Fire Safety | 2024-05-30 | 2024-06-30 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2024-05-30 | 2024-06-30 | 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 | 2024-05-30 | 2024-06-30 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2024-05-30 | 2024-06-30 | 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 | 2024-05-30 | 2024-06-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-05-30 | 2024-06-30 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2024-05-30 | 2024-06-30 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-05-30 | 2024-06-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-30 | 2024-06-30 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-05-30 | 2024-06-30 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-05-30 | 2024-06-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-05-30 | 2024-06-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-05-30 | 2024-06-30 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2024-05-23 | 2024-06-04 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-01-12 | 2024-02-12 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-10-04 | 2023-11-06 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-10-04 | 2023-11-06 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-06-12 | 2023-07-21 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2023-06-12 | 2023-07-21 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2023-06-12 | 2023-07-21 | N |
| Develop a communication plan. | Fire Safety | 2023-06-12 | 2023-07-21 | N |
| Establish emergency prep training and testing. | Fire Safety | 2023-06-12 | 2023-07-21 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-06-12 | 2023-07-21 | 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 | 2023-06-12 | 2023-07-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-06-12 | 2023-07-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-06-12 | 2023-07-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-06-12 | 2023-07-21 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-06-08 | 2023-07-11 | 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 | 2023-06-08 | 2023-07-11 | 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 | 2023-06-08 | 2023-07-11 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-03-24 | 2023-04-28 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-03-24 | 2023-04-28 | Y |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-06-30 | 2022-07-20 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-06-30 | 2022-07-20 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-06-30 | 2022-07-20 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2022-06-30 | 2022-07-01 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2022-06-30 | 2022-07-01 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-05-05 | 2022-06-03 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-05-05 | 2022-06-03 | 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 | 2022-05-05 | 2022-06-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-27 | 2022-05-28 | Y |
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