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Deficiency Records for Bella Terra Elmhurst
A list of the most recent deficiencies for Bella Terra Elmhurst. 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 Bella Terra Elmhurst. 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? |
|---|---|---|---|---|
| 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 | 2024-04-25 | 2024-04-30 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-04-25 | 2024-04-26 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-04-25 | 2024-04-26 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2024-03-21 | 2024-04-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-03-21 | 2024-04-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-03-21 | 2024-04-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-03-21 | 2024-04-12 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-03-21 | 2024-04-12 | 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 | 2024-03-14 | 2024-03-15 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-03-14 | 2024-03-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-03-14 | 2024-03-15 | 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 | 2024-03-14 | 2024-03-15 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-03-14 | 2024-03-15 | 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 | 2024-03-14 | 2024-03-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-03-14 | 2024-03-15 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-12-28 | 2023-12-29 | 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 | 2023-12-28 | 2023-12-29 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-28 | 2023-12-29 | Y |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2023-09-22 | 2023-10-04 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-22 | 2023-07-19 | N |
| Use approved construction type or materials. | Fire Safety | 2023-06-22 | 2023-07-06 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-06-22 | 2023-07-06 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-06-22 | 2023-07-06 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-06-22 | 2023-07-06 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-06-22 | 2023-07-06 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-06-22 | 2023-07-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-06-22 | 2023-07-06 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2023-06-22 | 2023-07-06 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-06-09 | 2023-06-10 | 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 | 2023-06-09 | 2023-06-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-06-09 | 2023-06-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-06 | 2023-03-25 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-01-20 | 2023-02-02 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-01-20 | 2023-02-02 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-07-15 | 2022-07-21 | 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 | 2022-05-05 | 2022-05-27 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-05-05 | 2022-05-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-05 | 2022-05-27 | 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 | 2022-05-05 | 2022-05-27 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-05-05 | 2022-05-27 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-05-05 | 2022-05-27 | 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 | 2022-05-05 | 2022-05-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-05-05 | 2022-05-27 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-05-05 | 2022-05-27 | 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 | 2022-05-10 | 2022-05-27 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-05-10 | 2022-05-27 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-05-10 | 2022-05-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-05-10 | 2022-05-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-05-10 | 2022-05-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-05-10 | 2022-05-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-05-10 | 2022-05-27 | N |
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