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Deficiency Records for The Pearl of Elgin
A list of the most recent deficiencies for The Pearl of Elgin. 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 Pearl of Elgin. 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 or obtain dental services for each resident. | Health | 2024-08-22 | 2024-09-18 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-08-27 | 2024-09-13 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-08-27 | 2024-09-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-08-27 | 2024-09-13 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-08-27 | 2024-09-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-08-27 | 2024-09-13 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2024-08-27 | 2024-09-13 | 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 | 2024-08-22 | 2024-09-07 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-08-22 | 2024-09-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-08-22 | 2024-09-07 | 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 | 2024-08-22 | 2024-09-07 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2024-08-22 | 2024-09-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-08-22 | 2024-09-07 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-08-22 | 2024-09-07 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2023-09-08 | 2023-09-26 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-09-08 | 2023-09-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-08 | 2023-09-26 | 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 | 2023-09-08 | 2023-09-26 | 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 | 2023-09-08 | 2023-09-26 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-09-08 | 2023-09-26 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-09-08 | 2023-09-26 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2023-09-08 | 2023-09-26 | 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 | 2023-09-08 | 2023-09-26 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-09-08 | 2023-09-26 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2023-09-08 | 2023-09-26 | 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 | 2023-09-08 | 2023-09-26 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2023-09-08 | 2023-09-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-08 | 2023-09-26 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-09-08 | 2023-09-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-09-08 | 2023-09-26 | 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 | 2023-09-13 | 2023-09-26 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-09-13 | 2023-09-26 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-09-13 | 2023-09-26 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-09-13 | 2023-09-26 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2023-03-02 | 2023-03-17 | Y |
| Establish staff and initial training requirements. | Fire Safety | 2022-10-27 | 2022-12-16 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-10-27 | 2022-12-16 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-10-27 | 2022-12-16 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-10-27 | 2022-12-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-10-27 | 2022-12-16 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2022-10-27 | 2022-12-16 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-10-19 | 2022-11-09 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2022-10-19 | 2022-11-09 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-10-19 | 2022-11-09 | 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 | 2022-10-19 | 2022-11-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-19 | 2022-11-09 | 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 | 2022-10-19 | 2022-11-09 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2022-10-19 | 2022-11-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-19 | 2022-11-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-10-19 | 2022-11-09 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-10-19 | 2022-11-09 | 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 | 2022-08-01 | 2022-08-12 | Y |
| 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 | 2021-12-06 | 2021-12-17 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-11-12 | 2021-12-01 | Y |
| 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 | 2021-11-12 | 2021-12-01 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-10-19 | 2021-11-09 | Y |
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