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Deficiency Records for Mcleansboro Rehab and Hlth C Ctr
A list of the most recent deficiencies for Mcleansboro Rehab and Hlth C Ctr. 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 Mcleansboro Rehab and Hlth C Ctr. 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? |
|---|---|---|---|---|
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-06-26 | 2024-07-08 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2024-06-26 | 2024-07-08 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2024-06-26 | 2024-07-08 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2024-06-26 | 2024-07-08 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2024-06-26 | 2024-07-08 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2024-06-26 | 2024-07-08 | N |
| Establish staff and initial training requirements. | Fire Safety | 2024-06-26 | 2024-07-08 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-06-26 | 2024-07-08 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-06-26 | 2024-07-08 | N |
| Install proper backup exit lighting. | Fire Safety | 2024-06-26 | 2024-07-08 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-06-26 | 2024-07-08 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-06-26 | 2024-07-08 | 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 | 2024-06-26 | 2024-07-08 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-06-26 | 2024-07-08 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-06-26 | 2024-07-08 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2024-06-26 | 2024-07-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-06-26 | 2024-07-08 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-06-26 | 2024-07-08 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-06-26 | 2024-07-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-06-26 | 2024-07-08 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-06-26 | 2024-07-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-06-26 | 2024-07-08 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-06-26 | 2024-07-08 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2024-06-26 | 2024-07-08 | 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 | 2024-06-24 | 2024-07-01 | 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 | 2024-06-07 | 2024-07-01 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-06-07 | 2024-06-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-06-07 | 2024-06-20 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-05-07 | 2024-05-23 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-05-07 | 2024-05-23 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-05-07 | 2024-05-23 | Y |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2024-03-19 | 2024-04-01 | 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 | 2023-11-13 | 2023-11-16 | 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 | 2023-05-04 | 2023-08-02 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-05-16 | 2023-05-26 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-05-16 | 2023-05-26 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-05-16 | 2023-05-26 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-05-16 | 2023-05-26 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-05-16 | 2023-05-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-16 | 2023-05-26 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-05-16 | 2023-05-26 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-05-16 | 2023-05-26 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-05-16 | 2023-05-26 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-05-16 | 2023-05-26 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-05-04 | 2023-05-19 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2022-08-09 | 2022-08-18 | 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 | 2022-08-09 | 2022-08-18 | Y |
| Install proper backup exit lighting. | Fire Safety | 2022-04-08 | 2022-04-25 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-04-08 | 2022-04-25 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-04-08 | 2022-04-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-04-08 | 2022-04-25 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-04-08 | 2022-04-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-04-08 | 2022-04-25 | N |
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