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Deficiency Records for Aliya of Evanston
A list of the most recent deficiencies for Aliya of Evanston. 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 Aliya of Evanston. 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 a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-02-16 | 2024-02-17 | N |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-02-16 | 2024-02-17 | N |
Post nurse staffing information every day. | Health | 2024-02-16 | 2024-02-17 | N |
Ensure that residents are free from significant medication errors. | Health | 2024-02-16 | 2024-02-17 | 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 | 2024-02-16 | 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 |
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2024-02-16 | 2024-02-17 | N |
Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-02-16 | 2024-02-17 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-09 | 2024-01-10 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-11-17 | 2023-11-19 | 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 | 2023-04-07 | 2023-04-14 | Y |
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-04-07 | 2023-04-10 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-23 | 2023-03-14 | Y |
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 | 2022-11-23 | 2022-12-12 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-07-22 | 2022-08-08 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-04 | 2022-03-11 | Y |
Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-01-18 | 2022-02-08 | N |
Address patient/client population and determine types of services needed. | Fire Safety | 2022-01-18 | 2022-02-08 | N |
Address subsistence needs for staff and patients. | Fire Safety | 2022-01-18 | 2022-02-08 | N |
Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2022-01-18 | 2022-02-08 | N |
Establish policies and procedures for sheltering. | Fire Safety | 2022-01-18 | 2022-02-08 | N |
Establish policies and procedures for medical documentation. | Fire Safety | 2022-01-18 | 2022-02-08 | N |
Create arrangements with other facilities to receive patients. | Fire Safety | 2022-01-18 | 2022-02-08 | N |
Provide family notifications of emergency plan. | Fire Safety | 2022-01-18 | 2022-02-08 | N |
Establish emergency prep training and testing. | Fire Safety | 2022-01-18 | 2022-02-08 | N |
Establish staff and initial training requirements. | Fire Safety | 2022-01-18 | 2022-02-08 | N |
Conduct testing and exercise requirements. | Fire Safety | 2022-01-18 | 2022-02-08 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-01-14 | 2022-02-04 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-01-14 | 2022-02-04 | 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 | 2022-01-14 | 2022-02-04 | N |
Use approved construction type or materials. | Fire Safety | 2022-01-18 | 2022-02-04 | N |
Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2022-01-18 | 2022-02-04 | N |
Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2022-01-18 | 2022-02-04 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-01-18 | 2022-02-04 | N |
Provide a written emergency evacuation plan. | Fire Safety | 2022-01-18 | 2022-02-04 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2022-01-18 | 2022-02-04 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-01-18 | 2022-02-04 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-01-18 | 2022-02-04 | N |
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