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Deficiency Records for Montcare at Wheaton

A list of the most recent deficiencies for Montcare at Wheaton. 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 Montcare at Wheaton. 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?
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-07-29 2024-09-10 N
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Fire Safety 2024-07-29 2024-08-27 N
Provide properly protected cooking facilities. Fire Safety 2024-07-29 2024-08-27 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-07-29 2024-08-27 N
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Fire Safety 2024-07-29 2024-08-27 N
Meet other general requirements that are deficient. Fire Safety 2024-07-29 2024-08-27 N
Ensure precautions for handling oxygen cylinders and equipment are correctly followed. Fire Safety 2024-07-29 2024-08-27 N
Respond appropriately to all alleged violations. Health 2024-07-11 2024-08-19 Y
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. Health 2024-07-11 2024-08-19 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2024-07-11 2024-08-19 Y
Provide safe, appropriate pain management for a resident who requires such services. Health 2024-07-11 2024-08-19 Y
Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. Health 2024-07-11 2024-08-19 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-07-11 2024-08-19 N
Ensure that residents are fully informed and understand their health status, care and treatments. Health 2024-07-11 2024-08-19 N
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Health 2024-07-11 2024-08-19 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 2024-07-11 2024-08-19 N
Assess the resident when there is a significant change in condition Health 2024-07-11 2024-08-19 N
Ensure each resident receives an accurate assessment. Health 2024-07-11 2024-08-19 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-07-11 2024-08-19 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-07-11 2024-08-19 N
Provide enough food/fluids to maintain a resident's health. Health 2024-07-11 2024-08-19 N
Ensure that the resident and his/her doctor meet face-to-face at all required visits. Health 2024-07-11 2024-08-19 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2024-07-11 2024-08-19 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 2024-07-11 2024-08-19 N
Ensure medication error rates are not 5 percent or greater. Health 2024-07-11 2024-08-19 N
Ensure that residents are free from significant medication errors. Health 2024-07-11 2024-08-19 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 2024-07-11 2024-08-19 N
Provide or obtain dental services for each resident. Health 2024-07-11 2024-08-19 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 2024-07-11 2024-08-19 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-07-11 2024-08-19 N
Provide and implement an infection prevention and control program. Health 2024-07-11 2024-08-19 N
Give residents a notice of rights, rules, services and charges. Health 2024-07-11 2024-08-19 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2024-07-11 2024-08-19 Y
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2024-07-11 2024-08-19 Y
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2024-07-11 2024-08-19 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-07-11 2024-08-19 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 2024-07-11 2024-08-19 Y
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Health 2024-07-11 2024-08-19 Y
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. Health 2024-07-11 2024-08-19 Y
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Health 2024-07-11 2024-08-19 Y
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2024-07-11 2024-08-19 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2024-07-11 2024-08-19 Y
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Health 2019-09-27 2019-10-23 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2019-09-27 2019-10-23 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 2019-09-27 2019-10-23 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2019-09-27 2019-10-23 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2019-09-27 2019-10-23 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2019-09-27 2019-10-23 N
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. Health 2019-09-27 2019-10-23 N
Provide properly protected cooking facilities. Fire Safety 2019-09-24 2019-10-16 N
Install properly constructed and protected linen or trash chutes. Fire Safety 2019-09-24 2019-10-16 N
Have proper medical gas storage and administration areas. Fire Safety 2019-09-24 2019-10-16 N
Honor the resident's right to choose his or her attending physician. Health 2018-08-17 2018-09-14 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2018-08-17 2018-09-14 N
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2018-08-17 2018-09-14 N
Ensure each resident receives an accurate assessment. Health 2018-08-17 2018-09-14 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 2018-08-17 2018-09-14 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2018-08-17 2018-09-14 N
Provide activities to meet all resident's needs. Health 2018-08-17 2018-09-14 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2018-08-17 2018-09-14 N
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. Health 2018-08-17 2018-09-14 N
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Health 2018-08-17 2018-09-14 N
Ensure that residents are free from significant medication errors. Health 2018-08-17 2018-09-14 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2018-08-17 2018-09-14 N
Dispose of garbage and refuse properly. Health 2018-08-17 2018-09-14 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2018-08-17 2018-09-14 N
Provide and implement an infection prevention and control program. Health 2018-08-17 2018-09-14 N
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2018-08-17 2018-09-14 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2018-08-13 Not Fixed N
Ensure that testing and maintenance of electrical equipment is performed. Fire Safety 2018-08-13 Not Fixed N

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