A list of the most recent deficiencies for Northbrook Healthcare Center. 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 the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-03-27 | 2023-05-01 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-03-27 | 2023-05-01 | 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 | 2023-03-27 | 2023-05-01 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2023-03-27 | 2023-05-01 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2023-03-27 | 2023-05-01 | 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 | 2023-03-27 | 2023-05-01 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-03-27 | 2023-05-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-27 | 2023-05-01 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2023-03-27 | 2023-05-01 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2023-03-27 | 2023-05-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-27 | 2023-05-01 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-03-27 | 2023-05-01 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-03-27 | 2023-05-01 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-03-27 | 2023-05-01 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-04-05 | 2023-04-28 | 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 | 2023-04-05 | 2023-04-28 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-04-05 | 2023-04-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-04-05 | 2023-04-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-04-05 | 2023-04-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-04-05 | 2023-04-28 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-04-05 | 2023-04-28 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-08-30 | 2019-10-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-08-30 | 2019-10-28 | 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 | 2019-08-30 | 2019-10-28 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-08-30 | 2019-10-28 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-08-30 | 2019-10-28 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-08-30 | 2019-10-28 | 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 | 2019-08-30 | 2019-10-28 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-08-30 | 2019-10-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-30 | 2019-10-28 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2019-08-30 | 2019-10-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-09-19 | 2019-10-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-09-19 | 2019-10-25 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-09-19 | 2019-10-25 | N |
| Use approved construction type or materials. | Fire Safety | 2018-11-07 | 2018-12-12 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-11-07 | 2018-12-12 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-11-07 | 2018-12-12 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-11-07 | 2018-12-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-11-07 | 2018-12-12 | 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 | 2018-08-24 | 2018-10-26 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-08-24 | 2018-10-26 | N |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2018-08-24 | 2018-10-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-08-24 | 2018-10-26 | N |
| Provide appropriate foot care. | Health | 2018-08-24 | 2018-10-26 | N |
| Provide or obtain dental services for each resident. | Health | 2018-08-24 | 2018-10-26 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2018-08-24 | 2018-10-26 | N |
| Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Health | 2018-08-24 | 2018-10-26 | N |
