A list of the most recent deficiencies for The Grove of Evanston L and R. 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 care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-05-22 | 2023-05-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-14 | 2023-05-04 | Y |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-02-22 | 2023-03-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-22 | 2023-03-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-02-22 | 2023-03-10 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-02-22 | 2023-03-06 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-02-22 | 2023-03-06 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2023-02-22 | 2023-03-06 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-02-22 | 2023-03-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-02-22 | 2023-03-06 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2023-02-22 | 2023-03-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-02-22 | 2023-03-06 | N |
| Have restrictions on the use of flammable curtains. | Fire Safety | 2023-02-22 | 2023-03-06 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-02-22 | 2023-03-06 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-02-10 | 2023-02-27 | 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 | 2023-02-10 | 2023-02-27 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-02-10 | 2023-02-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-10 | 2023-02-27 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-02-10 | 2023-02-27 | 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 | 2023-02-10 | 2023-02-27 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-02-10 | 2023-02-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-02-10 | 2023-02-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-02-10 | 2023-02-27 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-04-26 | 2022-08-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-26 | 2022-07-19 | N |
| Provide appropriate foot care. | Health | 2022-06-13 | 2022-06-24 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-04-26 | 2022-05-18 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-04-26 | 2022-05-18 | N |
| Use approved construction type or materials. | Fire Safety | 2022-04-26 | 2022-05-18 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2022-04-26 | 2022-05-18 | 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 | 2022-04-26 | 2022-05-18 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2022-04-26 | 2022-05-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-04-26 | 2022-05-18 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2022-04-26 | 2022-05-18 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-04-21 | 2022-05-11 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-04-21 | 2022-05-11 | 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 | 2022-04-21 | 2022-05-11 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-04-21 | 2022-05-11 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-04-21 | 2022-05-11 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-03-03 | 2022-03-11 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-03-03 | 2022-03-11 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-03-03 | 2022-03-11 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-03-03 | 2022-03-11 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-02-21 | 2022-03-04 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-02-21 | 2022-03-04 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-02-21 | 2022-03-04 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-11-12 | 2021-11-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-19 | 2021-10-28 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-09-27 | 2021-10-11 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-01-16 | 2020-01-29 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2020-01-16 | 2020-01-29 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-01-15 | 2020-01-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-01-15 | 2020-01-20 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2020-01-15 | 2020-01-16 | N |
| Establish staff and initial training requirements. | Fire Safety | 2020-01-15 | 2020-01-16 | N |
| Use approved construction type or materials. | Fire Safety | 2020-01-15 | 2020-01-16 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2020-01-15 | 2020-01-16 | 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 | 2020-01-15 | 2020-01-16 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2020-01-15 | 2020-01-16 | 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 | 2020-01-15 | 2020-01-16 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-01-15 | 2020-01-16 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2020-01-15 | 2020-01-16 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2020-01-15 | 2020-01-16 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-01-15 | 2020-01-16 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2020-01-15 | 2020-01-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-01-15 | 2020-01-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-01-15 | 2020-01-16 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2020-01-15 | 2020-01-16 | N |
