Deficiency Records for West Suburban Nursing and Rehab Center
Updated as of March 01, 2024
A list of the most recent deficiencies for West Suburban Nursing and Rehab 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? |
|---|---|---|---|---|
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2023-12-06 | 2023-12-23 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-12-06 | 2023-12-23 | 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 | 2023-12-06 | 2023-12-23 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2023-12-06 | 2023-12-23 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-12-06 | 2023-12-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-12-06 | 2023-12-23 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-12-06 | 2023-12-23 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-12-06 | 2023-12-23 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-12-06 | 2023-12-23 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2023-12-06 | 2023-12-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-12-06 | 2023-12-23 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-12-06 | 2023-12-23 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2023-12-06 | 2023-12-22 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2023-12-06 | 2023-12-22 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-12-06 | 2023-12-22 | 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 | 2023-12-06 | 2023-12-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-06 | 2023-12-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-06 | 2023-12-20 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-12-06 | 2023-12-20 | N |
| 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 | 2023-12-06 | 2023-12-20 | N |
| Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | Health | 2023-12-06 | 2023-12-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-12-06 | 2023-12-20 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-10-26 | 2023-11-03 | Y |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2023-06-28 | 2023-07-11 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-06-28 | 2023-07-10 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-06-28 | 2023-07-03 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-06-28 | 2023-06-30 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2023-06-28 | 2023-06-30 | 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 | 2023-06-28 | 2023-06-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-06-28 | 2023-06-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-06-28 | 2023-06-30 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-06-14 | 2023-06-23 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-06-14 | 2023-06-23 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-06-14 | 2023-06-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-14 | 2023-06-23 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-06-14 | 2023-06-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-06-14 | 2023-06-23 | 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 | 2022-12-18 | 2022-12-22 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2022-11-30 | 2022-12-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-11-30 | 2022-12-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-30 | 2022-12-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-11-30 | 2022-12-09 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-11-18 | 2022-12-02 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-11-18 | 2022-12-02 | N |
| 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 | 2022-11-18 | 2022-12-02 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2022-11-18 | 2022-12-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-11-18 | 2022-12-02 | 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 | 2022-11-30 | 2022-12-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-11-30 | 2022-12-01 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-11-30 | 2022-12-01 | N |
| Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | Health | 2022-07-21 | 2022-08-02 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-07-21 | 2022-08-02 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-05-26 | 2022-06-14 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-05-26 | 2022-06-13 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-16 | 2022-06-02 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-05-16 | 2022-06-02 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-02-23 | 2022-03-07 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-01-14 | 2022-02-04 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-01-05 | 2022-01-14 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-01-02 | 2022-01-14 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-11-09 | 2021-11-19 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2021-10-07 | 2021-10-21 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-10-07 | 2021-10-21 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2021-10-07 | 2021-10-21 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-09-16 | 2021-09-30 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-09-16 | 2021-09-28 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-08-31 | 2021-09-13 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-08-24 | 2021-09-08 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-07-22 | 2021-07-29 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-07-16 | 2021-07-27 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-06-23 | 2021-07-19 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-06-23 | 2021-07-19 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-06-23 | 2021-07-19 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2021-04-12 | 2021-04-23 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-03-04 | 2021-03-24 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-03-04 | 2021-03-24 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-03-04 | 2021-03-24 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-03-04 | 2021-03-24 | 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 | 2021-03-04 | 2021-03-24 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2021-03-04 | 2021-03-24 | Y |
