Deficiency Records for West Suburban Nursing and Rehab Center
Updated as of October 01, 2016
This is not the most recent data for West Suburban Nursing and Rehab Center. For the most recent information, click here.
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? |
|---|---|---|---|---|
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2016-08-03 | 2016-08-12 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2016-08-03 | 2016-08-12 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-07-13 | 2016-07-20 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-07-13 | 2016-07-20 | Y |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-07-13 | 2016-07-20 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-07-13 | 2016-07-20 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-07-13 | 2016-07-20 | Y |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-07-13 | 2016-07-20 | Y |
| Corridor and hallway doors that block smoke. | Fire Safety | 2015-10-27 | 2016-01-04 | N |
| Protected exits that allow the resident to escape the building. | Fire Safety | 2015-10-27 | 2016-01-04 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2015-10-27 | 2016-01-04 | N |
| Protected exits that allow the resident to escape the building. | Fire Safety | 2015-10-27 | 2016-01-04 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2015-10-27 | 2015-12-03 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2015-10-27 | 2015-12-03 | N |
| The appropriate emergency electrical system. | Fire Safety | 2015-10-27 | 2015-11-28 | N |
| The appropriate emergency electrical system. | Fire Safety | 2015-10-27 | 2015-11-28 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2015-10-27 | 2015-11-25 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2015-10-27 | 2015-11-25 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2015-10-27 | 2015-11-18 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2015-10-27 | 2015-11-18 | N |
| Properly protected cooking facilities. | Fire Safety | 2015-10-27 | 2015-11-15 | N |
| Properly protected cooking facilities. | Fire Safety | 2015-10-27 | 2015-11-15 | N |
| Properly maintained smoke detectors. | Fire Safety | 2015-10-27 | 2015-11-14 | N |
| Properly maintained smoke detectors. | Fire Safety | 2015-10-27 | 2015-11-14 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-10-27 | 2015-11-02 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-10-27 | 2015-11-02 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2015-10-23 | 2015-10-30 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2015-10-23 | 2015-10-30 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2015-10-23 | 2015-10-30 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2015-10-23 | 2015-10-30 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2015-10-23 | 2015-10-30 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-10-23 | 2015-10-30 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2015-10-23 | 2015-10-30 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2015-10-23 | 2015-10-30 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2015-10-23 | 2015-10-30 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2015-10-23 | 2015-10-30 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2015-10-23 | 2015-10-30 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-10-23 | 2015-10-30 | N |
| Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2015-10-27 | 2015-10-27 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2015-10-27 | 2015-10-27 | N |
| Exits that are accessible at all times. | Fire Safety | 2015-10-27 | 2015-10-27 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2015-10-27 | 2015-10-27 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2015-10-27 | 2015-10-27 | N |
| Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2015-10-27 | 2015-10-27 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2015-10-27 | 2015-10-27 | N |
| Exits that are accessible at all times. | Fire Safety | 2015-10-27 | 2015-10-27 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2015-10-27 | 2015-10-27 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2015-10-27 | 2015-10-27 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2015-08-13 | 2015-08-21 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2015-08-13 | 2015-08-21 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2015-08-13 | 2015-08-21 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2015-08-13 | 2015-08-21 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2014-11-12 | 2014-11-12 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2014-11-12 | 2014-11-12 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2014-11-06 | 2014-11-08 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2014-11-06 | 2014-11-08 | Y |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2014-09-15 | 2014-10-20 | N |
| Emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2014-09-15 | 2014-10-20 | N |
| A fire alarm system that can be heard throughout the facility. | Fire Safety | 2014-09-15 | 2014-10-20 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2014-09-15 | 2014-10-20 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2014-09-15 | 2014-10-20 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2014-09-15 | 2014-10-20 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2014-09-15 | 2014-10-20 | N |
| Emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2014-09-15 | 2014-10-20 | N |
| A fire alarm system that can be heard throughout the facility. | Fire Safety | 2014-09-15 | 2014-10-20 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2014-09-15 | 2014-10-20 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2014-09-15 | 2014-10-20 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2014-09-15 | 2014-10-20 | N |
| Keep each resident free from physical restraints, unless needed for medical treatment. | Health | 2014-09-17 | 2014-09-30 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2014-09-17 | 2014-09-30 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2014-09-17 | 2014-09-30 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2014-09-17 | 2014-09-30 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2014-09-17 | 2014-09-30 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2014-09-17 | 2014-09-30 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2014-09-17 | 2014-09-30 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2014-09-17 | 2014-09-30 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2014-09-17 | 2014-09-30 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2014-09-17 | 2014-09-30 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2014-09-17 | 2014-09-30 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2014-09-15 | 2014-09-30 | N |
| Proper stairway enclosures and vertical shafts. | Fire Safety | 2014-09-15 | 2014-09-30 | N |
| Keep each resident free from physical restraints, unless needed for medical treatment. | Health | 2014-09-17 | 2014-09-30 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2014-09-17 | 2014-09-30 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2014-09-17 | 2014-09-30 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2014-09-17 | 2014-09-30 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2014-09-17 | 2014-09-30 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2014-09-17 | 2014-09-30 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2014-09-17 | 2014-09-30 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2014-09-17 | 2014-09-30 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2014-09-17 | 2014-09-30 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2014-09-17 | 2014-09-30 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2014-09-17 | 2014-09-30 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2014-09-15 | 2014-09-30 | N |
| Proper stairway enclosures and vertical shafts. | Fire Safety | 2014-09-15 | 2014-09-30 | N |
| Properly protected cooking facilities. | Fire Safety | 2014-09-15 | 2014-09-26 | N |
| Properly protected cooking facilities. | Fire Safety | 2014-09-15 | 2014-09-26 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2014-09-15 | 2014-09-25 | N |
| Protected exits that allow the resident to escape the building. | Fire Safety | 2014-09-15 | 2014-09-25 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2014-09-15 | 2014-09-25 | N |
| Protected exits that allow the resident to escape the building. | Fire Safety | 2014-09-15 | 2014-09-25 | N |
| Proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2014-09-15 | 2014-09-19 | N |
| Proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2014-09-15 | 2014-09-19 | N |
| A written emergency evacuation plan. | Fire Safety | 2014-09-15 | 2014-09-16 | N |
| A written emergency evacuation plan. | Fire Safety | 2014-09-15 | 2014-09-16 | N |
| Exits that are accessible at all times. | Fire Safety | 2014-09-15 | 2014-09-15 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2014-09-15 | 2014-09-15 | N |
| Properly sized and located linen or trash receptacles. | Fire Safety | 2014-09-15 | 2014-09-15 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2014-09-15 | 2014-09-15 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2014-09-15 | 2014-09-15 | N |
| Exits that are accessible at all times. | Fire Safety | 2014-09-15 | 2014-09-15 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2014-09-15 | 2014-09-15 | N |
| Properly sized and located linen or trash receptacles. | Fire Safety | 2014-09-15 | 2014-09-15 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2014-09-15 | 2014-09-15 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2014-09-15 | 2014-09-15 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2013-11-06 | 2013-11-25 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2013-11-06 | 2013-11-25 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2013-11-06 | 2013-11-25 | N |
| Protected exits that allow the resident to escape the building. | Fire Safety | 2013-11-06 | 2013-11-25 | N |
| A written emergency evacuation plan. | Fire Safety | 2013-11-06 | 2013-11-25 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2013-11-06 | 2013-11-25 | N |
| Properly maintained smoke detectors. | Fire Safety | 2013-11-06 | 2013-11-25 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2013-11-06 | 2013-11-25 | N |
| Properly protected cooking facilities. | Fire Safety | 2013-11-06 | 2013-11-25 | N |
| Restrictions on the use of portable space heaters. | Fire Safety | 2013-11-06 | 2013-11-25 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2013-11-06 | 2013-11-25 | N |
| No-smoking signs where oxygen is used. | Fire Safety | 2013-11-06 | 2013-11-25 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2013-11-06 | 2013-11-25 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2013-11-06 | 2013-11-25 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2013-11-06 | 2013-11-25 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2013-11-06 | 2013-11-25 | N |
| Protected exits that allow the resident to escape the building. | Fire Safety | 2013-11-06 | 2013-11-25 | N |
| A written emergency evacuation plan. | Fire Safety | 2013-11-06 | 2013-11-25 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2013-11-06 | 2013-11-25 | N |
| Properly maintained smoke detectors. | Fire Safety | 2013-11-06 | 2013-11-25 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2013-11-06 | 2013-11-25 | N |
| Properly protected cooking facilities. | Fire Safety | 2013-11-06 | 2013-11-25 | N |
| Restrictions on the use of portable space heaters. | Fire Safety | 2013-11-06 | 2013-11-25 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2013-11-06 | 2013-11-25 | N |
| No-smoking signs where oxygen is used. | Fire Safety | 2013-11-06 | 2013-11-25 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2013-11-06 | 2013-11-25 | N |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2013-11-06 | 2013-11-18 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2013-11-06 | 2013-11-18 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2013-11-06 | 2013-11-18 | N |
| Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2013-11-06 | 2013-11-18 | N |
| Keep clinical record information safe. | Health | 2013-11-06 | 2013-11-18 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2013-11-06 | 2013-11-18 | Y |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2013-11-06 | 2013-11-18 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2013-11-06 | 2013-11-18 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2013-11-06 | 2013-11-18 | N |
| Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2013-11-06 | 2013-11-18 | N |
| Keep clinical record information safe. | Health | 2013-11-06 | 2013-11-18 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2013-11-06 | 2013-11-18 | Y |
