Deficiency Records for West Suburban Nursing and Rehab Center
Updated as of December 01, 2018
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? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-05-29 | 2018-06-11 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-04-20 | 2018-05-03 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-04-20 | 2018-05-03 | Y |
| Provide appropriate foot care. | Health | 2018-04-12 | 2018-04-26 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-04-12 | 2018-04-26 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-04-12 | 2018-04-26 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2018-04-12 | 2018-04-26 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-03-27 | 2018-04-23 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2018-03-27 | 2018-04-23 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-03-27 | 2018-04-23 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-03-02 | 2018-03-14 | 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 | 2018-03-02 | 2018-03-14 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-03-02 | 2018-03-14 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2018-03-02 | 2018-03-14 | Y |
| Provide and implement an infection prevention and control program. | Health | 2018-03-02 | 2018-03-14 | Y |
| 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 | 2018-02-01 | 2018-02-12 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-02-01 | 2018-02-12 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2017-12-29 | 2018-01-12 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2017-12-29 | 2018-01-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2017-12-29 | 2018-01-12 | 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 | 2017-12-29 | 2018-01-12 | Y |
| Keep each resident free from physical restraints, unless needed for medical treatment. | Health | 2017-11-21 | 2017-11-22 | Y |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-11-21 | 2017-11-22 | Y |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2017-11-21 | 2017-11-22 | Y |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2017-10-03 | 2017-10-25 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2017-10-03 | 2017-10-23 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2017-10-03 | 2017-10-23 | N |
| Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2017-10-03 | 2017-10-23 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-10-03 | 2017-10-23 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2017-10-03 | 2017-10-23 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-10-03 | 2017-10-23 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-04-12 | 2017-04-12 | Y |
| Make sure that a working call system is available in each resident's room or bathroom and bathing area. | Health | 2017-02-10 | 2017-02-22 | Y |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2017-01-03 | 2017-01-03 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-01-03 | 2017-01-03 | Y |
| Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . | Health | 2017-01-03 | 2017-01-03 | Y |
| Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. | Health | 2016-11-17 | 2016-12-08 | N |
| Provide food in a way that meets a resident's needs. | Health | 2016-11-17 | 2016-12-08 | N |
| Offer other nutritional food to each resident who will not eat the food served. | Health | 2016-11-17 | 2016-12-08 | N |
| Make sure that special or therapeutic diets are ordered by the attending doctor. | Health | 2016-11-17 | 2016-12-08 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-11-17 | 2016-12-08 | N |
| Honor a residents' rights as a residents of the nursing home, free of coercion and reprisal, and as citizens or residents of the United States. | Health | 2016-11-17 | 2016-12-07 | N |
| Keep each resident free from physical restraints, unless needed for medical treatment. | Health | 2016-11-17 | 2016-12-07 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2016-11-17 | 2016-12-07 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-11-17 | 2016-12-07 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-11-17 | 2016-12-07 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2016-11-17 | 2016-12-07 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2016-11-17 | 2016-12-07 | N |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2016-11-17 | 2016-12-07 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-11-17 | 2016-12-07 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2016-11-17 | 2016-12-07 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2016-09-15 | 2016-09-26 | Y |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-09-15 | 2016-09-26 | 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 |
| 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 |
| 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 |
| 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 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 |
| 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 |
