Deficiency Records for West Suburban Nursing and Rehab Center
Updated as of April 01, 2021
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? |
|---|---|---|---|---|
| Perform COVID19 testing on residents and staff. | Health | 2021-01-28 | 2021-02-23 | N |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2021-01-25 | 2021-02-23 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-01-25 | 2021-02-23 | 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 | 2021-01-25 | 2021-02-23 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-01-25 | 2021-02-23 | Y |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2021-01-25 | 2021-02-23 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-01-28 | 2021-02-22 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-12-18 | 2021-01-14 | 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 | 2020-12-15 | 2021-01-14 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-09-21 | 2020-10-05 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2020-09-21 | 2020-10-05 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-07-15 | 2020-08-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-06-05 | 2020-06-26 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-12-05 | 2019-12-21 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2019-12-05 | 2019-12-21 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2019-12-05 | 2019-12-21 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-12-05 | 2019-12-21 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2019-12-05 | 2019-12-21 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2019-12-05 | 2019-12-21 | N |
| Develop a communication plan. | Fire Safety | 2019-12-05 | 2019-12-21 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2019-12-05 | 2019-12-21 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2019-12-05 | 2019-12-21 | N |
| Establish methods for sharing information. | Fire Safety | 2019-12-05 | 2019-12-21 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2019-12-05 | 2019-12-21 | N |
| Establish emergency prep training and testing. | Fire Safety | 2019-12-05 | 2019-12-21 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-12-05 | 2019-12-21 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-12-05 | 2019-12-21 | N |
| 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 | 2019-12-06 | 2019-12-16 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-12-06 | 2019-12-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-12-06 | 2019-12-16 | 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 | 2019-12-06 | 2019-12-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-12-06 | 2019-12-16 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2019-06-18 | 2019-07-02 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-05-30 | 2019-06-18 | 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 | 2019-03-21 | 2019-04-09 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-11-29 | 2018-12-27 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-11-29 | 2018-12-27 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2018-11-29 | 2018-12-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-11-29 | 2018-12-27 | N |
| 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 | 2018-11-29 | 2018-12-27 | N |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2018-11-29 | 2018-12-27 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2018-11-29 | 2018-12-27 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-11-29 | 2018-12-27 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-11-29 | 2018-12-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-11-29 | 2018-12-27 | N |
| Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | Health | 2018-11-29 | 2018-12-22 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2018-11-29 | 2018-12-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-11-29 | 2018-12-22 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2018-11-29 | 2018-12-22 | 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 | 2018-11-29 | 2018-12-22 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-11-29 | 2018-12-22 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2018-11-29 | 2018-12-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-11-29 | 2018-12-22 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2018-11-29 | 2018-12-22 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2018-10-09 | 2018-10-22 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-10-09 | 2018-10-22 | 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 | 2018-10-09 | 2018-10-22 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-10-09 | 2018-10-22 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2018-10-09 | 2018-10-22 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-08-24 | 2018-09-12 | Y |
| Respond appropriately to all alleged violations. | Health | 2018-08-24 | 2018-09-12 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2018-08-16 | 2018-09-04 | Y |
| 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 |
| 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 |
