Deficiency Records for West Suburban Nursing and Rehab Center
Updated as of September 01, 2022
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? |
---|---|---|---|---|
Address subsistence needs for staff and patients. | Fire Safety | 2022-06-02 | 2022-06-16 | N |
Implement emergency and standby power systems. | Fire Safety | 2022-06-02 | 2022-06-16 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-02 | 2022-06-16 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2022-06-02 | 2022-06-16 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-06-02 | 2022-06-16 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2022-06-02 | 2022-06-16 | N |
Provide properly sized and located linen or trash receptacles. | Fire Safety | 2022-06-02 | 2022-06-16 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-06-02 | 2022-06-16 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-06-02 | 2022-06-16 | N |
Provide and implement an infection prevention and control program. | Health | 2022-05-26 | 2022-06-14 | 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 | 2022-05-26 | 2022-06-13 | N |
Put firmly secured handrails on each side of hallways. | Health | 2022-05-26 | 2022-06-13 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-05-26 | 2022-06-13 | Y |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-05-26 | 2022-06-09 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-05-26 | 2022-06-09 | 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 | 2022-05-26 | 2022-06-09 | 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 | 2022-05-26 | 2022-06-09 | 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 | 2022-05-26 | 2022-06-08 | 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 | 2022-06-02 | 2022-06-06 | N |
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 |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-06-02 | 2022-06-02 | 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 | 2022-06-02 | 2022-06-02 | N |
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 |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-10-05 | 2022-01-05 | N |
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 |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-09-30 | 2021-10-14 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-09-30 | 2021-10-14 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-09-30 | 2021-10-14 | 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 | 2021-09-30 | 2021-10-14 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-09-30 | 2021-10-14 | N |
Provide and implement an infection prevention and control program. | Health | 2021-09-30 | 2021-10-14 | N |
Address subsistence needs for staff and patients. | Fire Safety | 2021-10-05 | 2021-10-14 | N |
Establish policies and procedures for sheltering. | Fire Safety | 2021-10-05 | 2021-10-14 | N |
Establish staff and initial training requirements. | Fire Safety | 2021-10-05 | 2021-10-14 | N |
Implement emergency and standby power systems. | Fire Safety | 2021-10-05 | 2021-10-14 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-10-05 | 2021-10-14 | 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 | 2021-10-05 | 2021-10-14 | 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 | 2021-10-05 | 2021-10-14 | N |
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2021-10-05 | 2021-10-14 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-10-05 | 2021-10-14 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2021-10-05 | 2021-10-14 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-10-05 | 2021-10-14 | N |
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2021-10-05 | 2021-10-14 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2021-10-05 | 2021-10-14 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-10-05 | 2021-10-14 | N |
Provide properly sized and located linen or trash receptacles. | Fire Safety | 2021-10-05 | 2021-10-14 | N |
Have proper power supply for life support equipment. | Fire Safety | 2021-10-05 | 2021-10-14 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-10-05 | 2021-10-14 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-10-05 | 2021-10-14 | N |
Keep residents' personal and medical records private and confidential. | Health | 2021-09-30 | 2021-10-13 | 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 | 2021-09-30 | 2021-10-13 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-09-30 | 2021-10-13 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-09-30 | 2021-10-13 | 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 | 2021-09-30 | 2021-10-13 | 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 | 2021-09-30 | 2021-10-13 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-09-30 | 2021-10-13 | N |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-09-30 | 2021-10-13 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-09-30 | 2021-10-13 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2021-09-30 | 2021-10-13 | N |
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 |
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 |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-01-22 | 2021-02-22 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-01-22 | 2021-02-22 | Y |
Provide and implement an infection prevention and control program. | Health | 2021-01-28 | 2021-01-28 | N |
Perform COVID19 testing on residents and staff. | Health | 2021-01-28 | 2021-01-28 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-12-11 | 2021-01-19 | 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 | 2020-12-11 | 2021-01-19 | Y |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-12-11 | 2021-01-19 | Y |
Ensure that residents are free from significant medication errors. | Health | 2020-12-23 | 2021-01-14 | Y |
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 care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-11-22 | 2021-01-14 | Y |
Provide and implement an infection prevention and control program. | Health | 2020-11-22 | 2021-01-14 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2020-11-09 | 2020-12-16 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-11-09 | 2020-12-16 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-11-09 | 2020-12-16 | Y |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-11-09 | 2020-12-16 | 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 appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-09-10 | 2020-10-05 | Y |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-09-10 | 2020-10-05 | Y |
Ensure medication error rates are not 5 percent or greater. | Health | 2020-09-10 | 2020-10-05 | Y |
Provide and implement an infection prevention and control program. | Health | 2020-09-10 | 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 |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-05 | 2020-01-15 | N |
Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2019-12-05 | 2020-01-15 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-12-05 | 2020-01-15 | 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 |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-12-05 | 2019-12-21 | N |
Have an enclosure around a vertical opening shaft. | Fire Safety | 2019-12-05 | 2019-12-21 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-12-05 | 2019-12-21 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-12-05 | 2019-12-21 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2019-12-05 | 2019-12-21 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-12-05 | 2019-12-21 | N |
Provide properly sized and located linen or trash receptacles. | Fire Safety | 2019-12-05 | 2019-12-21 | N |
Ensure proper usage of power strips and extension cords. | 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 |