A list of the most recent deficiencies for The Grove of Elmhurst. 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-10-19 | 2023-11-13 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-10-19 | 2023-11-13 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-07-13 | 2023-08-01 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-13 | 2023-08-01 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-07-13 | 2023-08-01 | Y |
| 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 | 2023-07-13 | 2023-08-01 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-04-07 | 2023-04-21 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-03-01 | 2023-03-21 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-03-01 | 2023-03-21 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-03-01 | 2023-03-21 | N |
| Respond appropriately to all alleged violations. | Health | 2023-03-01 | 2023-03-21 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-03-01 | 2023-03-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-01 | 2023-03-21 | 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 | 2023-03-01 | 2023-03-21 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-03-01 | 2023-03-21 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-03-01 | 2023-03-21 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-03-01 | 2023-03-21 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-03-01 | 2023-03-21 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-01 | 2023-03-21 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-03-01 | 2023-03-21 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-01-18 | 2023-02-06 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-12-01 | 2022-12-16 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-06-24 | 2022-07-09 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-06-09 | 2022-06-30 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-09 | 2022-06-30 | 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 | 2022-06-09 | 2022-06-30 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-05-26 | 2022-05-27 | Y |
| 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 | 2022-05-27 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2022-05-26 | 2022-05-27 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-05-13 | 2022-05-14 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-05-13 | 2022-05-14 | Y |
| 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 | 2022-05-13 | 2022-05-14 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-06 | 2022-05-07 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-04-04 | 2022-04-14 | Y |
| 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 | 2022-04-04 | 2022-04-14 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-02-24 | 2022-02-24 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-02-24 | 2022-02-24 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-02-24 | 2022-02-24 | 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 | 2022-02-24 | 2022-02-24 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-02-24 | 2022-02-24 | Y |
| Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | Health | 2022-02-24 | 2022-02-24 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-01-10 | 2022-01-13 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2021-12-08 | 2021-12-22 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-12-08 | 2021-12-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-08 | 2021-12-22 | 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 | 2021-12-08 | 2021-12-22 | 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 | 2021-12-08 | 2021-12-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-12-08 | 2021-12-22 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-11-01 | 2021-11-04 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-10-27 | 2021-10-27 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-10-27 | 2021-10-27 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-10-14 | 2021-10-18 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-08-18 | 2021-08-30 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-08-18 | 2021-08-30 | 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 | 2021-08-18 | 2021-08-30 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-04-01 | 2021-04-02 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2021-04-01 | 2021-04-02 | 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 | 2021-04-01 | 2021-04-02 | Y |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2020-11-06 | 2020-12-31 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2020-11-06 | 2020-11-25 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2020-11-06 | 2020-11-25 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2020-11-06 | 2020-11-25 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-11-06 | 2020-11-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-11-06 | 2020-11-23 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2020-11-06 | 2020-11-19 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2020-11-06 | 2020-11-19 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2020-11-06 | 2020-11-19 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2020-11-06 | 2020-11-19 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2020-11-06 | 2020-11-19 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2020-11-06 | 2020-11-19 | N |
| Establish methods for sharing information. | Fire Safety | 2020-11-06 | 2020-11-19 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2020-11-06 | 2020-11-19 | N |
| Implement emergency and standby power systems. | Fire Safety | 2020-11-06 | 2020-11-19 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-11-06 | 2020-11-19 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-10-30 | 2020-11-09 | 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 | 2020-10-30 | 2020-11-09 | 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 | 2020-10-30 | 2020-11-09 | 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 | 2020-10-30 | 2020-11-09 | 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 | 2020-10-30 | 2020-11-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-10-30 | 2020-11-09 | N |
