Deficiency Records for Libertyville Manor Ext Care

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Updated as of March 01, 2024

A list of the most recent deficiencies for Libertyville Manor Ext Care. 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?
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Health 2023-10-20 2023-11-30 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-10-20 2023-10-21 Y
Have elevators that firefighters can control in the event of a fire. Fire Safety 2023-04-14 2023-10-15 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-04-14 2023-08-14 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2023-04-14 2023-07-14 N
Create arrangements with other facilities to receive patients. Fire Safety 2023-04-14 2023-05-29 N
Implement emergency and standby power systems. Fire Safety 2023-04-14 2023-05-29 N
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Fire Safety 2023-04-14 2023-05-29 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2023-04-14 2023-05-29 N
Have properly located and lighted "Exit" signs. Fire Safety 2023-04-14 2023-05-29 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-04-14 2023-05-29 N
Install corridor and hallway doors that block smoke. Fire Safety 2023-04-14 2023-05-29 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2023-04-14 2023-05-29 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-04-14 2023-05-29 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2023-04-14 2023-05-29 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2023-04-14 2023-05-29 N
Have proper medical gas storage and administration areas. Fire Safety 2023-04-14 2023-05-29 N
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. Fire Safety 2023-04-14 2023-05-29 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 2023-03-22 2023-04-28 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-03-22 2023-04-28 N
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Health 2023-03-22 2023-04-28 N
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Health 2023-03-22 2023-04-28 N
Provide and implement an infection prevention and control program. Health 2023-03-22 2023-04-28 N
Address subsistence needs for staff and patients. Fire Safety 2023-04-14 2023-04-14 N
Establish policies and procedures for sheltering. Fire Safety 2023-04-14 2023-04-14 N
Establish emergency prep training and testing. Fire Safety 2023-04-14 2023-04-14 N
Establish staff and initial training requirements. Fire Safety 2023-04-14 2023-04-14 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-04-14 2023-04-14 N
Follow proper procedures when the fire alarm was out of service for more than 4 hours. Fire Safety 2023-04-14 2023-04-14 N
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Fire Safety 2023-04-14 2023-04-14 N
Provide a written emergency evacuation plan. Fire Safety 2023-04-14 2023-04-14 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2023-04-14 2023-04-14 N
Ensure proper usage of power strips and extension cords. Fire Safety 2023-04-14 2023-04-14 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 2023-01-19 2023-02-06 Y
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Health 2022-06-15 2022-11-23 N
Have elevators that firefighters can control in the event of a fire. Fire Safety 2022-06-29 2022-08-25 N
Address subsistence needs for staff and patients. Fire Safety 2022-06-29 2022-08-24 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 2022-06-15 2022-08-04 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 2022-06-15 2022-07-31 N
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Health 2022-06-15 2022-07-31 N
Perform COVID19 testing on residents and staff. Health 2022-06-15 2022-07-31 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-06-15 2022-07-22 N
Install a two-hour-resistant firewall separation. Fire Safety 2022-06-29 2022-07-22 N
Provide emergency officials' contact information. Fire Safety 2022-06-29 2022-07-13 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2022-06-29 2022-07-13 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2022-06-29 2022-07-13 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-06-29 2022-07-13 N
Install corridor and hallway doors that block smoke. Fire Safety 2022-06-29 2022-07-13 N
Have simulated fire drills held at unexpected times. Fire Safety 2022-06-29 2022-07-13 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2022-06-29 2022-07-13 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-06-29 2022-07-13 N
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Health 2022-05-31 2022-07-11 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2022-05-31 2022-07-11 Y
Have exits that are accessible at all times. Fire Safety 2022-06-29 2022-07-11 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 2022-06-29 2022-07-05 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2022-06-29 2022-07-05 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-10-14 2021-11-30 Y
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2021-07-30 2021-10-01 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2021-07-30 2021-10-01 N
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. Fire Safety 2021-07-30 2021-10-01 N
Address patient/client population and determine types of services needed. Fire Safety 2021-07-30 2021-08-31 N
Address subsistence needs for staff and patients. Fire Safety 2021-07-30 2021-08-31 N
Establish staff and initial training requirements. Fire Safety 2021-07-30 2021-08-31 N
Conduct testing and exercise requirements. Fire Safety 2021-07-30 2021-08-31 N
Have proper medical gas storage and administration areas. Fire Safety 2021-07-30 2021-08-31 N
Provide properly protected cooking facilities. Fire Safety 2021-07-30 2021-08-25 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-07-21 2021-08-16 N
Provide and implement an infection prevention and control program. Health 2021-07-21 2021-08-16 N
Implement emergency and standby power systems. Fire Safety 2021-07-30 2021-08-13 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2021-07-30 2021-08-13 N
Have a battery powered remote alarm panel in a location accessible by operating personnel. Fire Safety 2021-07-30 2021-08-13 N