A list of the most recent deficiencies for Warren Barr Oak Lawn. 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 safe, appropriate pain management for a resident who requires such services. | Health | 2023-03-17 | 2023-03-29 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2023-03-17 | 2023-03-29 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-22 | 2023-03-04 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-02-11 | 2023-02-20 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-02-11 | 2023-02-20 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-12-22 | 2023-02-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-12-22 | 2023-02-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-22 | 2023-02-10 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2022-12-22 | 2023-02-10 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-12-22 | 2023-02-10 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-01-11 | 2023-02-10 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2023-01-11 | 2023-02-10 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-01-11 | 2023-02-10 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2023-01-11 | 2023-02-10 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2023-01-11 | 2023-02-10 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2023-01-11 | 2023-02-10 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2023-01-11 | 2023-02-10 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2023-01-11 | 2023-02-10 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-01-11 | 2023-02-10 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-01-11 | 2023-02-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-01-11 | 2023-02-10 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-01-11 | 2023-02-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-01-11 | 2023-02-10 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-11-17 | 2022-12-23 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-06-16 | 2022-07-06 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-16 | 2022-07-06 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-06-16 | 2022-07-06 | Y |
| Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | Health | 2022-06-16 | 2022-07-06 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-04-06 | 2022-05-05 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-10-22 | 2021-12-07 | 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 | 2021-10-22 | 2021-12-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-10-22 | 2021-12-07 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-11-01 | 2021-12-07 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2021-11-01 | 2021-12-07 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2021-11-01 | 2021-12-07 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2021-11-01 | 2021-12-07 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2021-11-01 | 2021-12-07 | N |
| Establish methods for sharing information. | Fire Safety | 2021-11-01 | 2021-12-07 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2021-11-01 | 2021-12-07 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-11-01 | 2021-12-07 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-11-01 | 2021-12-07 | 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 | 2021-11-01 | 2021-12-07 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2021-11-01 | 2021-11-07 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-10-07 | 2021-11-01 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-08-16 | 2021-08-25 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2021-06-06 | 2021-06-22 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-04-27 | 2021-05-04 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2019-09-12 | 2019-10-04 | 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 | 2019-09-12 | 2019-10-04 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-09-12 | 2019-10-04 | 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 | 2019-09-12 | 2019-10-04 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2019-09-17 | 2019-10-04 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-09-17 | 2019-10-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-09-17 | 2019-10-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-09-17 | 2019-10-04 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-09-17 | 2019-10-04 | N |
