A list of the most recent deficiencies for Collinsville Rehab and Health Cc. 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? |
|---|---|---|---|---|
| Implement a program that monitors antibiotic use. | Health | 2023-11-17 | 2024-02-01 | 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 | 2024-01-24 | 2024-01-25 | 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 | 2023-11-17 | 2023-12-20 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-11-17 | 2023-12-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-17 | 2023-12-10 | 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 | 2023-11-17 | 2023-12-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-17 | 2023-12-10 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2023-11-17 | 2023-12-10 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-11-17 | 2023-12-09 | N |
| Respond appropriately to all alleged violations. | Health | 2023-11-17 | 2023-12-09 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-11-17 | 2023-12-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-17 | 2023-12-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-11-17 | 2023-12-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-11-17 | 2023-12-08 | N |
| Provide activities to meet all resident's needs. | Health | 2023-11-17 | 2023-11-25 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2023-11-17 | 2023-11-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-17 | 2023-11-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-14 | 2023-09-25 | 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 | 2023-08-16 | 2023-09-01 | 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 | 2023-08-16 | 2023-09-01 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-08-16 | 2023-09-01 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-08-03 | 2023-08-15 | 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 | 2023-05-22 | 2023-06-13 | Y |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2023-02-03 | 2023-02-23 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-02-03 | 2023-02-22 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-02-03 | 2023-02-16 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-03 | 2023-02-16 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2023-02-03 | 2023-02-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-15 | 2022-12-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-21 | 2022-12-10 | N |
| 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 | 2022-11-15 | 2022-11-30 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-10-21 | 2022-11-23 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-10-21 | 2022-11-23 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-10-21 | 2022-11-19 | 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 | 2022-10-21 | 2022-11-19 | 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 | 2022-10-21 | 2022-11-19 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-10-21 | 2022-11-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-21 | 2022-11-19 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2022-10-21 | 2022-11-19 | N |
| Respond appropriately to all alleged violations. | Health | 2022-10-21 | 2022-11-15 | 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 | 2022-10-27 | 2022-11-11 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-10-27 | 2022-11-11 | 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 | 2022-09-02 | 2022-10-12 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-02 | 2022-10-12 | Y |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2022-09-02 | 2022-10-12 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-08-04 | 2022-08-17 | 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 | 2022-08-04 | 2022-08-17 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-08-04 | 2022-08-17 | 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 | 2022-02-08 | 2022-02-17 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-09-30 | 2021-11-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-09-30 | 2021-11-08 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-09-30 | 2021-11-08 | 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 | 2021-09-14 | 2021-09-27 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-09-14 | 2021-09-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-09-14 | 2021-09-27 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-09-14 | 2021-09-27 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-09-14 | 2021-09-27 | 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 | 2021-09-14 | 2021-09-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-09-14 | 2021-09-27 | 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 | 2021-09-14 | 2021-09-27 | N |
| 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 | 2021-09-14 | 2021-09-27 | 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 | 2021-09-14 | 2021-09-27 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-09-14 | 2021-09-27 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-09-14 | 2021-09-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-09-14 | 2021-09-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-09-14 | 2021-09-27 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-09-14 | 2021-09-27 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2021-09-14 | 2021-09-27 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-07-29 | 2021-08-12 | 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 | 2021-04-29 | 2021-05-13 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-04-29 | 2021-05-13 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-04-29 | 2021-05-13 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-04-29 | 2021-05-13 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-04-29 | 2021-05-13 | Y |
