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Deficiency Records for Accolade Healthcare of Savoy
View the most recent health deficiencies and inspection results for Accolade Healthcare of Savoy. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Accolade Healthcare of Savoy. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| 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 | 2026-04-07 | 2026-04-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-04-07 | 2026-04-14 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2026-04-07 | 2026-04-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-03-05 | 2026-03-11 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2026-03-05 | 2026-03-11 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-11-24 | 2025-12-01 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-09-23 | 2025-10-01 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-09-23 | 2025-09-26 | 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 | 2025-09-23 | 2025-09-26 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-09-23 | 2025-09-26 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-09-03 | 2025-09-26 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-09-03 | 2025-09-26 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-09-03 | 2025-09-26 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-09-03 | 2025-09-26 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2025-09-03 | 2025-09-26 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-09-03 | 2025-09-26 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-07-01 | 2025-06-20 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-07-01 | 2025-06-20 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-05-22 | 2025-05-28 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-05-22 | 2025-05-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-05-08 | 2025-05-09 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-04-21 | 2025-04-28 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-02-13 | 2025-02-26 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-02-13 | 2025-02-26 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2025-01-22 | 2025-02-04 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-12-06 | 2024-12-30 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-12-06 | 2024-12-20 | 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 | 2024-12-06 | 2024-12-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-12-06 | 2024-12-17 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-12-06 | 2024-12-17 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-12-06 | 2024-12-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-12-06 | 2024-12-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-12-06 | 2024-12-17 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2024-12-06 | 2024-12-17 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-12-06 | 2024-12-17 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-12-06 | 2024-12-17 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-10-24 | 2024-11-11 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-10-24 | 2024-11-11 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-10-24 | 2024-11-11 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-10-10 | 2024-09-27 | 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 | 2024-09-05 | 2024-09-24 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-09-05 | 2024-09-24 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-09-05 | 2024-09-24 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2024-09-19 | 2024-09-07 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-07-24 | 2024-08-05 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2024-07-24 | 2024-08-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-20 | 2024-06-04 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-05-08 | 2024-05-24 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-05-08 | 2024-05-24 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-05-08 | 2024-05-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-02 | 2024-04-25 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-03-11 | 2024-03-27 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-03-11 | 2024-03-27 | 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 | 2024-02-10 | 2024-02-25 | 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 | 2024-02-10 | 2024-02-25 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2024-01-31 | 2024-02-21 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-01-31 | 2024-02-21 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-01-31 | 2024-02-21 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2023-11-15 | 2023-12-08 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-11-15 | 2023-12-08 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-11-15 | 2023-12-08 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2023-11-15 | 2023-12-08 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-11-15 | 2023-12-08 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2023-11-15 | 2023-12-08 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-11-15 | 2023-12-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-15 | 2023-12-08 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-11-15 | 2023-12-08 | 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 | 2023-11-15 | 2023-12-08 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-11-15 | 2023-12-08 | Y |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2023-11-15 | 2023-12-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-15 | 2023-12-08 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-11-15 | 2023-12-08 | 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 | 2023-11-15 | 2023-12-08 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2023-11-15 | 2023-12-08 | 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 | 2023-11-15 | 2023-12-08 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-11-15 | 2023-12-08 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-11-15 | 2023-12-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-15 | 2023-12-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-11-15 | 2023-12-08 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-11-15 | 2023-12-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-11-15 | 2023-12-08 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-11-15 | 2023-12-08 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-09-22 | 2023-11-04 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-09-22 | 2023-10-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-22 | 2023-10-25 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-09-08 | 2023-09-29 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-09-08 | 2023-09-29 | 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 | 2023-09-08 | 2023-09-29 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-09-08 | 2023-09-29 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-09-08 | 2023-09-01 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-26 | 2023-07-28 | Y |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2023-06-26 | 2023-07-26 | Y |
| Hire a qualified full-time social worker in a facility with more than 120 beds. | Health | 2023-06-26 | 2023-07-26 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-06-26 | 2023-07-26 | 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 | 2023-06-26 | 2023-07-26 | Y |
| Provide appropriate foot care. | Health | 2023-06-26 | 2023-07-26 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-06-26 | 2023-07-26 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2023-06-26 | 2023-07-26 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-06-26 | 2023-07-26 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-06-26 | 2023-07-26 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-06-26 | 2023-07-26 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-06-26 | 2023-07-26 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-06-26 | 2023-07-26 | Y |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2022-09-14 | 2023-01-15 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-09-14 | 2022-10-14 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-09-14 | 2022-10-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-09-14 | 2022-10-14 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-09-14 | 2022-10-13 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-09-14 | 2022-10-13 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-09-14 | 2022-10-13 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-09-14 | 2022-10-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-14 | 2022-10-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-14 | 2022-10-13 | 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 | 2022-09-14 | 2022-10-13 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-09-14 | 2022-10-13 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-09-14 | 2022-10-13 | N |
| Provide appropriate care/assistance for a resident with a prosthesis. | Health | 2022-09-14 | 2022-10-13 | N |
| 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 | 2022-09-14 | 2022-10-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-09-14 | 2022-10-13 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-09-14 | 2022-10-13 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-09-14 | 2022-10-13 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2022-09-14 | 2022-10-13 | N |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2022-09-14 | 2022-10-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-09-14 | 2022-10-13 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-09-14 | 2022-10-13 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2022-09-14 | 2022-10-13 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-09-14 | 2022-10-13 | 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 | 2022-09-14 | 2022-10-13 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2022-09-14 | 2022-10-13 | 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 | 2022-09-14 | 2022-10-13 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-09-14 | 2022-10-13 | N |
| Respond appropriately to all alleged violations. | Health | 2022-09-14 | 2022-10-13 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-09-14 | 2022-10-13 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-09-14 | 2022-10-13 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2022-09-14 | 2022-10-13 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-09-14 | 2022-10-13 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-09-14 | 2022-10-13 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-09-14 | 2022-10-13 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2022-09-14 | 2022-10-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-09-14 | 2022-10-04 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-09-14 | 2022-10-04 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-09-14 | 2022-10-04 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-09-14 | 2022-10-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-09-14 | 2022-10-04 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-09-14 | 2022-10-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-09-14 | 2022-10-04 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-09-14 | 2022-10-04 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-09-14 | 2022-10-04 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2022-09-14 | 2022-09-28 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2022-09-14 | 2022-09-28 | N |
| Establish methods for sharing information. | Fire Safety | 2022-09-14 | 2022-09-28 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2022-09-14 | 2022-09-28 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2022-09-14 | 2022-09-28 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2025-08-07 | Not Fixed | Y |