Deficiency Records for Alden Terrace of Mchenry Rehab

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Updated as of March 01, 2024

A list of the most recent deficiencies for Alden Terrace of Mchenry Rehab. 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 appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-11-02 2023-11-16 Y
Install an approved automatic sprinkler system. Fire Safety 2023-07-19 2023-10-13 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-10-13 2023-10-07 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-07-12 2023-08-04 N
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2023-07-12 2023-08-04 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-07-12 2023-08-04 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-07-12 2023-08-04 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-07-12 2023-08-04 N
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 2023-07-12 2023-08-04 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 2023-07-12 2023-08-04 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-07-12 2023-08-04 N
Provide and implement an infection prevention and control program. Health 2023-07-12 2023-08-04 N
Conduct testing and exercise requirements. Fire Safety 2023-07-19 2023-08-01 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 2023-07-19 2023-07-31 N
Meet requirements for the installation and maintenance of medical gas and medical vacuum systems. Fire Safety 2023-07-19 2023-07-31 N
Ensure proper usage of power strips and extension cords. Fire Safety 2023-07-19 2023-07-31 N
Provide properly protected cooking facilities. Fire Safety 2023-07-19 2023-07-29 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-07-19 2023-07-27 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 2023-07-19 2023-07-21 N
Install corridor and hallway doors that block smoke. Fire Safety 2023-07-19 2023-07-21 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2023-07-19 2023-07-21 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2022-10-06 2023-02-15 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 2022-10-24 2022-10-31 Y
Have a battery powered remote alarm panel in a location accessible by operating personnel. Fire Safety 2022-10-06 2022-10-26 N
Meet requirements for sections of health care facilities separated by fire resistive construction. Fire Safety 2022-10-06 2022-10-25 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2022-10-06 2022-10-25 N
Have exits that are accessible at all times. Fire Safety 2022-10-06 2022-10-21 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2022-09-28 2022-10-14 N
Keep residents' personal and medical records private and confidential. Health 2022-09-28 2022-10-14 N
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2022-09-28 2022-10-14 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-09-28 2022-10-14 N
Provide activities to meet all resident's needs. Health 2022-09-28 2022-10-14 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-09-28 2022-10-14 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 2022-09-28 2022-10-14 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2022-09-28 2022-10-14 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 2022-09-28 2022-10-14 N
Provide and implement an infection prevention and control program. Health 2022-09-28 2022-10-14 N
Have simulated fire drills held at unexpected times. Fire Safety 2022-10-06 2022-10-07 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-08-09 2022-08-20 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-04-08 2022-04-25 Y
Provide and implement an infection prevention and control program. Health 2022-02-01 2022-03-01 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2022-01-12 2022-01-28 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-10-25 2021-11-02 Y
Address subsistence needs for staff and patients. Fire Safety 2021-10-26 2021-10-29 N
Provide properly protected cooking facilities. Fire Safety 2021-10-26 2021-10-29 N
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Health 2021-10-06 2021-10-27 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2021-10-06 2021-10-27 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2021-10-06 2021-10-27 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-10-06 2021-10-27 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 2021-10-06 2021-10-27 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2021-10-06 2021-10-27 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2021-10-06 2021-10-27 N
Ensure medication error rates are not 5 percent or greater. Health 2021-10-06 2021-10-27 N
Have an enclosure around a vertical opening shaft. Fire Safety 2021-10-26 2021-10-27 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 2021-10-26 2021-10-27 N
Install corridor and hallway doors that block smoke. Fire Safety 2021-10-26 2021-10-27 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2021-10-26 2021-10-27 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2021-10-26 2021-10-27 N
Ensure proper usage of power strips and extension cords. Fire Safety 2021-10-26 2021-10-27 N
Have proper medical gas storage and administration areas. Fire Safety 2021-10-26 2021-10-27 N
Have simulated fire drills held at unexpected times. Fire Safety 2021-10-26 2021-10-26 N
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 2021-08-30 2021-09-27 Y
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2021-08-30 2021-09-27 Y
Ensure that residents are free from significant medication errors. Health 2021-08-30 2021-09-27 Y