Deficiency Records for Alden Terrace of Mchenry Rehab
Updated as of May 01, 2020
This is not the most recent data for Alden Terrace of Mchenry Rehab. For the most recent information, click here.
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? |
|---|---|---|---|---|
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-09-13 | 2019-09-27 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-07-18 | 2019-08-02 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-07-18 | 2019-08-02 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-07-18 | 2019-08-02 | Y |
| Respond appropriately to all alleged violations. | Health | 2019-07-18 | 2019-08-02 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-07-18 | 2019-08-02 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-06-10 | 2019-06-24 | Y |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2019-04-22 | 2019-05-07 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-03-20 | 2019-04-23 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-03-20 | 2019-03-29 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-03-20 | 2019-03-28 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-03-20 | 2019-03-26 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2019-03-20 | 2019-03-26 | 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 | 2019-03-07 | 2019-03-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-03-07 | 2019-03-26 | 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 | 2019-03-07 | 2019-03-26 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2019-03-07 | 2019-03-26 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-03-07 | 2019-03-26 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-03-07 | 2019-03-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-03-07 | 2019-03-26 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2019-03-20 | 2019-03-22 | N |
| Have protected exits that allow the resident to escape the building. | Fire Safety | 2019-03-20 | 2019-03-22 | 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 | 2019-03-20 | 2019-03-22 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2019-03-20 | 2019-03-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-03-20 | 2019-03-22 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-01-09 | 2019-02-01 | Y |
| 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 | 2019-01-09 | 2019-02-01 | Y |
| Provide and implement an infection prevention and control program. | Health | 2019-01-09 | 2019-02-01 | Y |
| 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 | 2018-12-05 | 2018-12-19 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-11-26 | 2018-12-11 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-11-26 | 2018-12-11 | Y |
| Provide and implement an infection prevention and control program. | Health | 2018-10-30 | 2018-11-06 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-10-15 | 2018-11-02 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-10-15 | 2018-11-02 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-10-15 | 2018-11-02 | Y |
| Respond appropriately to all alleged violations. | Health | 2018-10-15 | 2018-11-02 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2018-10-15 | 2018-11-02 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-10-15 | 2018-11-02 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2018-10-15 | 2018-11-02 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2018-10-15 | 2018-11-02 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-10-15 | 2018-11-02 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-10-15 | 2018-11-02 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2018-10-15 | 2018-11-02 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2018-10-15 | 2018-11-02 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-10-15 | 2018-11-02 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-09-28 | 2018-11-02 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-09-28 | 2018-11-02 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2018-09-28 | 2018-11-02 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-10-05 | 2018-10-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-07-30 | 2018-08-16 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-07-05 | 2018-08-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-07-05 | 2018-08-16 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-06-11 | 2018-07-23 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-06-11 | 2018-07-23 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2018-06-11 | 2018-07-23 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2018-06-11 | 2018-07-23 | Y |
| Provide and implement an infection prevention and control program. | Health | 2018-06-11 | 2018-07-23 | Y |
| Keep all essential equipment working safely. | Health | 2018-06-11 | 2018-07-23 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-05-09 | 2018-05-29 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-05-09 | 2018-05-29 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-05-09 | 2018-05-29 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-04-05 | 2018-05-29 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-04-26 | 2018-05-21 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-04-26 | 2018-05-21 | 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 | 2018-04-26 | 2018-05-18 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2018-04-26 | 2018-05-17 | N |
| Have exits that are accessible at all times. | Fire Safety | 2018-04-26 | 2018-05-15 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-04-26 | 2018-05-15 | N |
| Have protected exits that allow the resident to escape the building. | Fire Safety | 2018-04-26 | 2018-05-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-04-26 | 2018-05-08 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-04-05 | 2018-04-30 | 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 | 2018-04-05 | 2018-04-30 | N |
| Respond appropriately to all alleged violations. | Health | 2018-04-05 | 2018-04-30 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-04-05 | 2018-04-30 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-04-05 | 2018-04-30 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-04-05 | 2018-04-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-04-05 | 2018-04-30 | N |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2018-04-05 | 2018-04-30 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-04-05 | 2018-04-30 | N |
| 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 | 2018-04-05 | 2018-04-30 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-04-05 | 2018-04-30 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-04-05 | 2018-04-30 | N |
| Ensure that residents are free from significant medication errors. | Health | 2018-04-05 | 2018-04-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-04-05 | 2018-04-30 | N |
| Install proper backup exit lighting. | Fire Safety | 2018-04-26 | 2018-04-27 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-03-28 | 2018-04-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-02-15 | 2018-03-08 | Y |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-11-13 | 2017-12-05 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-11-13 | 2017-12-05 | Y |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2017-11-13 | 2017-12-05 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-11-13 | 2017-12-05 | Y |
| Meet other general requirements. | Fire Safety | 2017-05-11 | 2017-06-25 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2017-05-11 | 2017-06-25 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2017-05-11 | 2017-06-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-05-11 | 2017-06-25 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-05-11 | 2017-06-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-05-11 | 2017-06-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-05-11 | 2017-06-25 | 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 | 2017-05-11 | 2017-06-12 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2017-05-11 | 2017-06-12 | N |
| Try to resolve each resident's complaints quickly. | Health | 2017-05-03 | 2017-06-05 | Y |
| Maintain comfortable and safe temperature levels. | Health | 2017-05-03 | 2017-06-05 | Y |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2017-05-03 | 2017-06-05 | Y |
| Use approved construction type or materials. | Fire Safety | 2017-05-11 | 2017-05-30 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2017-05-11 | 2017-05-26 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-05-11 | 2017-05-26 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-05-03 | 2017-05-22 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2017-05-03 | 2017-05-22 | N |
| Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2017-05-03 | 2017-05-22 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-05-03 | 2017-05-22 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-05-03 | 2017-05-22 | N |
| Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. | Health | 2017-05-03 | 2017-05-22 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-05-03 | 2017-05-22 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-05-03 | 2017-05-22 | N |
| Ensure that residents are safe from serious medication errors. | Health | 2017-05-03 | 2017-05-22 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-05-03 | 2017-05-22 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2017-05-11 | 2017-05-17 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2017-05-11 | 2017-05-12 | N |
