Deficiency Records for Alden Terrace of Mchenry Rehab
Updated as of July 01, 2021
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? |
|---|---|---|---|---|
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-01-13 | 2021-02-26 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2020-11-05 | 2020-11-30 | Y |
| Respond appropriately to all alleged violations. | Health | 2020-11-05 | 2020-11-30 | Y |
| Establish staff and initial training requirements. | Fire Safety | 2020-09-30 | 2020-11-06 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-09-30 | 2020-11-06 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2020-09-30 | 2020-11-06 | N |
| Ensure that residents are free from significant medication errors. | Health | 2020-09-30 | 2020-10-31 | Y |
| 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 | 2020-09-30 | 2020-10-31 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-09-30 | 2020-10-31 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2020-09-30 | 2020-10-31 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2020-09-30 | 2020-10-31 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2020-09-30 | 2020-10-31 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2020-09-30 | 2020-10-21 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2020-09-30 | 2020-10-21 | N |
| Implement emergency and standby power systems. | Fire Safety | 2020-09-30 | 2020-10-21 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2020-09-30 | 2020-10-21 | 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 | 2020-09-30 | 2020-10-21 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-09-30 | 2020-10-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-09-30 | 2020-10-20 | N |
| 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 an enclosure around a vertical opening shaft. | 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 |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-04-26 | 2018-07-27 | N |
| 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 an enclosure around a vertical opening shaft. | 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 |
