Deficiency Records for Alden Terrace of Mchenry Rehab
Updated as of April 01, 2022
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 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 |
| 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 |
| 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 |
| 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 |
| 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 |
