Deficiency Records for The Citadel of Skokie
Updated as of May 01, 2021
This is not the most recent data for The Citadel of Skokie. For the most recent information, click here.
A list of the most recent deficiencies for The Citadel of Skokie. 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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-01-03 | 2021-01-22 | Y |
| Establish policies and procedures for volunteers. | Fire Safety | 2019-10-15 | 2019-11-22 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-10-10 | 2019-11-22 | 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 | 2019-10-10 | 2019-11-22 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2019-10-15 | 2019-11-04 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2019-10-15 | 2019-11-04 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-10-15 | 2019-11-04 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-10-15 | 2019-11-04 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-10-15 | 2019-11-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-10-15 | 2019-11-04 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-10-15 | 2019-11-04 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-10-15 | 2019-11-04 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2019-10-15 | 2019-11-04 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-10-15 | 2019-11-04 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-10-15 | 2019-11-04 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-03-25 | 2019-04-19 | Y |
| Respond appropriately to all alleged violations. | Health | 2019-03-25 | 2019-04-19 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-03-25 | 2019-04-19 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-01-02 | 2019-02-15 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-01-02 | 2019-02-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-01-02 | 2019-02-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-01-02 | 2019-02-08 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-01-02 | 2019-02-01 | 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 | 2019-01-02 | 2019-01-29 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2018-12-20 | 2019-01-17 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-12-20 | 2019-01-17 | 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 | 2018-12-20 | 2019-01-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-12-20 | 2019-01-14 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2018-12-20 | 2019-01-09 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2019-01-02 | 2019-01-03 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2019-01-02 | 2019-01-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-01-02 | 2019-01-03 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-01-02 | 2019-01-02 | N |
| Implement emergency and standby power systems. | Fire Safety | 2017-11-30 | 2018-06-21 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2017-11-22 | 2018-01-05 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2017-11-22 | 2018-01-05 | N |
| Develop a communication plan. | Fire Safety | 2017-11-22 | 2018-01-05 | N |
| Establish emergency prep training and testing. | Fire Safety | 2017-11-22 | 2018-01-05 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2017-11-22 | 2018-01-05 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-11-22 | 2018-01-05 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2017-11-22 | 2018-01-03 | N |
| Keep each resident free from physical restraints, unless needed for medical treatment. | Health | 2017-11-22 | 2018-01-03 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-11-22 | 2018-01-03 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2017-11-22 | 2018-01-03 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-11-22 | 2018-01-03 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-11-22 | 2018-01-03 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2017-11-22 | 2018-01-03 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-11-22 | 2018-01-03 | N |
| Post nurse staffing information/data on a daily basis. | Health | 2017-11-22 | 2018-01-03 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-11-22 | 2018-01-03 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-11-22 | 2018-01-03 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-11-22 | 2018-01-03 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-11-22 | 2018-01-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-11-30 | 2017-12-22 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2017-11-30 | 2017-12-21 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2017-11-30 | 2017-12-21 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2017-11-30 | 2017-12-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-11-30 | 2017-12-21 | N |
| Keep all essential equipment working safely. | Health | 2017-11-22 | 2017-12-19 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2017-11-30 | 2017-12-18 | 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 | 2017-11-30 | 2017-12-18 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2017-11-30 | 2017-12-18 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-11-22 | 2017-12-15 | N |
