Deficiency Records for Mclean County Nursing Home

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Updated as of March 01, 2024

A list of the most recent deficiencies for Mclean County Nursing Home. 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?
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-08-30 2023-09-22 N
Allow residents to self-administer drugs if determined clinically appropriate. Health 2023-08-30 2023-09-22 N
Ensure each resident receives an accurate assessment. Health 2023-08-30 2023-09-22 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2023-08-30 2023-09-22 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-08-30 2023-09-22 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 2023-08-30 2023-09-22 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-08-30 2023-09-22 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2023-08-30 2023-09-22 N
Ensure medication error rates are not 5 percent or greater. Health 2023-08-30 2023-09-22 N
Ensure that residents are free from significant medication errors. Health 2023-08-30 2023-09-22 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 2023-08-30 2023-09-22 N
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Health 2023-08-30 2023-09-22 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-08-30 2023-09-22 N
Provide and implement an infection prevention and control program. Health 2023-08-30 2023-09-22 N
Implement a program that monitors antibiotic use. Health 2023-08-30 2023-09-22 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2023-08-31 2023-09-22 N
Establish roles under a Waiver declared by secretary. Fire Safety 2023-08-31 2023-09-19 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 2023-08-31 2023-09-19 N
Install corridor and hallway doors that block smoke. Fire Safety 2023-08-31 2023-09-19 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-07-29 2023-08-18 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-07-29 2023-08-18 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-01-04 2023-01-25 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-09-06 2022-09-23 Y
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2022-05-19 2022-05-25 N
Have simulated fire drills held at unexpected times. Fire Safety 2022-05-19 2022-05-25 N
Allow residents to self-administer drugs if determined clinically appropriate. Health 2022-05-05 2022-05-20 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-05-05 2022-05-20 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-05-05 2022-05-20 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-05-05 2022-05-20 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-04-19 2022-05-09 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 2022-04-19 2022-05-09 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-04-06 2022-04-21 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-01-26 2022-02-11 Y
Have proper power supply for life support equipment. Fire Safety 2021-04-22 2022-01-31 N
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2021-06-25 2021-07-11 Y
Respond appropriately to all alleged violations. Health 2021-06-25 2021-07-11 Y
Address patient/client population and determine types of services needed. Fire Safety 2021-04-22 2021-05-10 N
Address subsistence needs for staff and patients. Fire Safety 2021-04-22 2021-05-10 N
Establish policies and procedures for sheltering. Fire Safety 2021-04-22 2021-05-10 N
Provide emergency officials' contact information. Fire Safety 2021-04-22 2021-05-10 N
Provide a means of sharing information on occupancy/needs. Fire Safety 2021-04-22 2021-05-10 N
Implement emergency and standby power systems. Fire Safety 2021-04-22 2021-05-10 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2021-04-22 2021-05-10 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2021-04-22 2021-05-10 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2021-04-08 2021-04-29 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2021-04-08 2021-04-29 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-04-08 2021-04-29 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-04-08 2021-04-26 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 2021-04-08 2021-04-22 N