A list of the most recent deficiencies for Avantara Lincoln Park. 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 | 2023-11-16 | 2023-12-13 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-10-13 | 2023-11-03 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-07-27 | 2023-08-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-27 | 2023-08-10 | Y |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-04-26 | 2023-05-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-04-26 | 2023-05-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-04-28 | 2023-05-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-28 | 2023-05-10 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-04-28 | 2023-05-10 | 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 | 2023-04-28 | 2023-05-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-28 | 2023-05-10 | N |
| Dispose of garbage and refuse properly. | Health | 2023-04-28 | 2023-05-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-04-28 | 2023-05-10 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-04-28 | 2023-05-10 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2023-04-26 | 2023-05-10 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-04-26 | 2023-05-10 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-04-26 | 2023-05-10 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2023-04-26 | 2023-05-10 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2023-04-26 | 2023-05-10 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-04-26 | 2023-05-10 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-04-26 | 2023-05-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-26 | 2023-05-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-04-26 | 2023-05-10 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-04-26 | 2023-05-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-04-26 | 2023-05-10 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-04-26 | 2023-05-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-04-13 | 2023-04-22 | 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 | 2023-04-13 | 2023-04-22 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-04-13 | 2023-04-22 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-04-13 | 2023-04-22 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-03-03 | 2023-03-20 | Y |
| Give residents a notice of rights, rules, services and charges. | Health | 2023-03-03 | 2023-03-20 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-03-03 | 2023-03-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-03 | 2023-03-20 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-03-03 | 2023-03-20 | Y |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2023-01-12 | 2023-01-23 | Y |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2023-01-12 | 2023-01-23 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-11-29 | 2022-12-09 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-11-29 | 2022-12-09 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-29 | 2022-12-09 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-11-29 | 2022-12-09 | 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 | 2022-11-29 | 2022-12-09 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-10-13 | 2022-10-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-13 | 2022-10-21 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-09-08 | 2022-09-21 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2022-09-08 | 2022-09-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-08 | 2022-09-21 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-07-02 | 2022-07-19 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-05-20 | 2022-06-13 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-05-20 | 2022-06-13 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-05-20 | 2022-06-13 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-05-20 | 2022-06-13 | N |
| Assess the resident when there is a significant change in condition | Health | 2022-05-20 | 2022-06-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-05-20 | 2022-06-13 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2022-05-20 | 2022-06-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-20 | 2022-06-13 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2022-05-20 | 2022-06-13 | 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 | 2022-05-20 | 2022-06-13 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2022-05-20 | 2022-06-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-20 | 2022-06-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-05-20 | 2022-06-13 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-05-20 | 2022-06-13 | N |
| Provide bedrooms that don't allow residents to see each other when privacy is needed. | Health | 2022-05-20 | 2022-06-13 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-05-24 | 2022-06-13 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-05-24 | 2022-06-13 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-05-24 | 2022-06-13 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2022-05-24 | 2022-06-13 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-05-24 | 2022-06-13 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2022-05-24 | 2022-06-13 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2022-05-24 | 2022-06-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-24 | 2022-06-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-05-24 | 2022-06-13 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-05-24 | 2022-06-13 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-05-24 | 2022-06-13 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2022-05-24 | 2022-06-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-05-24 | 2022-06-13 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-05-24 | 2022-06-13 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2022-05-24 | 2022-06-13 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-05-10 | 2022-05-13 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-10 | 2022-05-13 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-12-02 | 2021-12-17 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2021-12-02 | 2021-12-17 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-12-02 | 2021-12-17 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-02 | 2021-12-17 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-12-02 | 2021-12-17 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-07-29 | 2021-08-09 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2021-07-29 | 2021-08-09 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2021-07-29 | 2021-08-09 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2021-07-29 | 2021-08-09 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2021-07-29 | 2021-08-09 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2021-07-29 | 2021-08-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-07-29 | 2021-08-09 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-07-29 | 2021-08-09 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2021-07-29 | 2021-08-09 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-07-29 | 2021-08-09 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2021-07-23 | 2021-08-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-23 | 2021-08-08 | 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 | 2021-07-23 | 2021-08-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-07-23 | 2021-08-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-07-23 | 2021-08-08 | N |
