A list of the most recent deficiencies for St Joseph Village of Chicago. 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? |
|---|---|---|---|---|
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-06-01 | 2023-07-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-01 | 2023-06-28 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-06-01 | 2023-06-21 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-06-01 | 2023-06-21 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-05-26 | 2023-06-16 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-05-26 | 2023-06-16 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-05-26 | 2023-06-16 | 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 | 2023-05-26 | 2023-06-16 | 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 | 2023-05-26 | 2023-06-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-26 | 2023-06-16 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-05-26 | 2023-06-16 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-06-01 | 2023-06-16 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-06-01 | 2023-06-16 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-06-01 | 2023-06-16 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-06-01 | 2023-06-16 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-04-29 | 2023-05-16 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-01-14 | 2023-02-02 | Y |
| Post nurse staffing information every day. | Health | 2023-01-14 | 2023-02-02 | Y |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-08-03 | 2023-01-24 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-08-03 | 2022-10-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-29 | 2022-08-19 | Y |
| 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 | 2022-07-29 | 2022-08-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-07-29 | 2022-08-19 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-07-29 | 2022-08-19 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-08-03 | 2022-08-19 | 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 | 2022-08-03 | 2022-08-19 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-08-03 | 2022-08-19 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2022-08-03 | 2022-08-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-01 | 2022-07-22 | Y |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-06-15 | 2022-05-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-09-15 | 2021-10-08 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-07-16 | 2021-08-04 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-06-11 | 2021-07-12 | 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 | 2021-06-11 | 2021-07-12 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2021-06-11 | 2021-07-12 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2021-06-11 | 2021-07-12 | 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 | 2021-06-11 | 2021-07-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-06-11 | 2021-07-12 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2021-06-11 | 2021-07-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-06-11 | 2021-07-12 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2021-06-11 | 2021-07-12 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-06-11 | 2021-07-12 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2021-06-15 | 2021-07-12 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-06-15 | 2021-07-12 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2021-06-15 | 2021-07-12 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2021-06-15 | 2021-07-12 | 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 | 2021-06-15 | 2021-07-12 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-06-15 | 2021-07-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-06-15 | 2021-07-12 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2021-06-15 | 2021-07-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-06-15 | 2021-07-12 | N |
