A list of the most recent deficiencies for The Loft Rehab of Peoria. 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 safe, appropriate pain management for a resident who requires such services. | Health | 2024-01-26 | 2024-02-15 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-01-26 | 2024-02-15 | Y |
| 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 | 2023-12-15 | 2023-12-26 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-12-15 | 2023-12-26 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-15 | 2023-12-26 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-12-15 | 2023-12-26 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-11-16 | 2023-11-21 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-11-01 | 2023-11-21 | Y |
| 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 | 2023-11-08 | 2023-11-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-08 | 2023-11-16 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-11-01 | 2023-11-09 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-11-01 | 2023-11-09 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-11-01 | 2023-11-09 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-11-01 | 2023-11-09 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-11-01 | 2023-11-09 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-11-01 | 2023-11-09 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-06-02 | 2023-07-18 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-06-02 | 2023-07-18 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-06-02 | 2023-07-13 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2023-06-02 | 2023-07-13 | 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 | 2023-06-02 | 2023-07-13 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-06-02 | 2023-07-13 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-06-02 | 2023-07-13 | N |
| 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 | 2023-06-02 | 2023-07-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-02 | 2023-07-13 | 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 | 2023-06-02 | 2023-07-13 | N |
| 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 | 2023-06-02 | 2023-07-13 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-06-02 | 2023-07-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-02 | 2023-07-13 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-06-02 | 2023-07-13 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-06-02 | 2023-07-13 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-02 | 2023-07-13 | Y |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-06-01 | 2023-06-16 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-03-23 | 2023-04-10 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2023-03-23 | 2023-04-10 | 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 | 2023-03-23 | 2023-04-10 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-23 | 2023-04-10 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-23 | 2023-04-10 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-03-23 | 2023-04-10 | 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 | 2023-03-23 | 2023-04-10 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-03-23 | 2023-04-10 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-03-23 | 2023-04-10 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-03-23 | 2023-04-10 | Y |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2023-03-23 | 2023-04-10 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-01-13 | 2023-01-26 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-13 | 2023-01-26 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-12-29 | 2023-01-16 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-12-29 | 2023-01-16 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-12-29 | 2023-01-16 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-12-29 | 2023-01-16 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-12-01 | 2022-12-15 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-12-01 | 2022-12-13 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2022-10-15 | 2022-10-21 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-07-18 | 2022-07-20 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-07-18 | 2022-07-20 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-07-18 | 2022-07-20 | Y |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2022-06-16 | 2022-06-23 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-06-08 | 2022-06-17 | Y |
| 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 | 2022-06-08 | 2022-06-17 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-06-08 | 2022-06-17 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-05-31 | 2022-06-17 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-05-31 | 2022-06-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-31 | 2022-06-17 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2022-05-31 | 2022-06-17 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-05-31 | 2022-06-17 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-05-31 | 2022-06-17 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-04-28 | 2022-05-24 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-04-19 | 2022-04-28 | Y |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-04-07 | 2022-04-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-07 | 2022-04-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-04-07 | 2022-04-28 | N |
| 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 | 2022-04-07 | 2022-04-22 | N |
| 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 | 2022-04-07 | 2022-04-22 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-04-07 | 2022-04-22 | 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 | 2022-04-07 | 2022-04-22 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-04-07 | 2022-04-22 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2022-04-07 | 2022-04-22 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-04-07 | 2022-04-22 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-03-07 | 2022-03-09 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2021-07-09 | 2021-07-20 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-05-26 | 2021-06-10 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-05-06 | 2021-05-27 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-05-06 | 2021-05-27 | N |
| 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 | 2021-05-06 | 2021-05-27 | 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 | 2021-05-06 | 2021-05-27 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-05-06 | 2021-05-27 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2021-05-06 | 2021-05-27 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2021-05-06 | 2021-05-27 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2021-05-06 | 2021-05-27 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2021-05-06 | 2021-05-27 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-05-06 | 2021-05-27 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2021-05-06 | 2021-05-27 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2021-05-06 | 2021-05-27 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2021-05-06 | 2021-05-27 | N |
| Provide emergency officials' contact information. | Fire Safety | 2021-05-06 | 2021-05-27 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2021-05-06 | 2021-05-27 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2021-05-06 | 2021-05-27 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2021-05-06 | 2021-05-27 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-05-06 | 2021-05-27 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-05-06 | 2021-05-27 | 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 | 2021-05-06 | 2021-05-27 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-05-06 | 2021-05-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-05-06 | 2021-05-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-05-06 | 2021-05-27 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-04-28 | 2021-05-14 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-04-28 | 2021-05-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-04-28 | 2021-05-14 | 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 | 2021-04-28 | 2021-05-14 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-04-15 | 2021-04-29 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-03-04 | 2021-04-13 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-03-04 | 2021-04-13 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-03-04 | 2021-04-13 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-03-04 | 2021-04-13 | 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 | 2021-03-04 | 2021-04-13 | Y |
