A list of the most recent deficiencies for Elevate Care South Holland. 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? |
---|---|---|---|---|
Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2024-02-29 | 2024-03-19 | N |
Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-02-29 | 2024-03-14 | N |
Address subsistence needs for staff and patients. | Fire Safety | 2024-02-29 | 2024-03-14 | N |
Establish policies and procedures for sheltering. | Fire Safety | 2024-02-29 | 2024-03-14 | N |
Create arrangements with other facilities to receive patients. | Fire Safety | 2024-02-29 | 2024-03-14 | N |
Establish staff and initial training requirements. | Fire Safety | 2024-02-29 | 2024-03-14 | N |
Implement emergency and standby power systems. | Fire Safety | 2024-02-29 | 2024-03-14 | N |
Use approved construction type or materials. | Fire Safety | 2024-02-29 | 2024-03-14 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-02-29 | 2024-03-14 | N |
Have an enclosure around a vertical opening shaft. | Fire Safety | 2024-02-29 | 2024-03-14 | 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 | 2024-02-29 | 2024-03-14 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2024-02-29 | 2024-03-14 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-02-29 | 2024-03-14 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-02-29 | 2024-03-14 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-02-29 | 2024-03-14 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-02-29 | 2024-03-14 | N |
Provide properly sized and located linen or trash receptacles. | Fire Safety | 2024-02-29 | 2024-03-14 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-02-29 | 2024-03-14 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-02-29 | 2024-03-14 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-02-23 | 2024-02-29 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-02-23 | 2024-02-29 | N |
Provide and implement an infection prevention and control program. | Health | 2024-02-23 | 2024-02-29 | N |
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-02-23 | 2024-02-29 | Y |
Ensure that residents are free from significant medication errors. | Health | 2024-02-23 | 2024-02-29 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-22 | 2024-01-23 | Y |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-09-05 | 2023-09-06 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-09-05 | 2023-09-06 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-05 | 2023-09-06 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-05 | 2023-09-06 | Y |
Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2022-11-09 | 2023-04-17 | N |
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2023-03-27 | 2023-03-28 | 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 | 2023-03-27 | 2023-03-28 | Y |
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 | 2023-03-27 | 2023-03-28 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-27 | 2023-03-28 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-27 | 2023-03-28 | Y |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-03-27 | 2023-03-28 | Y |
Install a two-hour-resistant firewall separation. | Fire Safety | 2022-11-09 | 2023-01-18 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-28 | 2023-01-10 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-28 | 2023-01-10 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-01-03 | 2023-01-04 | 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 | 2023-01-03 | 2023-01-04 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-03 | 2023-01-04 | Y |
Provide enough food/fluids to maintain a resident's health. | Health | 2022-11-17 | 2022-12-05 | Y |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-11-09 | 2022-12-03 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-11-09 | 2022-12-03 | N |
Have properly located and lighted "Exit" signs. | Fire Safety | 2022-11-09 | 2022-12-03 | N |
Have an enclosure around a vertical opening shaft. | Fire Safety | 2022-11-09 | 2022-12-03 | 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 | 2022-11-09 | 2022-12-03 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2022-11-09 | 2022-12-03 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-09 | 2022-12-03 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2022-10-28 | 2022-11-11 | N |
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2022-10-28 | 2022-11-11 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-10-28 | 2022-11-11 | 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 | 2022-10-28 | 2022-11-11 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-10-28 | 2022-11-11 | 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 | 2022-10-28 | 2022-11-11 | 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 | 2022-10-28 | 2022-11-11 | N |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-08-17 | 2022-09-01 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-29 | 2022-04-12 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-01-27 | 2022-02-08 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-27 | 2022-02-08 | Y |
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-01-04 | 2022-01-07 | Y |
Provide and implement an infection prevention and control program. | Health | 2021-11-05 | 2022-01-07 | N |
Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2021-11-05 | 2022-01-07 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2021-11-05 | 2021-12-30 | N |
Keep residents' personal and medical records private and confidential. | Health | 2021-11-05 | 2021-12-30 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-11-05 | 2021-12-30 | 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 | 2021-11-05 | 2021-12-30 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-10-13 | 2021-11-01 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-10-13 | 2021-11-01 | Y |
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2021-09-23 | 2021-09-28 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-09-23 | 2021-09-28 | Y |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-09-23 | 2021-09-28 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-08-06 | 2021-08-31 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-08-06 | 2021-08-31 | Y |