A list of the most recent deficiencies for Palos Heights Rehabilitation. 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-11-28 | 2024-01-18 | 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 | 2023-11-28 | 2024-01-18 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-28 | 2024-01-13 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-28 | 2024-01-13 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-11-28 | 2023-12-08 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-11-28 | 2023-12-08 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2023-11-28 | 2023-11-30 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-27 | 2023-06-15 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-04-27 | 2023-05-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-04-27 | 2023-05-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-04-27 | 2023-05-11 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-04-13 | 2023-05-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-13 | 2023-05-10 | 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 | 2023-04-13 | 2023-05-10 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-04-13 | 2023-05-10 | 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 | 2023-04-13 | 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 | 2023-04-13 | 2023-05-10 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-04-13 | 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 | 2023-04-13 | 2023-05-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-04-13 | 2023-05-10 | 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 | 2023-04-13 | 2023-05-10 | 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 | 2023-04-13 | 2023-05-10 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-04-13 | 2023-05-10 | Y |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2023-04-27 | 2023-05-04 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-04-27 | 2023-05-01 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-04-27 | 2023-04-28 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-04-27 | 2023-04-28 | 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 | 2023-04-27 | 2023-04-27 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-02-25 | 2023-03-23 | 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 | 2023-02-12 | 2023-02-13 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2022-09-27 | 2022-10-14 | Y |
| Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | Health | 2022-09-27 | 2022-10-14 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-27 | 2022-10-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-27 | 2022-10-14 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-09-27 | 2022-10-14 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-09-27 | 2022-10-14 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-14 | 2022-08-14 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-06-14 | 2022-07-31 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-06-14 | 2022-07-31 | 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 | 2022-06-14 | 2022-07-31 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-06-14 | 2022-07-09 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2022-06-14 | 2022-07-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-06-14 | 2022-07-06 | N |
| Construct fire resistant interior walls. | Fire Safety | 2022-06-14 | 2022-06-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-06-14 | 2022-06-20 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-06-14 | 2022-06-17 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2022-06-14 | 2022-06-16 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-06-14 | 2022-06-16 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2022-06-14 | 2022-06-15 | N |
| Establish methods for sharing information. | Fire Safety | 2022-06-14 | 2022-06-15 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2022-06-14 | 2022-06-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-06-14 | 2022-06-15 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-06-14 | 2022-06-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-06-14 | 2022-06-15 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-06-14 | 2022-06-15 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2022-06-14 | 2022-06-15 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-06-14 | 2022-06-15 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-06-14 | 2022-06-15 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-06-14 | 2022-06-15 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-06-14 | 2022-06-15 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2022-06-14 | 2022-06-15 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2022-06-14 | 2022-06-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-06-14 | 2022-06-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-06-10 | 2022-06-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-10 | 2022-06-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-06-10 | 2022-06-11 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-29 | 2022-04-28 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-03-29 | 2022-04-28 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-03-29 | 2022-04-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-03-29 | 2022-04-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-17 | 2022-03-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-30 | 2022-01-31 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-09-17 | 2021-10-08 | Y |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2021-09-02 | 2021-09-28 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-09-02 | 2021-09-28 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2021-09-02 | 2021-09-28 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-07-24 | 2021-09-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-24 | 2021-09-03 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-01-28 | 2021-08-03 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-07-06 | 2021-07-28 | Y |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2021-07-06 | 2021-07-28 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-07-06 | 2021-07-28 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-07-06 | 2021-07-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-06 | 2021-07-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-05-18 | 2021-06-10 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2021-01-28 | 2021-04-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-01-28 | 2021-03-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-03-02 | 2021-03-04 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-01-29 | 2021-03-03 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-01-29 | 2021-03-03 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-01-29 | 2021-03-03 | 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 | 2021-01-29 | 2021-03-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-01-29 | 2021-03-03 | N |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2021-01-29 | 2021-03-03 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-01-29 | 2021-03-03 | 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 | 2021-01-29 | 2021-03-03 | 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 | 2021-01-29 | 2021-03-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-01-29 | 2021-03-03 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-01-28 | 2021-02-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-01-28 | 2021-02-13 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2021-01-28 | 2021-02-12 | 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 | 2021-01-28 | 2021-01-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-01-28 | 2021-01-30 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-01-28 | 2021-01-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-01-28 | 2021-01-30 | 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 | 2021-01-28 | 2021-01-28 | N |
| Have exits that are accessible at all times. | Fire Safety | 2021-01-28 | 2021-01-28 | N |
