A list of the most recent deficiencies for Hallmark Healthcare of Pekin. 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 a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-31 | 2024-02-25 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-12-07 | 2024-01-07 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-12-07 | 2024-01-07 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-12-07 | 2024-01-07 | 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 | 2023-12-07 | 2024-01-07 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-07 | 2024-01-07 | Y |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2023-12-07 | 2024-01-07 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2023-08-24 | 2023-09-23 | 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 | 2023-08-24 | 2023-09-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-24 | 2023-09-23 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-08-24 | 2023-09-23 | 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 | 2023-08-24 | 2023-09-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-24 | 2023-09-23 | N |
| Dispose of garbage and refuse properly. | Health | 2023-08-24 | 2023-09-23 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2023-08-24 | 2023-09-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-24 | 2023-09-23 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-08-24 | 2023-09-23 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-08-23 | 2023-09-22 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-08-23 | 2023-09-22 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-08-23 | 2023-09-22 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-08-23 | 2023-09-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-08-23 | 2023-09-22 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-08-23 | 2023-09-22 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-08-23 | 2023-09-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-23 | 2023-09-22 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-12-14 | 2022-12-15 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-12-14 | 2022-12-15 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-11-18 | 2022-12-12 | Y |
| Establish staff and initial training requirements. | Fire Safety | 2022-09-08 | 2022-10-07 | 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 | 2022-09-08 | 2022-10-07 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-09-08 | 2022-10-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-09-08 | 2022-10-07 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-09-08 | 2022-10-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-09-08 | 2022-10-07 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-09-08 | 2022-10-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-09-08 | 2022-10-07 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-09-08 | 2022-10-07 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-09-08 | 2022-10-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-09-08 | 2022-10-07 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-09-08 | 2022-10-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-09-09 | 2022-09-26 | 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 | 2022-09-09 | 2022-09-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-09 | 2022-09-26 | 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 | 2022-09-09 | 2022-09-26 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-09-09 | 2022-09-26 | 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 | 2022-09-09 | 2022-09-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-09-09 | 2022-09-26 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-02-09 | 2022-02-11 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-30 | 2021-12-17 | Y |
| 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 | 2021-07-15 | 2021-07-20 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-07-15 | 2021-07-20 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-07-15 | 2021-07-20 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-07-15 | 2021-07-20 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-07-16 | 2021-07-20 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2021-07-16 | 2021-07-20 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2021-07-16 | 2021-07-20 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-07-16 | 2021-07-20 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2021-07-16 | 2021-07-20 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2021-07-16 | 2021-07-20 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2021-07-16 | 2021-07-20 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2021-07-16 | 2021-07-20 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2021-07-16 | 2021-07-20 | N |
| Develop a communication plan. | Fire Safety | 2021-07-16 | 2021-07-20 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2021-07-16 | 2021-07-20 | N |
| Provide emergency officials' contact information. | Fire Safety | 2021-07-16 | 2021-07-20 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2021-07-16 | 2021-07-20 | N |
| Establish methods for sharing information. | Fire Safety | 2021-07-16 | 2021-07-20 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2021-07-16 | 2021-07-20 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2021-07-16 | 2021-07-20 | N |
| Establish emergency prep training and testing. | Fire Safety | 2021-07-16 | 2021-07-20 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-07-16 | 2021-07-20 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-07-16 | 2021-07-20 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-07-16 | 2021-07-20 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-07-16 | 2021-07-20 | 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 | 2021-07-16 | 2021-07-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-07-16 | 2021-07-20 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2021-07-16 | 2021-07-20 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-07-16 | 2021-07-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-07-16 | 2021-07-20 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-07-16 | 2021-07-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-07-16 | 2021-07-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-07-16 | 2021-07-20 | N |
