Deficiency Records for Hallmark Healthcare of Pekin
Updated as of January 01, 2022
This is not the most recent data for Hallmark Healthcare of Pekin. For the most recent information, click here.
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? |
|---|---|---|---|---|
| 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 |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-01-22 | 2021-02-15 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-01-22 | 2021-02-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-01-22 | 2021-02-15 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2020-11-24 | 2020-12-16 | 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 | 2020-11-24 | 2020-12-16 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-11-06 | 2020-11-25 | Y |
| 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 | 2019-09-12 | 2019-10-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-09-12 | 2019-10-27 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2019-09-12 | 2019-10-27 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2019-09-12 | 2019-10-27 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-09-12 | 2019-10-27 | 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 | 2019-09-12 | 2019-10-27 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-09-12 | 2019-10-27 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2019-09-12 | 2019-10-27 | N |
| Use approved construction type or materials. | Fire Safety | 2019-09-12 | 2019-10-27 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-09-12 | 2019-10-27 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-09-12 | 2019-10-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-09-12 | 2019-10-27 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-09-12 | 2019-10-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-09-12 | 2019-10-27 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-09-12 | 2019-10-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-09-12 | 2019-10-27 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-09-12 | 2019-10-27 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-09-12 | 2019-10-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-09-12 | 2019-10-27 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-07-09 | 2019-08-06 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2018-11-09 | 2018-12-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-11-09 | 2018-12-10 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-11-09 | 2018-12-10 | 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 | 2018-11-09 | 2018-12-10 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2018-11-09 | 2018-12-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-11-09 | 2018-12-10 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-11-09 | 2018-11-29 | 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 | 2018-11-09 | 2018-11-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-11-09 | 2018-11-29 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-11-07 | 2018-11-14 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-11-07 | 2018-11-13 | N |
