Deficiency Records for Hallmark Healthcare of Pekin
Updated as of October 01, 2019
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? |
|---|---|---|---|---|
| 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 | 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 |
| Be properly staffed | 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 |
| Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | Health | 2018-03-30 | 2018-03-31 | Y |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2017-10-24 | 2017-11-02 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2017-10-24 | 2017-11-02 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2017-10-24 | 2017-11-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-10-24 | 2017-10-31 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2017-10-24 | 2017-10-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-10-24 | 2017-10-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-10-24 | 2017-10-24 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-10-24 | 2017-10-24 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-10-24 | 2017-10-24 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-10-19 | 2017-10-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2016-11-28 | 2016-12-30 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2016-11-28 | 2016-12-20 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-12-01 | 2016-12-20 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2016-12-01 | 2016-12-19 | N |
| Review or revise the resident's care plan after any major change in physical or mental health. | Health | 2016-12-01 | 2016-12-19 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2016-12-01 | 2016-12-19 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-12-01 | 2016-12-19 | N |
| Ensure that residents receive proper treatment and assistive devices to maintain their vision and hearing. | Health | 2016-12-01 | 2016-12-19 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-12-01 | 2016-12-19 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-12-01 | 2016-12-19 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2016-12-01 | 2016-12-19 | N |
| Make sure that special or therapeutic diets are ordered by the attending doctor. | Health | 2016-12-01 | 2016-12-19 | N |
| Keep all essential equipment working safely. | Health | 2016-12-01 | 2016-12-19 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2016-11-28 | 2016-12-16 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-12-01 | 2016-12-15 | N |
| Ensure operating rooms are properly protected and written records are maintained and available for inspection. | Fire Safety | 2016-11-28 | 2016-12-12 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2016-11-28 | 2016-12-09 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2016-11-28 | 2016-12-02 | N |
| Provide housekeeping and maintenance services. | Health | 2016-12-01 | 2016-12-02 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-12-01 | 2016-12-02 | N |
| Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients. | Health | 2016-12-01 | 2016-12-02 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2016-12-01 | 2016-12-02 | N |
| Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2016-12-01 | 2016-12-02 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2016-12-01 | 2016-12-01 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-12-01 | 2016-12-01 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2016-11-28 | 2016-11-29 | N |
