A list of the most recent deficiencies for Avantara of Elgin. 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? |
|---|---|---|---|---|
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-12-16 | 2023-12-18 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-11-30 | 2023-12-01 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-11-30 | 2023-12-01 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-11-30 | 2023-12-01 | Y |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2023-11-22 | 2023-11-23 | Y |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-08-29 | 2023-10-16 | 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 | 2023-08-29 | 2023-08-29 | N |
| 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 | 2023-08-16 | 2023-08-17 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-08-16 | 2023-08-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-16 | 2023-08-17 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-08-16 | 2023-08-17 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-08-16 | 2023-08-17 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-08-16 | 2023-08-17 | 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 | 2023-08-16 | 2023-08-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-16 | 2023-08-17 | N |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2023-05-25 | 2023-05-26 | 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 | 2023-05-25 | 2023-05-26 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-05-25 | 2023-05-26 | 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 | 2023-05-25 | 2023-05-26 | 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 | 2023-05-03 | 2023-05-09 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-05-03 | 2023-05-09 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-05-03 | 2023-05-09 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-20 | 2023-04-21 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-12 | 2023-04-10 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-11-11 | 2022-11-18 | Y |
| Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting. | Health | 2022-09-04 | 2022-09-06 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-08-12 | 2022-09-02 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2022-08-12 | 2022-09-02 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-08-12 | 2022-09-02 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-08-12 | 2022-09-02 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-08-12 | 2022-09-02 | N |
| Install proper backup exit lighting. | Fire Safety | 2022-08-12 | 2022-09-02 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-08-12 | 2022-09-02 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-08-12 | 2022-09-02 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-08-12 | 2022-09-02 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-08-11 | 2022-08-15 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-08-05 | 2022-08-15 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-08-05 | 2022-08-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-05 | 2022-08-12 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-08-05 | 2022-08-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-05 | 2022-08-12 | 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 | 2022-08-05 | 2022-08-12 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-08-05 | 2022-08-12 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2022-08-05 | 2022-08-12 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-08-05 | 2022-08-12 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-04-28 | 2022-05-10 | 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 | 2022-04-28 | 2022-05-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-28 | 2022-05-10 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-04-28 | 2022-05-10 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-01-25 | 2022-02-04 | 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 | 2022-01-25 | 2022-02-04 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-11-29 | 2021-12-07 | 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 | 2021-11-04 | 2021-11-09 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-11-04 | 2021-11-09 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-11-04 | 2021-11-09 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-05-28 | 2021-05-30 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-04-27 | 2021-05-03 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-04-27 | 2021-05-03 | N |
| Develop a communication plan. | Fire Safety | 2021-04-27 | 2021-05-03 | N |
| Establish emergency prep training and testing. | Fire Safety | 2021-04-27 | 2021-05-03 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-04-27 | 2021-05-03 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-04-27 | 2021-05-03 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-04-27 | 2021-05-03 | 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 | 2021-04-27 | 2021-05-03 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2021-04-27 | 2021-05-03 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-04-27 | 2021-05-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-04-27 | 2021-05-03 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-04-27 | 2021-05-03 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2021-04-27 | 2021-05-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-04-27 | 2021-05-03 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2021-04-27 | 2021-04-30 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-04-22 | 2021-04-29 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-04-22 | 2021-04-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-04-22 | 2021-04-29 | 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 | 2021-04-22 | 2021-04-29 | 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 | 2021-04-22 | 2021-04-29 | 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 | 2021-04-22 | 2021-04-29 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-04-22 | 2021-04-29 | N |
