Deficiency Records for Avantara of Elgin
Updated as of April 01, 2020
This is not the most recent data for Avantara of Elgin. For the most recent information, click here.
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 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 | 2020-02-20 | 2020-03-05 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-08-21 | 2019-09-20 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-08-01 | 2019-08-06 | Y |
| 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 | 2019-08-01 | 2019-08-06 | Y |
| Provide and implement an infection prevention and control program. | Health | 2019-08-01 | 2019-08-06 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-06-25 | 2019-07-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-06-25 | 2019-07-23 | 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 | 2019-06-25 | 2019-07-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-06-25 | 2019-07-01 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-06-25 | 2019-07-01 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-06-25 | 2019-07-01 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-06-25 | 2019-07-01 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-06-12 | 2019-06-28 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-06-12 | 2019-06-28 | 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 | 2019-06-12 | 2019-06-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-06-12 | 2019-06-28 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-06-12 | 2019-06-28 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-04-24 | 2019-04-25 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-04-12 | 2019-04-16 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-04-12 | 2019-04-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-03-28 | 2019-04-04 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-02-07 | 2019-04-03 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-07-03 | 2018-08-03 | N |
| 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 | 2018-07-03 | 2018-08-03 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-07-03 | 2018-08-03 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-07-03 | 2018-08-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-07-03 | 2018-08-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-07-03 | 2018-08-03 | 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 | 2018-07-03 | 2018-08-03 | 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 ne | Health | 2018-07-03 | 2018-08-03 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-07-03 | 2018-08-03 | 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 | 2018-07-03 | 2018-08-03 | N |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2018-07-03 | 2018-08-03 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2018-07-03 | 2018-08-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-07-03 | 2018-08-03 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-07-03 | 2018-08-03 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-07-03 | 2018-08-03 | Y |
| Provide a written emergency evacuation plan. | Fire Safety | 2018-07-11 | 2018-07-20 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-07-11 | 2018-07-20 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-07-11 | 2018-07-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-07-11 | 2018-07-17 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2018-07-11 | 2018-07-11 | 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 | 2018-02-14 | 2018-02-26 | Y |
| Ensure medical gas and air supply systems in which failure is likely to cause major injury or death, are correctly designated. | Fire Safety | 2017-08-09 | 2017-08-21 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2017-08-09 | 2017-08-09 | N |
| Maintain 15 months of resident assessments in the resident's active clinical record. | Health | 2017-07-20 | 2017-08-08 | N |
| Train all employees on what to do in an emergency, and carry out unannounced staff drills. | Health | 2017-07-20 | 2017-08-08 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-07-20 | 2017-08-04 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-07-20 | 2017-08-04 | N |
| Have enough backup water supply for essential areas of the nursing home. | Health | 2017-07-20 | 2017-08-01 | N |
| Have a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents. | Health | 2017-07-20 | 2017-07-31 | N |
