A list of the most recent deficiencies for Illini Restorative Care. 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 | 2024-01-12 | 2024-02-12 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-10-04 | 2023-11-06 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-10-04 | 2023-11-06 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-06-12 | 2023-07-21 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2023-06-12 | 2023-07-21 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2023-06-12 | 2023-07-21 | N |
| Develop a communication plan. | Fire Safety | 2023-06-12 | 2023-07-21 | N |
| Establish emergency prep training and testing. | Fire Safety | 2023-06-12 | 2023-07-21 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-06-12 | 2023-07-21 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-06-12 | 2023-07-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-06-12 | 2023-07-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-06-12 | 2023-07-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-06-12 | 2023-07-21 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-06-08 | 2023-07-11 | 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 | 2023-06-08 | 2023-07-11 | 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 | 2023-06-08 | 2023-07-11 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-03-24 | 2023-04-28 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-03-24 | 2023-04-28 | Y |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-06-30 | 2022-07-20 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-06-30 | 2022-07-20 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-06-30 | 2022-07-20 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2022-06-30 | 2022-07-01 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2022-06-30 | 2022-07-01 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-05-05 | 2022-06-03 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-05-05 | 2022-06-03 | 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 necessary and PRN use is limited. | Health | 2022-05-05 | 2022-06-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-27 | 2022-05-28 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-08-24 | 2021-09-09 | Y |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-06-25 | 2021-08-05 | N |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2021-06-25 | 2021-07-21 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-06-25 | 2021-07-21 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-06-25 | 2021-07-21 | 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 | 2021-06-25 | 2021-07-21 | 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 | 2021-06-25 | 2021-07-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-06-25 | 2021-07-21 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2021-06-25 | 2021-07-21 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-06-25 | 2021-07-21 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2021-06-25 | 2021-07-21 | N |
| Provide emergency officials' contact information. | Fire Safety | 2021-06-25 | 2021-07-21 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2021-06-25 | 2021-07-21 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2021-06-25 | 2021-07-21 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-06-25 | 2021-07-21 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-06-25 | 2021-07-21 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-05-20 | 2021-06-12 | Y |
