A list of the most recent deficiencies for Alta Rehab at Wauconda. 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 the wrongful use of the resident's belongings or money. | Health | 2023-11-21 | 2023-12-12 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-11-21 | 2023-12-12 | Y |
| Have exits that are accessible at all times. | Fire Safety | 2023-08-11 | 2023-09-25 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-08-11 | 2023-09-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-08-11 | 2023-09-25 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-08-11 | 2023-09-25 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-08-11 | 2023-08-31 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-08-11 | 2023-08-31 | N |
| Establish emergency prep training and testing. | Fire Safety | 2023-08-11 | 2023-08-30 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-08-11 | 2023-08-30 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-08-11 | 2023-08-30 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-08-11 | 2023-08-29 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2023-08-11 | 2023-08-29 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-08-11 | 2023-08-29 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2023-08-11 | 2023-08-29 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2023-08-11 | 2023-08-29 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2023-08-11 | 2023-08-29 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2023-08-11 | 2023-08-29 | 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 | 2023-08-11 | 2023-08-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-11 | 2023-08-29 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-08-11 | 2023-08-29 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2023-08-11 | 2023-08-29 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-08-11 | 2023-08-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-08-11 | 2023-08-28 | N |
| Use approved construction type or materials. | Fire Safety | 2023-08-11 | 2023-08-25 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2023-08-11 | 2023-08-25 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-08-11 | 2023-08-25 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-08-11 | 2023-08-25 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-08-11 | 2023-08-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-08-11 | 2023-08-25 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2023-08-11 | 2023-08-24 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-08-11 | 2023-08-24 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2023-08-11 | 2023-08-23 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-08-11 | 2023-08-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-26 | 2023-08-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-07 | 2023-08-08 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-07-26 | 2023-07-27 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-07-26 | 2023-07-27 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-07-20 | 2023-07-21 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2022-06-30 | 2022-08-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-06-30 | 2022-07-25 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-06-30 | 2022-07-22 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-06-30 | 2022-07-22 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2022-06-30 | 2022-07-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-06-30 | 2022-07-21 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-06-30 | 2022-07-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-30 | 2022-07-14 | 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 | 2022-06-16 | 2022-07-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-16 | 2022-07-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-16 | 2022-07-08 | 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 | 2022-06-16 | 2022-07-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-06-16 | 2022-07-08 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-06-30 | 2022-07-08 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-06-30 | 2022-07-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-07 | 2021-12-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-27 | 2021-11-01 | Y |
| Have proper power supply for life support equipment. | Fire Safety | 2021-04-14 | 2021-05-22 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-04-14 | 2021-04-22 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-04-07 | 2021-04-20 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-04-07 | 2021-04-20 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-04-07 | 2021-04-20 | 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 | 2021-04-14 | 2021-04-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-04-14 | 2021-04-20 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-04-14 | 2021-04-20 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2021-04-07 | 2021-04-19 | N |
