A list of the most recent deficiencies for Elevate Care Country Club Hill. 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 | 2023-11-15 | 2024-03-01 | 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 | 2023-10-10 | 2024-03-01 | 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 | 2024-01-16 | 2024-03-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-01-16 | 2024-03-01 | N |
| Use approved construction type or materials. | Fire Safety | 2024-01-18 | 2024-02-09 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-01-18 | 2024-02-09 | 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 | 2024-01-18 | 2024-02-09 | N |
| Have exits that are accessible at all times. | Fire Safety | 2024-01-18 | 2024-02-09 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-01-18 | 2024-02-09 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-01-18 | 2024-02-09 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2024-01-18 | 2024-02-09 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-01-18 | 2024-02-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-01-18 | 2024-02-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-01-18 | 2024-02-09 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2024-01-18 | 2024-02-09 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-11-15 | 2023-11-16 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-15 | 2023-11-16 | Y |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2023-08-15 | 2023-08-16 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-08-15 | 2023-08-16 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-08-15 | 2023-08-16 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-15 | 2023-08-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-15 | 2023-08-16 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-08-15 | 2023-08-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-04 | 2023-08-16 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-28 | 2023-08-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-28 | 2023-08-16 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-06-06 | 2023-06-07 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-05-04 | 2023-05-05 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-05-04 | 2023-05-05 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-05-04 | 2023-05-05 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-03-28 | 2023-05-05 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2023-03-28 | 2023-03-29 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-03-28 | 2023-03-29 | 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 | 2023-01-27 | 2023-01-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-27 | 2023-01-28 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-12-20 | 2023-01-28 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-20 | 2023-01-28 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-12-20 | 2023-01-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-20 | 2023-01-28 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-01-27 | 2023-01-28 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-01-27 | 2023-01-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-01-27 | 2023-01-28 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-01-27 | 2023-01-28 | 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 | 2023-01-27 | 2023-01-28 | N |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2023-01-27 | 2023-01-28 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-01-27 | 2023-01-28 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-01-27 | 2023-01-28 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-01-27 | 2023-01-28 | 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 | 2023-01-27 | 2023-01-28 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-01-27 | 2023-01-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-01-27 | 2023-01-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-27 | 2023-01-28 | Y |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-01-27 | 2023-01-28 | Y |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2023-01-25 | 2023-01-26 | N |
| Use approved construction type or materials. | Fire Safety | 2023-01-25 | 2023-01-26 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-01-25 | 2023-01-26 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2023-01-25 | 2023-01-26 | N |
| Have horizontal exits used in accordance with safety requirements. | Fire Safety | 2023-01-25 | 2023-01-26 | 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 | 2023-01-25 | 2023-01-26 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-01-25 | 2023-01-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-01-25 | 2023-01-26 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-01-25 | 2023-01-26 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-01-25 | 2023-01-26 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2023-01-25 | 2023-01-26 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2023-01-25 | 2023-01-26 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-01-25 | 2023-01-26 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-12-20 | 2022-12-21 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-12-20 | 2022-12-21 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2022-12-20 | 2022-12-21 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-12-20 | 2022-12-21 | Y |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2022-12-20 | 2022-12-21 | Y |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2022-12-20 | 2022-12-21 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-09-14 | 2022-09-15 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-09-14 | 2022-09-15 | Y |
| Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | Health | 2022-09-14 | 2022-09-15 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-09-14 | 2022-09-15 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-09-14 | 2022-09-15 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-08-26 | 2022-09-14 | Y |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2022-08-26 | 2022-09-14 | Y |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2022-08-26 | 2022-09-14 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-08-26 | 2022-09-14 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-08-26 | 2022-09-14 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-26 | 2022-09-14 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-08-26 | 2022-09-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-26 | 2022-09-14 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-08-26 | 2022-09-14 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-08-26 | 2022-09-14 | Y |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2022-08-26 | 2022-09-14 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-08-26 | 2022-09-14 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-08-26 | 2022-09-14 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-08-26 | 2022-09-14 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-04-28 | 2022-05-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-28 | 2022-05-03 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-04-12 | 2022-04-26 | 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 | 2022-04-12 | 2022-04-26 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-04-12 | 2022-04-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-04-12 | 2022-04-26 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-04-12 | 2022-04-26 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-04-12 | 2022-04-26 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2022-04-12 | 2022-04-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-04-12 | 2022-04-26 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-04-12 | 2022-04-26 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-04-08 | 2022-04-22 | 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 | 2022-04-08 | 2022-04-22 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-04-08 | 2022-04-22 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-04-08 | 2022-04-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-08 | 2022-04-22 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-04-08 | 2022-04-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-08 | 2022-04-22 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-04-08 | 2022-04-22 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-04-08 | 2022-04-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-17 | 2021-12-20 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-11-19 | 2021-11-20 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-11-19 | 2021-11-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-19 | 2021-11-20 | Y |
| Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | Health | 2021-11-19 | 2021-11-20 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-11-02 | 2021-11-11 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-09-28 | 2021-09-30 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-09-07 | 2021-09-20 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2021-09-07 | 2021-09-20 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-09-07 | 2021-09-20 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2021-09-07 | 2021-09-20 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-08-18 | 2021-09-03 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-08-18 | 2021-09-03 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-08-18 | 2021-09-03 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-08-18 | 2021-09-03 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2021-08-18 | 2021-09-03 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-07-02 | 2021-07-16 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-07-02 | 2021-07-16 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-05-27 | 2021-06-11 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-05-05 | 2021-05-21 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-05-05 | 2021-05-21 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-05-05 | 2021-05-21 | Y |
| Report COVID19 data to residents and families. | Health | 2021-05-05 | 2021-05-21 | Y |
