Deficiency Records for Elevate Care Country Club Hill
Updated as of March 01, 2022
This is not the most recent data for Elevate Care Country Club Hill. For the most recent information, click here.
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? |
|---|---|---|---|---|
| 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 |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-01-07 | 2021-02-05 | 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 | 2021-01-07 | 2021-02-05 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-01-07 | 2021-02-05 | 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 | 2021-01-07 | 2021-02-05 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-01-07 | 2021-02-05 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-01-07 | 2021-02-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-01-07 | 2021-02-05 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-01-07 | 2021-02-05 | Y |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2021-01-07 | 2021-02-05 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2021-01-07 | 2021-02-05 | Y |
| Report COVID19 data to residents and families. | Health | 2020-12-10 | 2020-12-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-12-10 | 2020-12-31 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-07-14 | 2020-07-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-04-15 | 2020-05-05 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-03-02 | 2020-03-10 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2020-01-09 | 2020-02-07 | 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 | 2020-01-09 | 2020-02-07 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2020-01-09 | 2020-02-07 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-01-09 | 2020-02-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-01-09 | 2020-02-07 | 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 | 2020-01-09 | 2020-02-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-01-09 | 2020-02-07 | 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 | 2020-01-09 | 2020-02-07 | N |
| 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 | 2020-01-09 | 2020-02-07 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-01-09 | 2020-02-07 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2020-01-09 | 2020-02-07 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-01-09 | 2020-02-07 | 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 | 2020-01-09 | 2020-02-07 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-01-09 | 2020-02-07 | Y |
| 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 | 2020-01-09 | 2020-02-07 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-11-06 | 2020-02-07 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2020-01-09 | 2020-01-24 | N |
| Implement emergency and standby power systems. | Fire Safety | 2020-01-09 | 2020-01-24 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2020-01-09 | 2020-01-23 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2020-01-09 | 2020-01-23 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-01-09 | 2020-01-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-01-09 | 2020-01-23 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2020-01-09 | 2020-01-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-01-09 | 2020-01-23 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2019-11-06 | 2019-12-27 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-11-06 | 2019-12-27 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-11-06 | 2019-12-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-30 | 2019-08-31 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-07-18 | 2019-07-26 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-05-02 | 2019-05-08 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-04-24 | 2019-04-25 | 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 | 2019-03-11 | 2019-03-11 | Y |
| Use approved construction type or materials. | Fire Safety | 2018-12-11 | 2019-01-04 | N |
| Have horizontal exits used in accordance with safety requirements. | Fire Safety | 2018-12-11 | 2019-01-04 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2018-12-11 | 2019-01-04 | 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 | 2018-12-11 | 2019-01-04 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2018-12-11 | 2019-01-04 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2018-12-11 | 2019-01-04 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-12-11 | 2019-01-04 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2018-12-11 | 2019-01-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-12-11 | 2019-01-04 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-12-11 | 2019-01-04 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-12-11 | 2019-01-04 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2018-12-11 | 2019-01-04 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-12-06 | 2018-12-15 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-12-06 | 2018-12-15 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-12-06 | 2018-12-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-12-06 | 2018-12-15 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-12-06 | 2018-12-15 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2018-12-06 | 2018-12-15 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-12-06 | 2018-12-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-12-06 | 2018-12-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-12-06 | 2018-12-15 | 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 | 2018-12-06 | 2018-12-15 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-12-06 | 2018-12-15 | 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 | 2018-12-06 | 2018-12-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-12-06 | 2018-12-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-12-06 | 2018-12-15 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2017-11-16 | 2017-12-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-11-16 | 2017-12-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-11-16 | 2017-12-06 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2017-11-16 | 2017-12-06 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-11-16 | 2017-12-06 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2017-11-16 | 2017-12-06 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-10-26 | 2017-11-07 | N |
| Keep each resident free from physical restraints, unless needed for medical treatment. | Health | 2017-10-26 | 2017-11-07 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-10-26 | 2017-11-07 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2017-10-26 | 2017-11-07 | N |
| Provide housekeeping and maintenance services. | Health | 2017-10-26 | 2017-11-07 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-10-26 | 2017-11-07 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2017-10-26 | 2017-11-07 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-10-26 | 2017-11-07 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-10-26 | 2017-11-07 | N |
| Train all employees on what to do in an emergency, and carry out unannounced staff drills. | Health | 2017-10-26 | 2017-11-07 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-10-26 | 2017-11-06 | N |
