A list of the most recent deficiencies for The Citadel of Northbrook. 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 | 2024-01-27 | 2024-02-06 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-08-21 | 2023-09-06 | Y |
| Establish policies and procedures for sheltering. | Fire Safety | 2023-01-24 | 2023-02-13 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-01-24 | 2023-02-13 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-01-24 | 2023-02-13 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2023-01-24 | 2023-02-13 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-01-24 | 2023-02-13 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-01-24 | 2023-02-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-01-24 | 2023-02-13 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-01-24 | 2023-02-13 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-01-24 | 2023-02-13 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-01-24 | 2023-02-13 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2023-01-24 | 2023-02-13 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-01-20 | 2023-02-09 | 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 | 2023-01-20 | 2023-02-09 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-01-20 | 2023-02-09 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-01-20 | 2023-02-09 | 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 | 2023-01-20 | 2023-02-09 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-01-20 | 2023-02-09 | 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 | 2023-01-20 | 2023-02-09 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-01-20 | 2023-02-09 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-01-20 | 2023-02-09 | N |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2023-01-20 | 2023-02-09 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-01-20 | 2023-02-09 | 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 | 2023-01-20 | 2023-02-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-20 | 2023-02-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-01-20 | 2023-02-09 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-10-31 | 2022-11-14 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-03-03 | 2022-04-01 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-03-03 | 2022-04-01 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2022-03-03 | 2022-04-01 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-03-03 | 2022-04-01 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2022-03-03 | 2022-04-01 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2022-03-03 | 2022-04-01 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-03-03 | 2022-04-01 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-03-03 | 2022-04-01 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-03-03 | 2022-04-01 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2022-03-03 | 2022-04-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-03-03 | 2022-04-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-03-03 | 2022-04-01 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-03-03 | 2022-04-01 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-03-03 | 2022-04-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-03-03 | 2022-04-01 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-03-03 | 2022-03-17 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2022-03-03 | 2022-03-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-19 | 2022-02-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-21 | 2021-11-03 | Y |
| Address patient/client population and determine types of services needed. | Fire Safety | 2019-10-23 | 2019-11-22 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2019-10-23 | 2019-11-22 | N |
| Provide emergency officials' contact information. | Fire Safety | 2019-10-23 | 2019-11-22 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-10-23 | 2019-11-22 | 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 | 2019-10-23 | 2019-11-22 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-10-23 | 2019-11-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-23 | 2019-11-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-10-23 | 2019-11-22 | N |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2019-10-18 | 2019-11-08 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2019-10-18 | 2019-11-08 | N |
