Deficiency Records for Allure of Galesburg
Updated as of May 01, 2024
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Deficiency Records for Allure of Galesburg
A list of the most recent deficiencies for Allure of Galesburg. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Allure of Galesburg. 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 | 2024-03-07 | 2024-03-19 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-01-24 | 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 | 2023-11-30 | 2023-12-07 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-11-30 | 2023-12-07 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-09-10 | 2023-09-22 | Y |
Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-04-12 | 2023-05-04 | N |
Address subsistence needs for staff and patients. | Fire Safety | 2023-04-12 | 2023-05-04 | N |
Establish policies and procedures for sheltering. | Fire Safety | 2023-04-12 | 2023-05-04 | N |
Establish staff and initial training requirements. | Fire Safety | 2023-04-12 | 2023-05-04 | N |
Conduct testing and exercise requirements. | Fire Safety | 2023-04-12 | 2023-05-04 | N |
Implement emergency and standby power systems. | Fire Safety | 2023-04-12 | 2023-05-04 | N |
Install a two-hour-resistant firewall separation. | Fire Safety | 2023-04-12 | 2023-05-04 | 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 | 2023-04-12 | 2023-05-04 | N |
Have exits that are accessible at all times. | Fire Safety | 2023-04-12 | 2023-05-04 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-04-12 | 2023-05-04 | N |
Have properly located and lighted "Exit" signs. | Fire Safety | 2023-04-12 | 2023-05-04 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-04-12 | 2023-05-04 | N |
Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-04-12 | 2023-05-04 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2023-04-12 | 2023-05-04 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-12 | 2023-05-04 | N |
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-04-12 | 2023-05-04 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2023-04-12 | 2023-05-04 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-04-12 | 2023-05-04 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2023-04-12 | 2023-05-04 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-04-12 | 2023-05-04 | N |
Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2023-04-14 | 2023-05-03 | N |
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2023-04-14 | 2023-05-03 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-04-14 | 2023-05-03 | N |
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 | 2023-04-14 | 2023-05-03 | N |
PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-04-14 | 2023-05-03 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-04-14 | 2023-05-03 | 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 | 2023-04-14 | 2023-05-03 | N |
Provide activities to meet all resident's needs. | Health | 2023-04-14 | 2023-05-03 | N |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-04-14 | 2023-05-03 | N |
Provide care or services that was trauma informed and/or culturally competent. | Health | 2023-04-14 | 2023-05-03 | N |
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-04-14 | 2023-05-03 | N |
Observe each nurse aide's job performance and give regular training. | Health | 2023-04-14 | 2023-05-03 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-04-14 | 2023-05-03 | 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 | 2023-04-14 | 2023-05-03 | 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 | 2023-04-14 | 2023-05-03 | N |
Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space. | Health | 2023-04-14 | 2023-05-03 | N |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-04-14 | 2023-05-03 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-02-08 | 2023-02-16 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-19 | 2022-09-06 | Y |
Keep residents' personal and medical records private and confidential. | Health | 2022-08-02 | 2022-08-11 | Y |
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 | 2022-08-02 | 2022-08-11 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-04-04 | 2022-04-26 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-03-02 | 2022-03-04 | Y |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-01-26 | 2022-02-23 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-01-26 | 2022-02-23 | 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 | 2022-01-27 | 2022-02-15 | N |
Establish staff and initial training requirements. | Fire Safety | 2022-01-26 | 2022-02-15 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-01-26 | 2022-02-15 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-01-26 | 2022-02-15 | N |
Have properly located and lighted "Exit" signs. | Fire Safety | 2022-01-26 | 2022-02-15 | 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 | 2022-01-26 | 2022-02-15 | N |
Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-01-26 | 2022-02-15 | N |
Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2022-01-26 | 2022-02-15 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-01-26 | 2022-02-15 | N |
Provide and implement an infection prevention and control program. | Health | 2022-01-27 | 2022-02-11 | N |
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-01-27 | 2022-02-10 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-01-27 | 2022-02-10 | N |
Perform COVID19 testing on residents and staff. | Health | 2022-01-27 | 2022-01-28 | N |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-01-12 | 2022-01-21 | 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 | 2022-01-12 | 2022-01-21 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-01-05 | 2022-01-21 | Y |
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2021-10-06 | 2021-10-28 | Y |
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 | 2021-10-06 | 2021-10-28 | Y |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-10-06 | 2021-10-28 | Y |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-10-06 | 2021-10-28 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-09-22 | 2021-10-28 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-09-22 | 2021-10-28 | Y |
Provide and implement an infection prevention and control program. | Health | 2021-09-22 | 2021-10-28 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-09-15 | 2021-09-16 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-08-27 | 2021-09-16 | Y |
Respond appropriately to all alleged violations. | Health | 2021-08-27 | 2021-09-16 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-08-20 | 2021-09-07 | Y |
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2021-06-24 | 2021-07-06 | Y |
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 | 2021-06-24 | 2021-07-06 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-10-08 | 2020-11-05 | 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 | 2020-10-08 | 2020-11-05 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-10-08 | 2020-11-05 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2020-10-08 | 2020-11-05 | 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 | 2020-10-08 | 2020-11-05 | N |
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2020-10-08 | 2020-11-05 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-10-08 | 2020-11-05 | 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 | 2020-10-08 | 2020-11-05 | N |
Provide and implement an infection prevention and control program. | Health | 2020-10-08 | 2020-11-05 | N |
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2020-10-08 | 2020-11-05 | N |
Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2020-10-15 | 2020-11-02 | N |
Address patient/client population and determine types of services needed. | Fire Safety | 2020-10-15 | 2020-11-02 | N |
Address subsistence needs for staff and patients. | Fire Safety | 2020-10-15 | 2020-11-02 | N |
Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2020-10-15 | 2020-11-02 | N |
Establish policies and procedures including evacuation. | Fire Safety | 2020-10-15 | 2020-11-02 | N |
Establish policies and procedures for sheltering. | Fire Safety | 2020-10-15 | 2020-11-02 | N |
Establish policies and procedures for medical documentation. | Fire Safety | 2020-10-15 | 2020-11-02 | N |
Establish policies and procedures for volunteers. | Fire Safety | 2020-10-15 | 2020-11-02 | N |
Create arrangements with other facilities to receive patients. | Fire Safety | 2020-10-15 | 2020-11-02 | N |
List the names and contact information of those in the facility. | Fire Safety | 2020-10-15 | 2020-11-02 | N |
Provide emergency officials' contact information. | Fire Safety | 2020-10-15 | 2020-11-02 | N |
Provide primary/alternate means for communication. | Fire Safety | 2020-10-15 | 2020-11-02 | N |
Establish methods for sharing information. | Fire Safety | 2020-10-15 | 2020-11-02 | N |
Provide a means of sharing information on occupancy/needs. | Fire Safety | 2020-10-15 | 2020-11-02 | N |
Provide family notifications of emergency plan. | Fire Safety | 2020-10-15 | 2020-11-02 | N |
Establish staff and initial training requirements. | Fire Safety | 2020-10-15 | 2020-11-02 | N |
Conduct testing and exercise requirements. | Fire Safety | 2020-10-15 | 2020-11-02 | N |
Implement emergency and standby power systems. | Fire Safety | 2020-10-15 | 2020-11-02 | 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 | 2020-10-15 | 2020-11-02 | N |
Provide properly protected cooking facilities. | Fire Safety | 2020-10-15 | 2020-11-02 | N |
Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2020-10-15 | 2020-11-02 | N |
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2020-10-15 | 2020-11-02 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2020-10-15 | 2020-11-02 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-10-15 | 2020-11-02 | N |
Provide a written emergency evacuation plan. | Fire Safety | 2020-10-15 | 2020-11-02 | N |
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