A list of the most recent deficiencies for Aliya of Evanston. 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-02-16 | 2024-02-17 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-02-16 | 2024-02-17 | N |
| Post nurse staffing information every day. | Health | 2024-02-16 | 2024-02-17 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-02-16 | 2024-02-17 | 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 | 2024-02-16 | 2024-02-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-16 | 2024-02-17 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2024-02-16 | 2024-02-17 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-02-16 | 2024-02-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-09 | 2024-01-10 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-11-17 | 2023-11-19 | Y |
| 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 | 2023-04-07 | 2023-04-14 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-04-07 | 2023-04-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-23 | 2023-03-14 | Y |
| 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 | 2022-11-23 | 2022-12-12 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-07-22 | 2022-08-08 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-04 | 2022-03-11 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-01-18 | 2022-02-08 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2022-01-18 | 2022-02-08 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-01-18 | 2022-02-08 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2022-01-18 | 2022-02-08 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2022-01-18 | 2022-02-08 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2022-01-18 | 2022-02-08 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2022-01-18 | 2022-02-08 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2022-01-18 | 2022-02-08 | N |
| Establish emergency prep training and testing. | Fire Safety | 2022-01-18 | 2022-02-08 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-01-18 | 2022-02-08 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-01-18 | 2022-02-08 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-01-14 | 2022-02-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-01-14 | 2022-02-04 | 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 | 2022-01-14 | 2022-02-04 | N |
| Use approved construction type or materials. | Fire Safety | 2022-01-18 | 2022-02-04 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2022-01-18 | 2022-02-04 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2022-01-18 | 2022-02-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-01-18 | 2022-02-04 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-01-18 | 2022-02-04 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-01-18 | 2022-02-04 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-01-18 | 2022-02-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-01-18 | 2022-02-04 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-07-09 | 2021-07-28 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2021-04-02 | 2021-04-20 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-04-02 | 2021-04-20 | Y |
