Deficiency Records for Aliya of Evanston
Updated as of October 01, 2022
This is not the most recent data for Aliya of Evanston. For the most recent information, click here.
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? |
|---|---|---|---|---|
| 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 |
| Provide and implement an infection prevention and control program. | Health | 2021-01-04 | 2021-02-12 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-03-25 | 2020-04-13 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-11-19 | 2020-01-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-11-19 | 2020-01-03 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2019-11-19 | 2019-12-13 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-11-19 | 2019-12-13 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2019-11-19 | 2019-12-13 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2019-11-19 | 2019-12-13 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2019-11-19 | 2019-12-13 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2019-11-19 | 2019-12-13 | N |
| Provide emergency officials' contact information. | Fire Safety | 2019-11-19 | 2019-12-13 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2019-11-19 | 2019-12-13 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2019-11-19 | 2019-12-13 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-11-19 | 2019-12-13 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-11-19 | 2019-12-13 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-11-19 | 2019-12-13 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-11-19 | 2019-12-13 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-11-19 | 2019-12-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-11-19 | 2019-12-13 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-11-19 | 2019-12-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-11-19 | 2019-12-13 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2019-11-19 | 2019-12-13 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2019-11-19 | 2019-12-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-11-19 | 2019-12-13 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-11-19 | 2019-12-13 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2019-11-20 | 2019-12-06 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-11-20 | 2019-12-06 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-11-20 | 2019-12-06 | 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 | 2019-11-20 | 2019-12-06 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2019-11-20 | 2019-12-06 | N |
| 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 | 2019-11-20 | 2019-12-06 | 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 | 2019-11-20 | 2019-12-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-20 | 2019-12-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-11-01 | 2018-12-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-11-01 | 2018-12-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-11-01 | 2018-12-03 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-11-01 | 2018-12-03 | 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 | 2018-10-31 | 2018-11-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-10-31 | 2018-11-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-10-31 | 2018-11-22 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-10-31 | 2018-11-22 | N |
