A list of the most recent deficiencies for Ahva Care of Stickney. 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 | 2023-11-17 | 2023-12-06 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-08-28 | 2023-09-02 | 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 | 2023-07-27 | 2023-08-11 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-23 | 2023-06-30 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-03-23 | 2023-04-28 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-03-23 | 2023-04-28 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-03-23 | 2023-04-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-03-23 | 2023-04-14 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-03-23 | 2023-04-12 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-03-23 | 2023-04-11 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-03-23 | 2023-04-11 | 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 | 2023-03-23 | 2023-04-11 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-03-23 | 2023-04-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-23 | 2023-04-11 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-03-23 | 2023-04-08 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-03-23 | 2023-04-08 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-03-23 | 2023-04-08 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2023-03-23 | 2023-04-08 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-03-23 | 2023-04-08 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-03-23 | 2023-04-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-03-23 | 2023-04-08 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2023-03-23 | 2023-04-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-03-23 | 2023-04-08 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-03-23 | 2023-04-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-16 | 2023-04-07 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-05-26 | 2022-06-06 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-26 | 2022-06-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-20 | 2022-05-09 | Y |
| 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 | 2022-04-20 | 2022-05-09 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-02-15 | 2022-03-21 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-02-15 | 2022-02-28 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-02-15 | 2022-02-28 | N |
| Use approved construction type or materials. | Fire Safety | 2022-02-15 | 2022-02-28 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-02-15 | 2022-02-28 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-02-15 | 2022-02-28 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2022-02-15 | 2022-02-28 | 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 | 2022-02-15 | 2022-02-28 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-02-15 | 2022-02-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-02-15 | 2022-02-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-02-15 | 2022-02-28 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2022-02-15 | 2022-02-28 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-02-15 | 2022-02-28 | 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 | 2022-02-04 | 2022-02-15 | N |
| Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results. | Health | 2021-09-23 | 2021-09-29 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-01-14 | 2020-03-06 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2020-01-14 | 2020-02-12 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2020-01-14 | 2020-02-12 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2020-01-14 | 2020-02-12 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2020-01-14 | 2020-02-12 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2020-01-14 | 2020-02-12 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2020-01-14 | 2020-02-12 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2020-01-14 | 2020-02-12 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2020-01-14 | 2020-02-12 | N |
| Develop a communication plan. | Fire Safety | 2020-01-14 | 2020-02-12 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2020-01-14 | 2020-02-12 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2020-01-14 | 2020-02-12 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2020-01-14 | 2020-02-12 | N |
| Establish emergency prep training and testing. | Fire Safety | 2020-01-14 | 2020-02-12 | N |
| Establish staff and initial training requirements. | Fire Safety | 2020-01-14 | 2020-02-12 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2020-01-14 | 2020-02-12 | N |
| Implement emergency and standby power systems. | Fire Safety | 2020-01-14 | 2020-02-12 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-01-14 | 2020-02-12 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2020-01-14 | 2020-02-12 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2020-01-14 | 2020-02-12 | 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 | 2020-01-14 | 2020-02-12 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-01-14 | 2020-02-12 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-01-14 | 2020-02-12 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2020-01-14 | 2020-02-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-01-14 | 2020-02-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-01-14 | 2020-02-12 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2020-01-14 | 2020-02-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-01-14 | 2020-02-12 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2020-01-10 | 2020-01-20 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-01-10 | 2020-01-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-01-10 | 2020-01-20 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-01-10 | 2020-01-20 | 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 | 2020-01-10 | 2020-01-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-01-10 | 2020-01-20 | 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 | 2020-01-10 | 2020-01-20 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2020-01-10 | 2020-01-20 | N |
