A list of the most recent deficiencies for The Mather 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? |
|---|---|---|---|---|
| Address subsistence needs for staff and patients. | Fire Safety | 2023-05-26 | 2023-06-23 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-05-26 | 2023-06-23 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-05-26 | 2023-06-23 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2023-05-26 | 2023-06-23 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-05-26 | 2023-06-23 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-05-26 | 2023-06-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-26 | 2023-06-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-05-26 | 2023-06-23 | N |
| Install properly constructed windows in hallway walls or doors. | Fire Safety | 2023-05-26 | 2023-06-23 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2023-05-26 | 2023-06-23 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-05-26 | 2023-06-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-26 | 2023-06-23 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-05-26 | 2023-06-23 | 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 | 2023-05-05 | 2023-06-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-05 | 2023-06-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-05 | 2023-05-31 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2022-11-09 | 2022-11-25 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-09 | 2022-07-13 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-06-28 | 2022-07-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-06-28 | 2022-07-13 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2022-06-09 | 2022-07-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-06-28 | 2022-07-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-28 | 2022-06-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-03-24 | 2021-06-09 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-03-24 | 2021-04-19 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-03-24 | 2021-04-16 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2021-03-24 | 2021-04-16 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2021-03-24 | 2021-04-16 | N |
| Establish methods for sharing information. | Fire Safety | 2021-03-24 | 2021-04-16 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-03-24 | 2021-04-16 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-03-19 | 2021-04-08 | N |
