Deficiency Records for Ignite Medical Mchenry

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Updated as of March 01, 2024

A list of the most recent deficiencies for Ignite Medical Mchenry. 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 exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Fire Safety 2023-10-25 2023-12-09 N
Install corridor and hallway doors that block smoke. Fire Safety 2023-10-25 2023-12-09 N
Provide properly protected cooking facilities. Fire Safety 2023-10-25 2023-11-24 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2023-10-25 2023-11-17 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2023-10-25 2023-11-17 N
Have properly located and lighted "Exit" signs. Fire Safety 2023-10-25 2023-11-17 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-10-25 2023-11-17 N
Follow proper procedures when the fire alarm was out of service for more than 4 hours. Fire Safety 2023-10-25 2023-11-17 N
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Fire Safety 2023-10-25 2023-11-17 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-10-25 2023-11-17 N
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2023-10-25 2023-11-13 N
Address subsistence needs for staff and patients. Fire Safety 2023-10-25 2023-11-13 N
Establish policies and procedures for sheltering. Fire Safety 2023-10-25 2023-11-13 N
Provide family notifications of emergency plan. Fire Safety 2023-10-25 2023-11-13 N
Conduct testing and exercise requirements. Fire Safety 2023-10-25 2023-11-13 N
Implement emergency and standby power systems. Fire Safety 2023-10-25 2023-11-13 N
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Health 2023-10-05 2023-11-06 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-10-05 2023-11-06 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-10-05 2023-11-06 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 2023-10-05 2023-11-06 N
Provide for the safe, appropriate administration of IV fluids for a resident when needed. Health 2023-10-05 2023-11-06 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-10-05 2023-11-06 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-10-05 2023-11-06 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 2023-10-05 2023-11-06 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2023-10-05 2023-11-06 N
Provide and implement an infection prevention and control program. Health 2023-10-05 2023-11-06 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-08-14 2023-09-07 Y
Install corridor and hallway doors that block smoke. Fire Safety 2022-10-06 2023-05-19 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-03-29 2023-04-12 Y
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2022-10-06 2023-02-13 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2022-12-21 2023-01-06 Y
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2022-10-06 2022-12-16 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2022-11-09 2022-11-29 Y
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2022-10-06 2022-11-17 N
Provide properly protected cooking facilities. Fire Safety 2022-10-06 2022-11-04 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2022-10-06 2022-11-04 N
Ensure proper usage of power strips and extension cords. Fire Safety 2022-10-06 2022-11-04 N
Have proper medical gas storage and administration areas. Fire Safety 2022-10-06 2022-11-04 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-10-06 2022-10-26 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2022-09-21 2022-10-14 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-09-21 2022-10-14 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-09-21 2022-10-14 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-09-21 2022-10-14 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 2022-09-21 2022-10-14 N
Provide for the safe, appropriate administration of IV fluids for a resident when needed. Health 2022-09-21 2022-10-14 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 2022-09-21 2022-10-14 N
Ensure medication error rates are not 5 percent or greater. Health 2022-09-21 2022-10-14 N
Provide and implement an infection prevention and control program. Health 2022-09-21 2022-10-14 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-08-30 2022-09-22 Y
Install corridor and hallway doors that block smoke. Fire Safety 2021-10-27 2022-07-13 N
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Health 2022-05-20 2022-06-30 Y
Provide and implement an infection prevention and control program. Health 2022-05-20 2022-06-17 Y
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2022-03-24 2022-04-22 Y
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2021-11-18 2021-12-17 Y
Respond appropriately to all alleged violations. Health 2021-11-18 2021-12-17 Y
Use approved construction type or materials. Fire Safety 2021-10-27 2021-12-12 N
Provide and implement an infection prevention and control program. Health 2021-11-04 2021-11-29 Y
Provide and implement an infection prevention and control program. Health 2021-10-19 2021-11-29 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2021-10-27 2021-11-17 N
Provide enough food/fluids to maintain a resident's health. Health 2021-10-19 2021-11-16 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 2021-10-19 2021-11-16 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 2021-10-19 2021-11-15 N
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 2021-10-19 2021-11-15 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 2021-10-19 2021-11-15 N
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Health 2021-10-19 2021-11-15 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 2021-10-27 2021-11-12 N
Have properly located and lighted "Exit" signs. Fire Safety 2021-10-27 2021-11-12 N
Address patient/client population and determine types of services needed. Fire Safety 2021-10-27 2021-11-11 N
Establish methods for sharing information. Fire Safety 2021-10-27 2021-11-11 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2021-10-27 2021-11-11 N
Have simulated fire drills held at unexpected times. Fire Safety 2021-10-27 2021-11-11 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2021-10-19 2021-11-08 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 2021-10-19 2021-11-08 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2021-10-27 2021-11-02 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 2021-10-27 2021-10-27 N
Provide properly protected cooking facilities. Fire Safety 2021-10-27 2021-10-27 N
Provide for the safe, appropriate administration of IV fluids for a resident when needed. Health 2021-06-28 2021-07-13 Y