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 |