A list of the most recent deficiencies for North Aurora Care Center. 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? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-03 | 2024-04-17 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-10-04 | 2023-12-30 | N |
| Keep all essential equipment working safely. | Health | 2023-10-04 | 2023-12-30 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-10-04 | 2023-12-10 | 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 | 2023-10-04 | 2023-12-10 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-11-02 | 2023-11-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-02 | 2023-11-16 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-10-03 | 2023-10-31 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-10-04 | 2023-10-20 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-10-04 | 2023-10-20 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-10-04 | 2023-10-20 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-10-04 | 2023-10-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-04 | 2023-10-20 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-10-03 | 2023-10-20 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-10-03 | 2023-10-20 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2023-10-03 | 2023-10-20 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2023-10-03 | 2023-10-20 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2023-10-03 | 2023-10-20 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-10-03 | 2023-10-20 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-10-03 | 2023-10-20 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-10-03 | 2023-10-20 | 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 | 2023-10-03 | 2023-10-20 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-10-03 | 2023-10-20 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-10-03 | 2023-10-20 | 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 | 2023-10-03 | 2023-10-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-10-03 | 2023-10-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-10-03 | 2023-10-20 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-10-03 | 2023-10-20 | N |
| Install properly constructed windows in hallway walls or doors. | Fire Safety | 2023-10-03 | 2023-10-20 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-10-03 | 2023-10-20 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2023-10-03 | 2023-10-20 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-10-03 | 2023-10-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-10-03 | 2023-10-20 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-10-03 | 2023-10-20 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2023-10-03 | 2023-10-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-20 | 2023-03-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-23 | 2023-03-17 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-08-31 | 2023-01-30 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-10-07 | 2023-01-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-12-20 | 2023-01-08 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-12-20 | 2023-01-08 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-12-20 | 2023-01-08 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2022-10-07 | 2023-01-03 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2022-10-07 | 2022-11-03 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-10-07 | 2022-11-03 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-10-07 | 2022-11-03 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2022-10-07 | 2022-11-03 | 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 | 2022-10-07 | 2022-11-03 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-10-07 | 2022-11-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-10-07 | 2022-11-03 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-10-07 | 2022-11-03 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-10-07 | 2022-11-03 | N |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2022-09-12 | 2022-10-01 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2022-09-12 | 2022-10-01 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-08-31 | 2022-09-10 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-08-31 | 2022-09-02 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-08-31 | 2022-09-02 | Y |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-08-31 | 2022-09-02 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-03-01 | 2022-03-17 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-03-01 | 2022-03-17 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-07-13 | 2022-03-09 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-01-13 | 2022-01-30 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2021-08-11 | 2021-09-03 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-07-13 | 2021-07-31 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2021-07-13 | 2021-07-31 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2021-07-13 | 2021-07-31 | N |
| Provide emergency officials' contact information. | Fire Safety | 2021-07-13 | 2021-07-31 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2021-07-13 | 2021-07-31 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-07-13 | 2021-07-31 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-07-13 | 2021-07-31 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-07-13 | 2021-07-31 | 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 | 2021-07-13 | 2021-07-31 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-07-13 | 2021-07-31 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-07-13 | 2021-07-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-07-13 | 2021-07-31 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-07-13 | 2021-07-31 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-07-09 | 2021-07-25 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-07-09 | 2021-07-25 | N |
