A list of the most recent deficiencies for West Chicago Terrace. 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 | 2024-01-31 | 2024-02-16 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-01-31 | 2024-02-16 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-01-11 | 2024-02-02 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-11-20 | 2023-12-06 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-08-16 | 2023-09-07 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-08-16 | 2023-09-07 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2023-07-19 | 2023-08-03 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-07-19 | 2023-07-29 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-07-19 | 2023-07-29 | 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 | 2023-07-19 | 2023-07-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-07-19 | 2023-07-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-07-19 | 2023-07-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-07-19 | 2023-07-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-07-19 | 2023-07-28 | 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 | 2023-06-28 | 2023-07-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-28 | 2023-07-14 | 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 | 2023-06-28 | 2023-07-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-06-28 | 2023-07-14 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-04-26 | 2023-05-14 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-03-29 | 2023-04-17 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-02-03 | 2023-02-17 | Y |
| 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 | 2022-12-15 | 2023-01-17 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-12-15 | 2023-01-17 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2022-12-15 | 2023-01-17 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-12-16 | 2023-01-13 | 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 | 2022-10-15 | 2022-11-04 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-08-02 | 2022-09-10 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-08-02 | 2022-08-26 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-08-02 | 2022-08-26 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-08-02 | 2022-08-26 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-08-02 | 2022-08-26 | 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 | 2022-08-02 | 2022-08-26 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-08-02 | 2022-08-26 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-08-02 | 2022-08-26 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-08-02 | 2022-08-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-08-02 | 2022-08-26 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-08-02 | 2022-08-26 | 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 | 2022-07-21 | 2022-08-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-21 | 2022-08-19 | N |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2022-07-21 | 2022-08-19 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-07-21 | 2022-08-19 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2022-07-21 | 2022-08-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-07-21 | 2022-08-19 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-03-18 | 2022-04-01 | Y |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-04-16 | 2021-05-26 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2021-04-16 | 2021-05-22 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2021-04-16 | 2021-05-17 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2021-04-16 | 2021-05-17 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-04-16 | 2021-05-17 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2021-04-16 | 2021-05-17 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2021-04-16 | 2021-05-17 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2021-04-16 | 2021-05-17 | N |
| Provide emergency officials' contact information. | Fire Safety | 2021-04-16 | 2021-05-17 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-04-16 | 2021-05-17 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-04-16 | 2021-05-17 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-04-16 | 2021-05-15 | 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 | 2021-04-16 | 2021-05-15 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-04-16 | 2021-05-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-04-16 | 2021-05-15 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-04-16 | 2021-05-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-04-16 | 2021-05-15 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2021-04-15 | 2021-05-10 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2021-04-15 | 2021-05-10 | N |
