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 | 2024-02-27 | 2024-03-16 | Y |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-02-27 | 2024-03-16 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-01-31 | 2024-03-16 | 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 |