A list of the most recent deficiencies for The Elmhurst Healthcare. 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-05-10 | 2023-05-30 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-05-10 | 2023-05-30 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-05-10 | 2023-05-30 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-05-10 | 2023-05-30 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-05-10 | 2023-05-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-10 | 2023-05-30 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-05-10 | 2023-05-30 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-05-10 | 2023-05-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-10 | 2023-05-30 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-05-10 | 2023-05-30 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-05-10 | 2023-05-30 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-05-10 | 2023-05-30 | 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 | 2023-05-10 | 2023-05-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-10 | 2023-05-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-05-10 | 2023-05-30 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-05-10 | 2023-05-30 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-05-16 | 2023-05-19 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-03-02 | 2023-01-03 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-03-02 | 2023-01-03 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-08-31 | 2022-10-16 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-08-31 | 2022-10-16 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-31 | 2022-10-16 | Y |
| Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results. | Health | 2022-08-31 | 2022-10-16 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-06-29 | 2022-07-11 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-06-27 | 2022-07-08 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-06-27 | 2022-07-08 | 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 | 2022-06-27 | 2022-07-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-06-27 | 2022-07-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-06-28 | 2019-08-09 | N |
| Assess the resident when there is a significant change in condition | Health | 2019-05-24 | 2019-07-01 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-05-24 | 2019-07-01 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-05-24 | 2019-07-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-05-24 | 2019-07-01 | N |
