CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Hawthorn Glen Nursing Center
View the most recent health deficiencies and inspection results for Hawthorn Glen Nursing Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Hawthorn Glen Nursing Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction. | Fire Safety | 2025-07-31 | 2025-11-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-07-31 | 2025-09-03 | 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 | 2025-07-31 | 2025-09-03 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-07-31 | 2025-09-03 | 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 | 2025-07-31 | 2025-09-03 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-07-31 | 2025-09-03 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2025-07-31 | 2025-09-03 | 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 | 2025-07-31 | 2025-09-03 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2025-07-31 | 2025-09-03 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2025-07-31 | 2025-09-03 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2025-07-31 | 2025-09-03 | N |
| Respond appropriately to all alleged violations. | Health | 2025-07-31 | 2025-09-03 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-07-31 | 2025-09-03 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2025-07-31 | 2025-09-03 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2025-07-31 | 2025-09-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-12-05 | 2024-12-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-13 | 2024-09-06 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-06-15 | 2022-07-11 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2022-06-15 | 2022-07-11 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2022-06-15 | 2022-07-11 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-06-15 | 2022-07-11 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-06-15 | 2022-07-11 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-06-15 | 2022-07-11 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-06-15 | 2022-07-11 | 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 | 2022-06-15 | 2022-07-11 | N |
| Develop a communication plan. | Fire Safety | 2022-06-15 | 2022-07-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-15 | 2022-07-11 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-06-15 | 2022-07-11 | N |
| 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 | 2022-06-15 | 2022-07-11 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-06-15 | 2022-07-11 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-06-15 | 2022-07-11 | 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 | 2022-06-15 | 2022-07-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-06-15 | 2022-07-11 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-06-15 | 2022-07-11 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-06-15 | 2022-07-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-06-15 | 2022-07-11 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-06-15 | 2022-07-11 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-06-15 | 2022-07-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-15 | 2022-07-11 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-06-15 | 2022-07-11 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2022-06-15 | 2022-07-11 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-06-15 | 2022-07-11 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2019-11-06 | 2019-12-09 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-11-06 | 2019-12-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-11-06 | 2019-12-09 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-11-06 | 2019-12-09 | 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 | 2019-11-06 | 2019-12-09 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-11-06 | 2019-12-09 | 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 | 2019-11-06 | 2019-12-09 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-11-06 | 2019-12-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-11-06 | 2019-12-09 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-11-06 | 2019-12-09 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-11-06 | 2019-12-09 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-11-06 | 2019-12-09 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-11-06 | 2019-12-09 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-11-06 | 2019-12-09 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-11-06 | 2019-12-09 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-11-06 | 2019-12-09 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2019-11-06 | 2019-12-09 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-11-06 | 2019-12-09 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-11-06 | 2019-12-09 | 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 | 2019-11-06 | 2019-12-09 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-11-06 | 2019-12-09 | N |