Deficiency Records for Addison Heights Health and Rehabilitation Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Addison Heights Health and Rehabilitation 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? |
|---|---|---|---|---|
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-01-31 | 2024-02-02 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-01-31 | 2024-02-02 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-01-31 | 2024-02-02 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2024-01-31 | 2024-02-02 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-09-29 | 2023-10-27 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2023-09-29 | 2023-10-27 | 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 | 2023-09-29 | 2023-10-27 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-09-29 | 2023-10-27 | N |
| Provide activities to meet all resident's needs. | Health | 2023-09-29 | 2023-10-27 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-09-29 | 2023-10-27 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-09-29 | 2023-10-27 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-29 | 2023-10-27 | Y |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2023-09-29 | 2023-10-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-29 | 2023-10-27 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-09-29 | 2023-10-27 | Y |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-09-29 | 2023-10-27 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-09-29 | 2023-10-27 | 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 | 2023-09-29 | 2023-10-27 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-09-29 | 2023-10-27 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-09-29 | 2023-10-27 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-09-29 | 2023-10-27 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-09-29 | 2023-10-27 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-09-29 | 2023-10-27 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-09-29 | 2023-10-27 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2023-09-26 | 2023-10-27 | 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 | 2023-09-26 | 2023-10-27 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2023-09-26 | 2023-10-27 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2023-09-26 | 2023-10-27 | 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 | 2023-09-26 | 2023-10-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-26 | 2023-10-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-09-26 | 2023-10-27 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-09-26 | 2023-10-27 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-09-26 | 2023-10-27 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-09-26 | 2023-10-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-09-26 | 2023-10-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-09-26 | 2023-10-27 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2023-04-19 | 2023-04-20 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-19 | 2023-04-20 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-03-17 | 2022-03-21 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-02-09 | 2022-02-10 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-02-09 | 2022-02-10 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-11-09 | 2021-11-15 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-11-09 | 2021-11-15 | 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 | 2021-11-09 | 2021-11-15 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-11-09 | 2021-11-15 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-11-09 | 2021-11-15 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-11-09 | 2021-11-15 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-11-09 | 2021-11-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-09-20 | 2021-09-27 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-09-20 | 2021-09-27 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-05-25 | 2021-07-23 | N |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2021-05-25 | 2021-07-23 | N |
| Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | Health | 2021-05-25 | 2021-07-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-05-25 | 2021-07-23 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-05-25 | 2021-07-23 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-05-25 | 2021-07-23 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-05-25 | 2021-07-23 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2021-05-25 | 2021-07-23 | N |
| Provide or obtain dental services for each resident. | Health | 2021-05-25 | 2021-07-23 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2021-05-25 | 2021-07-23 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2021-05-25 | 2021-07-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-05-25 | 2021-07-23 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-07-19 | 2021-07-23 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-07-19 | 2021-07-23 | Y |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-05-25 | 2021-07-23 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-02-07 | 2019-03-07 | 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 | 2019-02-07 | 2019-03-07 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-02-07 | 2019-03-07 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-02-07 | 2019-03-07 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-02-07 | 2019-03-07 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-02-07 | 2019-03-07 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-02-07 | 2019-03-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-02-07 | 2019-03-07 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-02-07 | 2019-03-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-02-07 | 2019-03-07 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-02-07 | 2019-03-07 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2019-02-07 | 2019-03-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-02-07 | 2019-03-07 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-02-07 | 2019-03-07 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2019-02-07 | 2019-03-07 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-02-07 | 2019-03-07 | 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 | 2019-02-07 | 2019-03-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-02-07 | 2019-03-07 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-02-07 | 2019-03-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-02-07 | 2019-03-07 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-02-04 | 2019-03-07 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-02-04 | 2019-03-07 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-02-04 | 2019-03-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-02-04 | 2019-03-07 | N |
