CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Wecare at Sycamore Rehabilitation and Nursing Cent
View the most recent health deficiencies and inspection results for Wecare at Sycamore Rehabilitation and Nursing Cent. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Wecare at Sycamore Rehabilitation and Nursing Cent. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2026-04-16 | 2026-05-28 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2026-04-16 | 2026-05-28 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2026-03-13 | 2026-04-28 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2026-03-13 | 2026-04-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2026-03-13 | 2026-04-28 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2026-03-13 | 2026-04-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2026-03-13 | 2026-04-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2026-03-13 | 2026-04-28 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2026-03-13 | 2026-04-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2026-03-13 | 2026-04-28 | 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 | 2026-03-13 | 2026-04-28 | 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 | 2026-03-13 | 2026-04-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2026-03-13 | 2026-04-10 | 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 | 2026-03-13 | 2026-04-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2026-03-13 | 2026-04-10 | 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 | 2026-03-13 | 2026-04-10 | N |
| 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 | 2026-03-13 | 2026-04-10 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2026-03-13 | 2026-04-10 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2026-03-13 | 2026-04-10 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2026-03-13 | 2026-04-10 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2026-03-13 | 2026-04-10 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2026-03-13 | 2026-04-10 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2026-03-13 | 2026-04-10 | 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 | 2026-03-13 | 2026-04-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2026-03-13 | 2026-04-10 | N |
| Dispose of garbage and refuse properly. | Health | 2026-03-13 | 2026-04-10 | N |
| Keep all essential equipment working safely. | Health | 2026-03-13 | 2026-04-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-03-13 | 2026-04-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-03-13 | 2026-04-10 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2026-03-13 | 2026-04-10 | Y |
| Post nurse staffing information every day. | Health | 2026-03-13 | 2026-04-10 | Y |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2026-03-13 | 2026-04-10 | Y |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2026-03-13 | 2026-04-10 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2026-03-13 | 2026-04-10 | N |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2026-03-13 | 2026-04-10 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2026-03-13 | 2026-04-10 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2026-03-13 | 2026-04-10 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2026-03-13 | 2026-04-10 | N |
| Ensure each resident receives an accurate assessment. | Health | 2026-03-13 | 2026-04-10 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2025-12-13 | 2026-01-28 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2025-12-13 | 2026-01-28 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-05-13 | 2025-06-17 | Y |
| Provide or obtain dental services for each resident. | Health | 2025-02-21 | 2025-04-03 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-02-21 | 2025-04-03 | N |
| Keep complete, dated laboratory records in the resident's record. | Health | 2025-02-21 | 2025-04-03 | 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 | 2025-02-21 | 2025-04-03 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2025-02-21 | 2025-04-03 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2025-02-21 | 2025-04-03 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2025-02-21 | 2025-04-03 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2025-02-21 | 2025-04-03 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2025-02-21 | 2025-04-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-02-21 | 2025-04-03 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2025-02-21 | 2025-04-03 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2025-02-21 | 2025-04-03 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-02-21 | 2025-04-03 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-02-21 | 2025-04-03 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-02-21 | 2025-04-03 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2025-02-21 | 2025-04-03 | Y |
| Observe each nurse aide's job performance and give regular training. | Health | 2025-02-21 | 2025-04-03 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-02-21 | 2025-04-03 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-02-21 | 2025-04-03 | 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 | 2025-02-21 | 2025-04-03 | N |
| 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 | 2025-02-21 | 2025-04-03 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-02-21 | 2025-04-03 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2025-02-21 | 2025-04-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-02-21 | 2025-04-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-02-21 | 2025-04-03 | 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 | 2025-02-21 | 2025-04-03 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2025-02-21 | 2025-04-03 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-02-21 | 2025-04-03 | N |
| Provide activities to meet all resident's needs. | Health | 2025-02-21 | 2025-04-03 | 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 | 2024-12-09 | 2025-01-22 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-10-19 | 2024-11-25 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-10-19 | 2024-11-25 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-03-15 | 2024-05-07 | 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 | 2024-03-15 | 2024-05-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-15 | 2024-05-07 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-03-15 | 2024-05-07 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-03-15 | 2024-05-07 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2024-03-15 | 2024-05-07 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-03-15 | 2024-05-07 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2024-03-15 | 2024-05-07 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-03-15 | 2024-05-07 | 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 | 2024-03-15 | 2024-05-07 | 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 | 2024-03-15 | 2024-05-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-03-15 | 2024-05-07 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2024-03-15 | 2024-05-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-03-15 | 2024-05-07 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-03-15 | 2024-05-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-03-15 | 2024-05-07 | 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 | 2024-03-15 | 2024-05-07 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-03-15 | 2024-05-07 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2024-03-15 | 2024-05-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-03-15 | 2024-05-07 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2024-03-15 | 2024-05-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-03-15 | 2024-05-07 | 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 | 2024-03-15 | 2024-05-07 | N |
| Use approved construction type or materials. | Fire Safety | 2024-03-15 | 2024-05-07 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2024-03-15 | 2024-05-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-02 | 2023-12-06 | Y |