Deficiency Records for Logan Square Rehabilitation and Healthcare Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Logan Square Rehabilitation and Healthcare 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? |
|---|---|---|---|---|
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-11-08 | 2023-11-29 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-11-01 | 2023-11-20 | Y |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2023-08-21 | 2023-09-18 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2023-04-10 | 2023-06-29 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-04-10 | 2023-06-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-10 | 2023-06-29 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2023-04-10 | 2023-06-29 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-05-30 | 2023-06-15 | Y |
| List the names and contact information of those in the facility. | Fire Safety | 2023-04-10 | 2023-04-28 | N |
| Provide emergency officials' contact information. | Fire Safety | 2023-04-10 | 2023-04-28 | N |
| Meet other general requirements. | Fire Safety | 2023-04-10 | 2023-04-28 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-04-10 | 2023-04-28 | N |
| Install proper backup exit lighting. | Fire Safety | 2023-04-10 | 2023-04-28 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-04-10 | 2023-04-28 | 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 | 2023-04-10 | 2023-04-28 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-04-10 | 2023-04-28 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-04-10 | 2023-04-28 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-04-10 | 2023-04-28 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-04-10 | 2023-04-28 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-04-10 | 2023-04-28 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2023-04-10 | 2023-04-28 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-04-10 | 2023-04-28 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-04-10 | 2023-04-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-04-10 | 2023-04-28 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-04-10 | 2023-04-28 | 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 | 2023-03-30 | 2023-04-10 | Y |
| Give residents a notice of rights, rules, services and charges. | Health | 2023-03-20 | 2023-04-10 | 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 | 2023-03-20 | 2023-04-10 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-03-20 | 2023-04-10 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2023-03-20 | 2023-04-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-20 | 2023-04-10 | 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 | 2023-03-20 | 2023-04-10 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-03-20 | 2023-04-10 | 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 | 2023-03-20 | 2023-04-10 | 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 | 2023-03-20 | 2023-04-10 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-03-20 | 2023-04-10 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-03-20 | 2023-04-10 | N |
| Perform COVID19 testing on residents and staff. | Health | 2023-03-20 | 2023-04-10 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-03-20 | 2023-04-10 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-03-20 | 2023-04-10 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-03-20 | 2023-04-10 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-02-27 | 2023-03-27 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-02-07 | 2023-02-14 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-09-30 | 2022-10-24 | Y |
| Meet other general requirements. | Fire Safety | 2022-05-24 | 2022-08-16 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-05-24 | 2022-08-16 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-05-24 | 2022-08-16 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-05-24 | 2022-08-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-24 | 2022-08-16 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2022-05-24 | 2022-08-16 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-05-24 | 2022-08-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-05-24 | 2022-08-16 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-05-24 | 2022-07-23 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2022-05-24 | 2022-07-23 | N |
| Install proper backup exit lighting. | Fire Safety | 2022-05-24 | 2022-07-23 | 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 | 2022-05-24 | 2022-07-23 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-05-24 | 2022-07-23 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-05-24 | 2022-07-23 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-05-24 | 2022-07-23 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-05-24 | 2022-07-23 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-05-06 | 2022-06-10 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2022-05-06 | 2022-06-10 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-05-06 | 2022-06-10 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-05-06 | 2022-06-10 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-03-22 | 2022-05-06 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-03-22 | 2022-05-06 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2020-02-28 | 2020-04-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-02-28 | 2020-04-28 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2020-02-28 | 2020-04-28 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-02-28 | 2020-04-28 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2020-02-28 | 2020-04-28 | N |
| Implement emergency and standby power systems. | Fire Safety | 2020-02-27 | 2020-04-27 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2020-02-27 | 2020-04-27 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-02-27 | 2020-04-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-02-27 | 2020-04-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-02-27 | 2020-04-27 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-02-27 | 2020-04-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-02-27 | 2020-04-27 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2020-02-27 | 2020-04-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-02-27 | 2020-04-27 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2020-02-27 | 2020-04-27 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2020-02-27 | 2020-04-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-02-27 | 2020-04-27 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-02-27 | 2020-04-27 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-08-07 | Not Fixed | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-01-11 | Not Fixed | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-01-11 | Not Fixed | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-11 | Not Fixed | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-01-11 | Not Fixed | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-01-11 | Not Fixed | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-01-11 | Not Fixed | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-01-11 | Not Fixed | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-01-11 | Not Fixed | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-01-11 | Not Fixed | Y |
| Keep all essential equipment working safely. | Health | 2023-01-11 | Not Fixed | Y |
