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Deficiency Records for Wheaton Franciscan Hc - Terrace at St Francis
View the most recent health deficiencies and inspection results for Wheaton Franciscan Hc - Terrace at St Francis. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Wheaton Franciscan Hc - Terrace at St Francis. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2026-01-06 | 2026-03-04 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2026-01-06 | 2026-02-04 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-01-06 | 2026-02-04 | 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 | 2025-10-29 | 2025-11-20 | Y |
| 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 | 2025-10-29 | 2025-11-20 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-10-29 | 2025-11-20 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-10-29 | 2025-11-20 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-10-29 | 2025-11-20 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-10-29 | 2025-11-20 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-10-29 | 2025-11-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-10-29 | 2025-11-20 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-10-29 | 2025-11-20 | Y |
| Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | Health | 2025-08-20 | 2025-09-17 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2025-08-20 | 2025-09-17 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2025-08-20 | 2025-09-17 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-08-20 | 2025-09-17 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2025-08-20 | 2025-09-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-08-20 | 2025-09-17 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-08-20 | 2025-09-17 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2025-08-20 | 2025-09-17 | 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 | 2025-08-20 | 2025-09-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-08-20 | 2025-09-17 | N |
| Respond appropriately to all alleged violations. | Health | 2025-08-20 | 2025-09-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-08-20 | 2025-09-17 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-08-20 | 2025-09-17 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-08-20 | 2025-09-17 | Y |
| List the names and contact information of those in the facility. | Fire Safety | 2025-08-20 | 2025-09-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-08-20 | 2025-09-17 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2025-08-20 | 2025-09-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-08-20 | 2025-09-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-08-20 | 2025-09-17 | 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 | 2025-08-20 | 2025-09-17 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-06-11 | 2025-07-10 | 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 | 2025-06-11 | 2025-07-10 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-04-01 | 2025-05-06 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-04-01 | 2025-05-06 | Y |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2025-04-01 | 2025-05-06 | Y |
| 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 | 2025-04-01 | 2025-05-06 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2025-04-01 | 2025-05-06 | 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 | 2025-04-01 | 2025-05-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-04-01 | 2025-05-06 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-04-01 | 2025-05-06 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-04-01 | 2025-05-06 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-04-01 | 2025-05-06 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-04-01 | 2025-05-06 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-12-18 | 2025-01-16 | Y |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2024-07-22 | 2024-11-08 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-08-28 | 2024-09-20 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-08-28 | 2024-09-20 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-07-22 | 2024-09-20 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2024-07-22 | 2024-08-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-22 | 2024-08-19 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-07-22 | 2024-08-19 | 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 | 2024-07-22 | 2024-08-19 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-07-22 | 2024-08-19 | 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 | 2024-07-22 | 2024-08-19 | 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 | 2024-07-22 | 2024-08-19 | N |
| Provide or obtain dental services for each resident. | Health | 2024-07-22 | 2024-08-19 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2024-07-22 | 2024-08-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-07-22 | 2024-08-19 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2024-07-22 | 2024-08-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-07-22 | 2024-08-19 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2024-07-22 | 2024-08-19 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-07-22 | 2024-08-19 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-07-22 | 2024-08-19 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-07-22 | 2024-08-19 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-07-22 | 2024-08-19 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2024-07-22 | 2024-08-19 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-07-22 | 2024-08-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-07-22 | 2024-08-19 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-07-22 | 2024-08-19 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-07-22 | 2024-08-19 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2024-07-22 | 2024-08-19 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-07-22 | 2024-08-19 | N |
| Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction. | Fire Safety | 2024-07-22 | 2024-08-19 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-07-22 | 2024-08-19 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2024-07-22 | 2024-08-19 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2024-07-22 | 2024-08-19 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-02-28 | 2024-03-04 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-01-17 | 2024-02-16 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-17 | 2024-02-16 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-01-17 | 2024-02-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-17 | 2024-02-16 | 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 | 2024-01-17 | 2024-02-16 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-01-17 | 2024-02-16 | 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 | 2024-01-17 | 2024-02-16 | Y |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2024-01-17 | 2024-02-16 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-10-05 | 2023-11-05 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-10-05 | 2023-11-05 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-10-05 | 2023-11-05 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-04-01 | 2023-05-18 | N |
| Assess the resident when there is a significant change in condition | Health | 2023-04-01 | 2023-05-18 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2023-04-01 | 2023-05-18 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-04-01 | 2023-05-18 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-04-01 | 2023-05-18 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-04-01 | 2023-05-18 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-04-01 | 2023-05-18 | N |
| Install proper backup exit lighting. | Fire Safety | 2023-04-01 | 2023-05-04 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-04-01 | 2023-05-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-01 | 2023-05-04 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2023-04-01 | 2023-05-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-04-01 | 2023-05-04 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-04-01 | 2023-05-04 | N |