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Deficiency Category | Inspection Date: 2/14/24 Complaint Reporting Period: 3/1/24 - 2/28/25 | Inspection Date: 12/28/22 Complaint Reporting Period: 3/1/23 - 2/29/24 | Inspection Date: 1/5/22 Complaint Reporting Period: 3/1/22 - 2/28/23 |
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Emergency Preparedness Deficiencies | |||
Automatic Sprinkler Systems Deficiencies | |||
Building Construction Deficiencies | |||
Services Deficiencies | |||
Corridor Walls and Doors Deficiencies | |||
Egress Deficiencies | |||
Electrical Deficiencies | |||
Emergency Plans and Fire Drills Deficiencies | |||
Fire Alarm Systems Deficiencies | |||
Smoke Deficiencies | |||
Interior Finish Deficiencies | |||
Gas, Vacuum, and Electrical Systems Deficiencies | |||
Hazardous Area Deficiencies | |||
Illumination and Emergency Power Deficiencies | |||
Laboratories Deficiencies | |||
Medical Gases and Anesthetizing Areas Deficiencies | |||
Smoking Regulations Deficiencies | |||
Miscellaneous Deficiencies |
Total number of Fire Safety & Emergency Preparedness Deficiencies for this nursing home: | |
Average number of Fire Safety & Emergency Preparedness Deficiencies in Illinois: | |
Average number of Fire Safety & Emergency Preparedness Deficiencies in the United States: |
Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
---|---|---|---|---|
Establish roles under a Waiver declared by secretary. | 2/14/24 | 2/26/24 | 2 - Minimal harm or potential for actual harm | Many |
Develop and maintain an Emergency Preparedness Program (EP). | 2/14/24 | 2/26/24 | 2 - Minimal harm or potential for actual harm | Many |
Establish staff and initial training requirements. | 2/14/24 | 2/26/24 | 2 - Minimal harm or potential for actual harm | Many |
Conduct testing and exercise requirements. | 2/14/24 | 2/26/24 | 2 - Minimal harm or potential for actual harm | Many |
No Automatic Sprinkler Systems Deficiencies were found during this inspection period. |
No Building Construction Deficiencies were found during this inspection period. |
No Services Deficiencies were found during this inspection period. |
No Corridor Walls and Doors Deficiencies were found during this inspection period. |
Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
---|---|---|---|---|
Keep aisles, corridors, and exits free of obstruction in case of emergency. | 2/14/24 | 2/26/24 | 2 - Minimal harm or potential for actual harm | Some |
No Electrical Deficiencies were found during this inspection period. |
No Emergency Plans and Fire Drills Deficiencies were found during this inspection period. |
No Fire Alarm Systems Deficiencies were found during this inspection period. |
Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
---|---|---|---|---|
Inspect, test, and maintain automatic sprinkler systems. | 2/14/24 | 2/26/24 | 2 - Minimal harm or potential for actual harm | Some |
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | 2/14/24 | 2/26/24 | 2 - Minimal harm or potential for actual harm | Some |
Follow proper procedures when the fire alarm was out of service for more than 4 hours. | 2/14/24 | 2/26/24 | 2 - Minimal harm or potential for actual harm | Many |
No Interior Finish Deficiencies were found during this inspection period. |
Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
---|---|---|---|---|
Ensure proper usage of power strips and extension cords. | 2/14/24 | 2/26/24 | 2 - Minimal harm or potential for actual harm | Some |
Have generator or other power source capable of supplying service within 10 seconds. | 2/14/24 | 3/20/24 | 2 - Minimal harm or potential for actual harm | Many |
No Hazardous Area Deficiencies were found during this inspection period. |
No Illumination and Emergency Power Deficiencies were found during this inspection period. |
No Laboratories Deficiencies were found during this inspection period. |
No Medical Gases and Anesthetizing Areas Deficiencies were found during this inspection period. |
No Smoking Regulations Deficiencies were found during this inspection period. |
Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
---|---|---|---|---|
Have simulated fire drills held at unexpected times. | 2/14/24 | 2/26/24 | 2 - Minimal harm or potential for actual harm | Many |
Total number of Fire Safety & Emergency Preparedness Deficiencies for this nursing home: | |
Average number of Fire Safety & Emergency Preparedness Deficiencies in Illinois: | |
Average number of Fire Safety & Emergency Preparedness Deficiencies in the United States: |
Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
---|---|---|---|---|
Conduct risk assessment and an All-Hazards approach. | 12/28/22 | 1/18/23 | 2 - Minimal harm or potential for actual harm | Many |
Establish emergency prep training and testing. | 12/28/22 | 1/18/23 | 2 - Minimal harm or potential for actual harm | Many |
Establish staff and initial training requirements. | 12/28/22 | 1/18/23 | 2 - Minimal harm or potential for actual harm | Many |
Conduct testing and exercise requirements. | 12/28/22 | 1/18/23 | 2 - Minimal harm or potential for actual harm | Many |
No Automatic Sprinkler Systems Deficiencies were found during this inspection period. |
No Building Construction Deficiencies were found during this inspection period. |
No Services Deficiencies were found during this inspection period. |
No Corridor Walls and Doors Deficiencies were found during this inspection period. |
Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
---|---|---|---|---|
Have properly located and lighted "Exit" signs. | 12/28/22 | 1/19/23 | 2 - Minimal harm or potential for actual harm | Many |
Install emergency lighting that can last at least 1 1/2 hours. | 12/28/22 | 1/19/23 | 2 - Minimal harm or potential for actual harm | Many |
No Electrical Deficiencies were found during this inspection period. |
No Emergency Plans and Fire Drills Deficiencies were found during this inspection period. |
No Fire Alarm Systems Deficiencies were found during this inspection period. |
Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
---|---|---|---|---|
Inspect, test, and maintain automatic sprinkler systems. | 12/28/22 | 1/19/23 | 2 - Minimal harm or potential for actual harm | Many |
Install corridor and hallway doors that block smoke. | 12/28/22 | 1/19/23 | 2 - Minimal harm or potential for actual harm | Some |
Provide properly protected cooking facilities. | 12/28/22 | 1/19/23 | 2 - Minimal harm or potential for actual harm | Some |
No Interior Finish Deficiencies were found during this inspection period. |
Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
---|---|---|---|---|
Have generator or other power source capable of supplying service within 10 seconds. | 12/28/22 | 1/19/23 | 2 - Minimal harm or potential for actual harm | Many |
No Hazardous Area Deficiencies were found during this inspection period. |
No Illumination and Emergency Power Deficiencies were found during this inspection period. |
No Laboratories Deficiencies were found during this inspection period. |
No Medical Gases and Anesthetizing Areas Deficiencies were found during this inspection period. |
No Smoking Regulations Deficiencies were found during this inspection period. |
Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
---|---|---|---|---|
Have simulated fire drills held at unexpected times. | 12/28/22 | 1/19/23 | 2 - Minimal harm or potential for actual harm | Many |
Total number of Fire Safety & Emergency Preparedness Deficiencies for this nursing home: | |
Average number of Fire Safety & Emergency Preparedness Deficiencies in Illinois: | |
Average number of Fire Safety & Emergency Preparedness Deficiencies in the United States: |
Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
---|---|---|---|---|
Conduct risk assessment and an All-Hazards approach. | 1/5/22 | 1/27/22 | 2 - Minimal harm or potential for actual harm | Many |
No Automatic Sprinkler Systems Deficiencies were found during this inspection period. |
No Building Construction Deficiencies were found during this inspection period. |
No Services Deficiencies were found during this inspection period. |
No Corridor Walls and Doors Deficiencies were found during this inspection period. |
Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
---|---|---|---|---|
Have properly located and lighted "Exit" signs. | 1/5/22 | 1/27/22 | 2 - Minimal harm or potential for actual harm | Some |
Install emergency lighting that can last at least 1 1/2 hours. | 1/5/22 | 1/27/22 | 2 - Minimal harm or potential for actual harm | Many |
No Electrical Deficiencies were found during this inspection period. |
No Emergency Plans and Fire Drills Deficiencies were found during this inspection period. |
No Fire Alarm Systems Deficiencies were found during this inspection period. |
Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
---|---|---|---|---|
Properly select, install, inspect, or maintain portable fire extinguishes. | 1/5/22 | 1/27/22 | 2 - Minimal harm or potential for actual harm | Many |
Inspect, test, and maintain automatic sprinkler systems. | 1/5/22 | 1/27/22 | 2 - Minimal harm or potential for actual harm | Many |
Install corridor and hallway doors that block smoke. | 1/5/22 | 1/27/22 | 2 - Minimal harm or potential for actual harm | Some |
No Interior Finish Deficiencies were found during this inspection period. |
Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
---|---|---|---|---|
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | 1/5/22 | 1/27/22 | 2 - Minimal harm or potential for actual harm | Many |
Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | 1/5/22 | 1/27/22 | 2 - Minimal harm or potential for actual harm | Some |
Have generator or other power source capable of supplying service within 10 seconds. | 1/5/22 | 1/27/22 | 2 - Minimal harm or potential for actual harm | Many |
No Hazardous Area Deficiencies were found during this inspection period. |
No Illumination and Emergency Power Deficiencies were found during this inspection period. |
No Laboratories Deficiencies were found during this inspection period. |
No Medical Gases and Anesthetizing Areas Deficiencies were found during this inspection period. |
No Smoking Regulations Deficiencies were found during this inspection period. |
Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
---|---|---|---|---|
Have simulated fire drills held at unexpected times. | 1/5/22 | 1/27/22 | 2 - Minimal harm or potential for actual harm | Many |
This nursing home has not been cited for any deficiencies from incidents reported by the nursing home or complaints in the last 3 years. |