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| Deficiency Category | Inspection Date: 7/23/24 Complaint Reporting Period: 3/1/24 - 2/28/25 | Inspection Date: 7/19/23 Complaint Reporting Period: 3/1/23 - 2/29/24 | Inspection Date: 5/31/22 Complaint Reporting Period: 3/1/22 - 2/28/23 |
|---|---|---|---|
| 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 emergency prep training and testing. | 7/23/24 | 8/6/24 | 2 - Minimal harm or potential for actual harm | Many |
Establish staff and initial training requirements. | 7/23/24 | 8/6/24 | 2 - Minimal harm or potential for actual harm | Many |
Conduct testing and exercise requirements. | 7/23/24 | 8/23/24 | 2 - Minimal harm or potential for actual harm | Many |
| No Automatic Sprinkler 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) |
|---|---|---|---|---|
Use approved construction type or materials. | 7/23/24 | 8/6/24 | 2 - Minimal harm or potential for actual harm | Some |
| 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 elevators that firefighters can control in the event of a fire. | 7/23/24 | 10/3/24 | 2 - Minimal harm or potential for actual harm | Many |
| 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. | 7/23/24 | 8/6/24 | 2 - Minimal harm or potential for actual harm | Some |
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. | 7/23/24 | 8/6/24 | 2 - Minimal harm or potential for actual harm | Some |
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | 7/23/24 | 8/7/24 | 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) |
|---|---|---|---|---|
Have an enclosure around a vertical opening shaft. | 7/23/24 | 8/7/24 | 2 - Minimal harm or potential for actual harm | Some |
Provide properly protected cooking facilities. | 7/23/24 | 8/13/24 | 2 - Minimal harm or potential for actual harm | Some |
Have approved installation, maintenance and testing program for fire alarm systems. | 7/23/24 | 8/7/24 | 2 - Minimal harm or potential for actual harm | Many |
Install an approved automatic sprinkler system. | 7/23/24 | 8/7/24 | 2 - Minimal harm or potential for actual harm | Many |
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | 7/23/24 | 8/7/24 | 2 - Minimal harm or potential for actual harm | Some |
Install corridor and hallway doors that block smoke. | 7/23/24 | 8/7/24 | 2 - Minimal harm or potential for actual harm | Some |
Inspect, test, and maintain automatic sprinkler systems. | 7/23/24 | 8/7/24 | 2 - Minimal harm or potential for actual harm | Many |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | 7/23/24 | 8/7/24 | 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. | 7/23/24 | 8/7/24 | 2 - Minimal harm or potential for actual harm | Many |
Have generator or other power source capable of supplying service within 10 seconds. | 7/23/24 | 8/9/24 | 2 - Minimal harm or potential for actual harm | Many |
Ensure proper usage of power strips and extension cords. | 7/23/24 | 8/7/24 | 2 - Minimal harm or potential for actual harm | Some |
| 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. | 7/23/24 | 8/7/24 | 2 - Minimal harm or potential for actual harm | Many |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | 7/23/24 | 8/7/24 | 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) |
|---|---|---|---|---|
Establish roles under a Waiver declared by secretary. | 7/19/23 | 7/20/23 | 2 - Minimal harm or potential for actual harm | Many |
| No Automatic Sprinkler 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) |
|---|---|---|---|---|
Use approved construction type or materials. | 7/19/23 | 7/20/23 | 2 - Minimal harm or potential for actual harm | Some |
| 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. | 7/19/23 | 7/20/23 | 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) |
|---|---|---|---|---|
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | 7/19/23 | 7/20/23 | 2 - Minimal harm or potential for actual harm | Few |
Inspect, test, and maintain automatic sprinkler systems. | 7/19/23 | 8/14/23 | 2 - Minimal harm or potential for actual harm | Many |
Install an approved automatic sprinkler system. | 7/19/23 | 7/20/23 | 2 - Minimal harm or potential for actual harm | Some |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | 7/19/23 | 7/20/23 | 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. | 7/19/23 | 7/20/23 | 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. |
| No Miscellaneous Deficiencies were found during this inspection period. |
| 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) |
|---|---|---|---|---|
Address subsistence needs for staff and patients. | 5/31/22 | 6/20/22 | 2 - Minimal harm or potential for actual harm | Many |
Create arrangements with other facilities to receive patients. | 5/31/22 | 6/20/22 | 2 - Minimal harm or potential for actual harm | Many |
List the names and contact information of those in the facility. | 5/31/22 | 6/20/22 | 2 - Minimal harm or potential for actual harm | Many |
Implement emergency and standby power systems. | 5/31/22 | 6/20/22 | 2 - Minimal harm or potential for actual harm | Many |
Establish staff and initial training requirements. | 5/31/22 | 6/20/22 | 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) |
|---|---|---|---|---|
Keep aisles, corridors, and exits free of obstruction in case of emergency. | 5/31/22 | 6/20/22 | 2 - Minimal harm or potential for actual harm | Some |
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | 5/31/22 | 6/20/22 | 2 - Minimal harm or potential for actual harm | Some |
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. | 5/31/22 | 6/20/22 | 2 - Minimal harm or potential for actual harm | Some |
Have properly located and lighted "Exit" signs. | 5/31/22 | 6/20/22 | 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) |
|---|---|---|---|---|
Have an enclosure around a vertical opening shaft. | 5/31/22 | 6/20/22 | 2 - Minimal harm or potential for actual harm | Some |
Properly install and monitor supervisory attachments on automatic sprinkler systems. | 5/31/22 | 6/20/22 | 2 - Minimal harm or potential for actual harm | Many |
Inspect, test, and maintain automatic sprinkler systems. | 5/31/22 | 6/20/22 | 2 - Minimal harm or potential for actual harm | Many |
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | 5/31/22 | 6/20/22 | 2 - Minimal harm or potential for actual harm | Some |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | 5/31/22 | 6/20/22 | 2 - Minimal harm or potential for actual harm | Some |
Install corridor and hallway doors that block smoke. | 5/31/22 | 6/20/22 | 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) |
|---|---|---|---|---|
Have proper medical gas storage and administration areas. | 5/31/22 | 6/20/22 | 2 - Minimal harm or potential for actual harm | Some |
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | 5/31/22 | 6/20/22 | 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 posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | 5/31/22 | 6/20/22 | 2 - Minimal harm or potential for actual harm | Some |
| This nursing home has not been cited for any deficiencies from incidents reported by the nursing home or complaints in the last 3 years. |