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Deficiency Category | Inspection Date: 9/25/24 Complaint Reporting Period: 5/1/24 - 4/30/25 | Inspection Date: 8/8/23 Complaint Reporting Period: 5/1/23 - 4/30/24 | Inspection Date: 6/28/22 Complaint Reporting Period: 5/1/22 - 4/30/23 |
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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) |
---|---|---|---|---|
Address subsistence needs for staff and patients. | 9/25/24 | 10/1/24 | 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. |
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. | 9/25/24 | 10/11/24 | 2 - Minimal harm or potential for actual harm | Some |
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. | 9/25/24 | 10/1/24 | 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. | 9/25/24 | 10/1/24 | 2 - Minimal harm or potential for actual harm | Few |
Install proper backup exit lighting. | 9/25/24 | 10/4/24 | 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) |
---|---|---|---|---|
Provide properly protected cooking facilities. | 9/25/24 | 10/1/24 | 2 - Minimal harm or potential for actual harm | Few |
Have approved installation, maintenance and testing program for fire alarm systems. | 9/25/24 | 10/18/24 | 2 - Minimal harm or potential for actual harm | Some |
Install an approved automatic sprinkler system. | 9/25/24 | 10/16/24 | 2 - Minimal harm or potential for actual harm | Some |
Inspect, test, and maintain automatic sprinkler systems. | 9/25/24 | 10/10/24 | 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) |
---|---|---|---|---|
Meet requirements for the installation and maintenance of electrical systems. | 10/22/24 | 10/23/24 | 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 restrictions on the use of portable space heaters. | 10/22/24 | 10/23/24 | 2 - Minimal harm or potential for actual harm | Some |
Provide a written emergency evacuation plan. | 10/22/24 | 10/23/24 | 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 testing and exercise requirements. | 8/8/23 | 9/3/23 | 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. |
No Egress Deficiencies were found during this inspection period. |
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 approved installation, maintenance and testing program for fire alarm systems. | 8/8/23 | 9/3/23 | 2 - Minimal harm or potential for actual harm | Many |
Provide properly protected cooking facilities. | 8/8/23 | 9/3/23 | 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. | 8/8/23 | 9/3/23 | 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. | 8/8/23 | 9/3/23 | 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. | 8/8/23 | 9/3/23 | 2 - Minimal harm or potential for actual harm | Many |
No Interior Finish Deficiencies were found during this inspection period. |
No Gas, Vacuum, and Electrical Systems Deficiencies were found during this inspection period. |
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. | 8/8/23 | 9/3/23 | 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 testing and exercise requirements. | 6/28/22 | 7/31/22 | 2 - Minimal harm or potential for actual harm | Many |
Establish staff and initial training requirements. | 6/28/22 | 7/31/22 | 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) |
---|---|---|---|---|
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | 6/28/22 | 7/31/22 | 2 - Minimal harm or potential for actual harm | Some |
Install emergency lighting that can last at least 1 1/2 hours. | 6/28/22 | 7/31/22 | 2 - Minimal harm or potential for actual harm | Many |
Have properly located and lighted "Exit" signs. | 6/28/22 | 7/31/22 | 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) |
---|---|---|---|---|
Provide properly protected cooking facilities. | 6/28/22 | 7/1/22 | 2 - Minimal harm or potential for actual harm | Many |
Inspect, test, and maintain automatic sprinkler systems. | 6/28/22 | 7/1/22 | 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 receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | 6/28/22 | 7/31/22 | 2 - Minimal harm or potential for actual harm | Many |
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | 6/28/22 | 7/31/22 | 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) |
---|---|---|---|---|
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | 6/28/22 | 7/31/22 | 2 - Minimal harm or potential for actual harm | Many |
Have simulated fire drills held at unexpected times. | 6/28/22 | 7/31/22 | 2 - Minimal harm or potential for actual harm | Many |
Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
---|---|---|---|---|
Meet requirements for the installation and maintenance of electrical systems. | 10/22/24 | 10/23/24 | 2 - Minimal harm or potential for actual harm | Some |
Have restrictions on the use of portable space heaters. | 10/22/24 | 10/23/24 | 2 - Minimal harm or potential for actual harm | Some |
Provide a written emergency evacuation plan. | 10/22/24 | 10/23/24 | 2 - Minimal harm or potential for actual harm | Many |