Inspection Results » Avantara of Elgin

Health Inspection on July 3, 2018 ^[1]

1. Isolated: Actual harm that is not immediate jeopardy

   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2018-08-03)
   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2018-08-03)

2. Widespread: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. (Corrected 2018-08-03)

3. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Provide and implement an infection prevention and control program. (Corrected 2018-08-03)
   • Implement a program that monitors antibiotic use. (Corrected 2018-08-03)
   • Reasonably accommodate the needs and preferences of each resident. (Corrected 2018-08-03)
   • Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. (Corrected 2018-08-03)
   • Have the Quality Assessment and Assurance group have the required members and meet at least quarterly (Corrected 2018-08-03)

4. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • 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. (Corrected 2018-08-03)
   • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. (Corrected 2018-08-03)
   • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2018-08-03)
   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2018-08-03)
   • Ensure medication error rates are not 5 percent or greater. (Corrected 2018-08-03)
   • Ensure each resident receives an accurate assessment. (Corrected 2018-08-03)
   • 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 ne (Corrected 2018-08-03)