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Bethany Terrace Nursing Centre

Inspection Results

Inspection Summary
Bethany Terrace Nursing Centre has been cited for 68 deficiencies in our most recent deficiency data (Tip: Surveys happen throughout the year and you may want to check with the location to see if there is more recent data available). There are 760 nursing homes in Illinois with a total of 29956 deficiencies resulting in an average of 39.42 deficiencies per nursing home.

Date of Survey Date of Correction Deficiency
2014-12-23 2015-01-10 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.
2014-09-09 2014-10-01 Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
2014-04-17 2014-05-15 Keep each resident free from physical restraints, unless needed for medical treatment.
2014-04-17 2014-05-15 Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.
2014-04-17 2014-05-15 Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
2014-04-17 2014-05-15 Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
2014-04-17 2014-05-15 Make sure that special or therapeutic diets are ordered by the attending doctor.
2014-04-17 2014-05-15 Store, cook, and serve food in a safe and clean way.
2014-04-17 2014-05-15 Have a program that investigates, controls and keeps infection from spreading.
2014-04-17 2014-05-15 Have enough backup water supply for essential areas of the nursing home.
2014-04-17 2014-05-15 Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
2013-05-09 2013-06-23 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.
2013-05-09 2013-06-23 Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
2013-05-09 2013-06-23 Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
2013-05-09 2013-06-23 Provide necessary care and services to maintain or improve the highest well being of each resident .
2013-05-09 2013-06-23 Have a program that investigates, controls and keeps infection from spreading.
2012-03-27 2012-04-17 Allow residents the right to participate in the planning or revision of care and treatment.
2012-04-26 2012-06-10 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.
2012-04-26 2012-06-10 Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.
2012-04-26 2012-06-10 Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
2012-04-26 2012-06-10 Reasonably accommodate the needs and preferences of each resident.
2012-04-26 2012-06-10 Provide medically-related social services to help each resident achieve the highest possible quality of life.
2012-04-26 2012-06-10 Provide necessary care and services to maintain or improve the highest well being of each resident .
2012-04-26 2012-06-10 Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.
2012-04-26 2012-06-10 Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.
2012-04-26 2012-06-10 Ensure that residents are safe from serious medication errors.
2012-04-26 2012-06-10 Have a program that investigates, controls and keeps infection from spreading.
2012-04-26 2012-06-10 Make sure that a working call system is available in each resident's room or bathroom and bathing area.
2012-04-26 2012-06-10 Keep accurate, complete and organized clinical records on each resident that meet professional standards.
2014-04-23 2014-06-01 A two-hour-resistant firewall separation.
2014-04-23 2014-06-01 Fire resistant interior walls.
2014-04-23 2014-04-24 Corridor and hallway doors that block smoke.
2014-04-23 2014-04-28 Walls that prevent smoke from passing through and would resist fire for at least one hour.
2014-04-23 2014-06-01 Exits that are accessible at all times.
2014-04-23 2014-05-05 Proper backup exit lighting.
2014-04-23 2014-05-02 Record of quarterly fire drills for each shift under varying conditions.
2014-04-23 2014-05-02 An approved installation, maintenance and testing program for fire alarm systems.
2014-04-23 2014-06-01 Automatic sprinkler systems that have been maintained in working order.
2014-04-23 2014-06-01 Properly protected cooking facilities.
2014-04-23 2014-04-26 Proper medical gas storage and administration areas.
2014-04-23 2014-06-01 Noncombustible or limited-combustible interior walls.
2014-04-23 2014-05-07 No-smoking signs where oxygen is used.
2014-04-23 2014-04-29 Weekly inspections and monthly testing of generators.
2014-04-23 2014-04-27 Properly installed electrical wiring and equipment.
2013-05-07 2013-05-22 Approved construction type or materials.
2013-05-07 2013-05-30 Corridor and hallway doors that block smoke.
2013-05-07 2013-05-22 Walls that prevent smoke from passing through and would resist fire for at least one hour.
2013-05-07 2013-05-27 Exits that are accessible at all times.
2013-05-07 2013-05-13 An approved automatic sprinkler system connected to the fire alarm system.
2013-05-07 2013-05-13 Automatic sprinkler systems that have been maintained in working order.
2013-05-07 2013-07-26 Properly protected cooking facilities.
2013-05-07 2013-05-24 Proper medical gas storage and administration areas.
2013-05-07 2013-05-23 Noncombustible or limited-combustible interior walls.
2013-05-07 2013-05-23 Weekly inspections and monthly testing of generators.
2012-05-01 2012-05-01 Signs that state that exit doors are to be kept closed.
2012-05-01 2012-05-01 Walls that prevent smoke from passing through and would resist fire for at least one hour.
2012-05-01 2012-05-01 Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system.
2012-05-01 2012-05-16 Protected exits that allow the resident to escape the building.
2012-05-01 2012-06-10 Exits that are accessible at all times.
2012-05-01 2012-05-01 A written emergency evacuation plan.
2012-05-01 2012-05-18 Posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
2012-05-01 2012-06-28 Heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
2012-05-01 2012-06-10 Properly protected cooking facilities.
2012-05-01 2012-06-01 Proper medical gas storage and administration areas.
2012-05-01 2012-06-10 Weekly inspections and monthly testing of generators.
2012-05-01 2012-05-01 Back-up procedures in place for a faulty automatic sprinkler system.
2012-05-01 2012-05-01 An approved back-up procedure for a faulty fire alarm system.
2012-05-01 2012-05-01 Properly installed hallway dispensers for alcohol-based hand rub.

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