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Mercer Manor Rehabilitation

Inspection Results

Nursing Homes Illinois Aledo Mercer Manor Rehabilitation

Mercer Manor Rehabilitation has been cited for a total of 76 deficiencies in our most recent deficiency data, which typically covers 3 health and fire safety surveys.

Tip: Surveys happen throughout the year and you may want to check with the location or here to see if more recent data is available for Mercer Manor Rehabilitation.

There are 711 nursing homes in Illinois with a total of 34,918 deficiencies resulting in an average of 49.11 deficiencies per nursing home.

The following table describes how deficiencies are scored. An easy way to remember the severity of a deficiency's scope is that the further along in the alphabet (A through L) the scope value is, the more severe the deficiency is.
Additionally, A through F means no actual harm has happened.

Table describing the severity and scope of deficiencies

Deficiency Cited, Scope, and Date of Correction
Reasonably accommodate the needs and preferences of each resident.
Category:
Resident Rights Deficiencies
Scope:
E
Corrected:
10-02-2020
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Category:
Resident Rights Deficiencies
Scope:
G
Corrected:
09-28-2020
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
Category:
Pharmacy Service Deficiencies
Scope:
D
Corrected:
12-12-2019
Reasonably accommodate the needs and preferences of each resident.
Category:
Resident Rights Deficiencies
Scope:
E
Corrected:
03-16-2020
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Category:
Nursing and Physician Services Deficiencies
Scope:
E
Corrected:
03-20-2020
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Category:
Resident Rights Deficiencies
Scope:
D
Corrected:
03-11-2020
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Category:
Resident Assessment and Care Planning Deficiencies
Scope:
D
Corrected:
03-11-2020
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Category:
Nursing and Physician Services Deficiencies
Scope:
E
Corrected:
12-27-2019
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Category:
Resident Assessment and Care Planning Deficiencies
Scope:
E
Corrected:
12-27-2019
Ensure that residents are fully informed and understand their health status, care and treatments.
Category:
Resident Rights Deficiencies
Scope:
D
Corrected:
12-05-2018
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
Category:
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Scope:
G
Corrected:
12-05-2018
Ensure that each resident is free from medications that restrain them, unless needed for medical treatment.
Category:
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Scope:
G
Corrected:
12-03-2018
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Category:
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Scope:
F
Corrected:
12-05-2018
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Category:
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Scope:
D
Corrected:
12-03-2018
Respond appropriately to all alleged violations.
Category:
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Scope:
D
Corrected:
12-05-2018
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Category:
Resident Rights Deficiencies
Scope:
D
Corrected:
12-03-2018
Ensure each resident receives an accurate assessment.
Category:
Resident Assessment and Care Planning Deficiencies
Scope:
D
Corrected:
12-03-2018
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Category:
Resident Assessment and Care Planning Deficiencies
Scope:
E
Corrected:
12-03-2018
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Category:
Resident Assessment and Care Planning Deficiencies
Scope:
D
Corrected:
12-03-2018
Provide care by qualified persons according to each resident's written plan of care.
Category:
Resident Assessment and Care Planning Deficiencies
Scope:
D
Corrected:
12-03-2018
Provide appropriate treatment and care according to orders, resident?s preferences and goals.
Category:
Quality of Life and Care Deficiencies
Scope:
D
Corrected:
12-03-2018
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Category:
Quality of Life and Care Deficiencies
Scope:
D
Corrected:
12-03-2018
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category:
Quality of Life and Care Deficiencies
Scope:
E
Corrected:
12-03-2018
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install
Category:
Quality of Life and Care Deficiencies
Scope:
E
Corrected:
12-03-2018
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
Category:
Pharmacy Service Deficiencies
Scope:
D
Corrected:
12-03-2018
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.
Category:
Pharmacy Service Deficiencies
Scope:
F
Corrected:
12-03-2018
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Category:
Nutrition and Dietary Deficiencies
Scope:
D
Corrected:
12-03-2018
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
Category:
Environmental Deficiencies
Scope:
E
Corrected:
12-03-2018
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Category:
Environmental Deficiencies
Scope:
F
Corrected:
12-03-2018
Provide and implement an infection prevention and control program.
Category:
Infection Control Deficiencies
Scope:
D
Corrected:
01-24-2018
Establish an Emergency Preparedness Program (EP).
Category:
Emergency Preparedness Deficiencies
Scope:
F
Corrected:
11-22-2019
Develop and maintain an Emergency Preparedness Program (EP).
Category:
Emergency Preparedness Deficiencies
Scope:
F
Corrected:
11-22-2019
Conduct risk assessment and an All-Hazards approach.
Category:
Emergency Preparedness Deficiencies
Scope:
F
Corrected:
11-22-2019
Address patient/client population and determine types of services needed.
Category:
Emergency Preparedness Deficiencies
Scope:
F
Corrected:
11-22-2019
Include a process for Emergency Preparedness collaboration.
Category:
Emergency Preparedness Deficiencies
Scope:
F
Corrected:
11-22-2019
Develop Emergency Preparedness policies and procedures.
Category:
Emergency Preparedness Deficiencies
Scope:
F
Corrected:
11-22-2019
Address subsistence needs for staff and patients.
Category:
Emergency Preparedness Deficiencies
Scope:
F
Corrected:
11-22-2019
Establish procedures for tracking staff and patients during an emergency.
Category:
Emergency Preparedness Deficiencies
Scope:
F
Corrected:
11-22-2019
Establish policies and procedures including evacuation.
Category:
Emergency Preparedness Deficiencies
Scope:
F
Corrected:
11-22-2019
Establish policies and procedures for sheltering.
Category:
Emergency Preparedness Deficiencies
Scope:
F
Corrected:
11-22-2019
Establish policies and procedures for medical documentation.
Category:
Emergency Preparedness Deficiencies
Scope:
F
Corrected:
11-22-2019
Establish policies and procedures for volunteers.
Category:
Emergency Preparedness Deficiencies
Scope:
F
Corrected:
11-22-2019
Create arrangements with other facilities to receive patients.
Category:
Emergency Preparedness Deficiencies
Scope:
F
Corrected:
11-22-2019
Develop a communication plan.
Category:
Emergency Preparedness Deficiencies
Scope:
F
Corrected:
11-22-2019
List the names and contact information of those in the facility.
Category:
Emergency Preparedness Deficiencies
Scope:
F
Corrected:
11-22-2019
Provide emergency officials contact information.
Category:
Emergency Preparedness Deficiencies
Scope:
F
Corrected:
11-22-2019
Provide primary/alternate means for communication.
Category:
Emergency Preparedness Deficiencies
Scope:
F
Corrected:
11-22-2019
Establish methods for sharing information.
Category:
Emergency Preparedness Deficiencies
Scope:
F
Corrected:
11-22-2019
Provide a means of sharing information on occupancy/needs.
Category:
Emergency Preparedness Deficiencies
Scope:
F
Corrected:
11-22-2019
Provide family notifications of emergency plan.
Category:
Emergency Preparedness Deficiencies
Scope:
F
Corrected:
11-22-2019
Establish emergency prep training and testing.
Category:
Emergency Preparedness Deficiencies
Scope:
F
Corrected:
11-22-2019
Establish staff and initial training requirements.
Category:
Emergency Preparedness Deficiencies
Scope:
F
Corrected:
11-22-2019
Conduct testing and exercise requirements.
Category:
Emergency Preparedness Deficiencies
Scope:
F
Corrected:
01-03-2020
Implement emergency and standby power systems.
Category:
Emergency Preparedness Deficiencies
Scope:
F
Corrected:
11-22-2019
Install a two-hour-resistant firewall separation.
Category:
Construction Deficiencies
Scope:
E
Corrected:
11-09-2019
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Category:
Smoke Deficiencies
Scope:
E
Corrected:
11-19-2019
Inspect, test, and maintain automatic sprinkler systems.
Category:
Smoke Deficiencies
Scope:
F
Corrected:
11-09-2019
Install corridor and hallway doors that block smoke.
Category:
Smoke Deficiencies
Scope:
E
Corrected:
11-09-2019
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Category:
Smoke Deficiencies
Scope:
E
Corrected:
11-09-2019
Provide a written emergency evacuation plan.
Category:
Miscellaneous Deficiencies
Scope:
F
Corrected:
11-12-2019
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Category:
Gas, Vacuum, and Electrical Systems Deficiencies
Scope:
F
Corrected:
11-09-2019
Ensure proper usage of power strips and extension cords.
Category:
Gas, Vacuum, and Electrical Systems Deficiencies
Scope:
E
Corrected:
11-09-2019
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Category:
Smoke Deficiencies
Scope:
F
Corrected:
11-21-2018
Install corridor and hallway doors that block smoke.
Category:
Smoke Deficiencies
Scope:
E
Corrected:
11-15-2018
Provide a written emergency evacuation plan.
Category:
Miscellaneous Deficiencies
Scope:
F
Corrected:
11-21-2018
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Category:
Gas, Vacuum, and Electrical Systems Deficiencies
Scope:
F
Corrected:
11-15-2018
Ensure proper usage of power strips and extension cords.
Category:
Gas, Vacuum, and Electrical Systems Deficiencies
Scope:
E
Corrected:
11-15-2018
Have exits that are accessible at all times.
Category:
Egress Deficiencies
Scope:
E
Corrected:
01-15-2018
Provide properly protected cooking facilities.
Category:
Smoke Deficiencies
Scope:
E
Corrected:
01-05-2018
Properly provide smoke detection systems in areas open to corridors.
Category:
Smoke Deficiencies
Scope:
F
Corrected:
01-15-2018
Inspect, test, and maintain automatic sprinkler systems.
Category:
Smoke Deficiencies
Scope:
F
Corrected:
01-15-2018
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Category:
Smoke Deficiencies
Scope:
F
Corrected:
02-16-2018
Have properly installed electrical wiring and gas equipment.
Category:
Services Deficiencies
Scope:
F
Corrected:
01-03-2018
Have generator or other power source capable of supplying service within 10 seconds.
Category:
Gas, Vacuum, and Electrical Systems Deficiencies
Scope:
F
Corrected:
01-03-2018
Ensure proper usage of power strips and extension cords.
Category:
Gas, Vacuum, and Electrical Systems Deficiencies
Scope:
F
Corrected:
01-03-2018
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Category:
Gas, Vacuum, and Electrical Systems Deficiencies
Scope:
F
Corrected:
01-24-2018

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Mercer Manor Rehabilitation

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