Nightingale Home Healthcare of Illinois, Inc
Inspection 2025-03-11
· Recertification · 20 deficiencies · CMS source report (PDF)The Agency failed to update its facility and community-based risk assessment every two years, establish policies and procedures based on the risk assessment, ensure staff received training pertaining to the Agency's Emergency Preparedness Plan, and conduct the required testing of its Emergency…
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The Agency failed to ensure PsOC included all the requirements, that care and services provided were according to Physician orders and as indicated in the POC.
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The Agency failed to ensure that care and services were provided in accordance with Physician orders as indicated on PsOC; and ensure the RN contacted the Physician, and other health professionals that participate in the patient’s care regarding changes needed in the POC and/or ongoing needs of the…
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The Administrator failed to ensure the Administrator maintained responsibility for daily operations of the Agency, an annual budget was established, statistical data was used to complete the Agency Evaluation; and ensure an annual budget were established, and that statistical data was used to…
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The Agency failed to update its facility and community-based risk assessment every two years.
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The Agency failed to establish policies and procedures based on the risk assessment.
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In 9 of 9 (Employees #1, 2, 3, 4, 5, 6, 7, 8, and 9) personnel files reviewed, the Agency failed to ensure staff received training pertaining to the Agency's Emergency Preparedness Plan.
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The Agency failed to conduct the required testing of its Emergency Preparedness Plan.
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In 49 of 428 assessments submitted for the last 12 months, the Agency failed to submit reports timely, resulting in a warning.
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The Administrator failed to ensure annual budget was established; and that statistical data was used to complete the Agency Evaluation.
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For 1 of 7 (Pt. #6) clinical records reviewed, the Agency failed to obtain informed consent and failed to provide information related to the frequency of visits provided by each discipline.
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In 1 of 7 (Pt. #7) clinical records reviewed, the Agency failed to ensure the Pt., and the patient’s care providers were notified of the Agency discharge.
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In 1 of 7 (Pt. #7) clinical records reviewed, the Agency failed to present the Pt. with referral sources to continue wound care, prior to the Agency discharge.
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In 1 of 7 (Pt. #7) clinical records reviewed, the Agency failed to address Pt. issues, prior to Agency discharge.
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For 6 of 7 (Pts. #2, 5, 6, 1, 4 and 7) clinical records reviewed, the Agency failed to ensure PsOC included all the requirements.
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For 4 of 7 (Pts. #2, 3, 4 and 7) clinical records reviewed, the Agency failed to ensure that care and services provided were according to Physician orders, and as indicated in the POC.
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The Agency failed to ensure that for 4 of 7 (Pts. #7, 1, 4 and 2) clinical records reviewed, care and services were provided in accordance with Physician orders as indicated on PsOC.
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In 4 of 7 (Pts. #7, 1, 2, and 5) clinical records reviewed, the Agency failed to ensure the RN contacted the Physician, and other health professionals that participate in the patient’s care regarding changes needed in the POC and/or ongoing needs of the Pt.
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The Agency failed to ensure the Administrator maintained responsibility for daily operations of the Agency.
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In 3 of 7 (Pts. #1, 2, and 7) clinical records reviewed, the Agency failed to ensure that documentation entered into the clinical records was complete and accurate.
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Inspection 2025-03-05
· Complaint · 10 deficiencies · CMS source report (PDF)The Agency failed to ensure PsOC included all the requirements, that care and services provided were according to Physician orders and as indicated in the POC.
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The Agency failed to ensure that care and services were provided in accordance with Physician orders as indicated on PsOC; and ensure the RN contacted the Physician, and other health professionals that participate in the patient’s care regarding changes needed in the POC and/or ongoing needs of the…
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In 1 of 3 (Pt. #3) clinical records reviewed, the Agency failed to ensure the Pt., and the patient’s care providers were notified of the Agency discharge.
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In 1 of 3 (Pt. #3) clinical records reviewed, the Agency failed to present the Pt. with referral sources to continue wound care, prior to the Agency discharge.
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In 1 of 3 (Pt. #3) clinical records reviewed, the Agency failed to address Pt. issues, prior to Agency discharge.
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For 3 of 3 (Pts. #2, 1 and 3) clinical records reviewed, the Agency failed to ensure PsOC included all the requirements.
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For 2 of 3 (Pts. #2 and 3) clinical records reviewed, the Agency failed to ensure that care and services provided were according to Physician orders, and as indicated in the POC.
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The Agency failed to ensure that for 3 of 3 (Pts. #2, #1 and 3) clinical records reviewed, care and services were provided in accordance with Physician orders as indicated on PsOC.
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In 3 of 3 (Pts. #3, 1, and 2) clinical records reviewed, the Agency failed to ensure the RN contacted the Physician, and other health professionals that participate in the patient’s care regarding changes needed in the POC and/or ongoing needs of the Pt.
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In 3 of 3 (Pts. #1, 2, and 3) clinical records reviewed, the Agency failed to ensure that documentation entered into the clinical records was complete and accurate.
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Inspection 2022-09-09
· Recertification · no deficiencies cited · CMS source report (PDF)Inspection 2019-11-01
· Recertification · 3 deficiencies · CMS source report (PDF)The Agency failed to ensure that the PsOC included patient specific interventions and all current medications.
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The Agency failed to ensure that interdisciplinary communication is maintained when care is provided by various disciplines.
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The Agency failed to ensure that clinical records were complete and accurate.
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