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850 W IRVING PARK RD CHICAGO, IL 60613 | Voluntary non-profit - Private

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Health deficiencies are assigned during inspections that assess compliance with rules related to patient health and safety. Examples include violations of patients' rights and safety standards, as well as the administration of drugs and other treatments.

Life Safety deficiencies are assigned during inspections that assess a facility's compliance with National Fire Protection Association codes related to life safety in health care facilities. They are often conducted in tandem with health inspections. Examples include faulty or improperly maintained fire suppression and electrical systems.

Emergency Preparedness deficiencies can be cited during either a health or life safety inspection and relate to violations of CMS' Emergency Preparedness Rule. Examples include a lack of emergency plans, inadequate staff training and insufficient emergency supplies.

Complete reports and deficiency counts

Report date	Health Deficiencies	Life Safety	Emergency Preparedness	Total
Jul 13, 2023	3	0	0	3	Read full report
Deficiencies cited in this report: COMPLIANCE WITH 489.24 EMERGENCY ROOM LOG MEDICAL SCREENING EXAM
May 15, 2023 Follow-up to inspection on 2023-03-08*	2	0	0	2	Read full report
Deficiencies cited in this report: PATIENT RIGHTS:PARTICIPATION IN CARE PLANNING PATIENT RIGHTS: INFORMED CONSENT
Mar 8, 2023	6	0	0	6	Read full report
Deficiencies cited in this report: PATIENT RIGHTS:PARTICIPATION IN CARE PLANNING PATIENT RIGHTS: INFORMED CONSENT DISCHARGE PLANNING DISCHARGE PLANNING - PT RE-EVALUATION DISCHARGE PLANNING PROGRAM REVIEW DISCHARGE PLANNING TIMELY EVALUATION
Mar 10, 2022	2	0	0	2	Read full report
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS: INFORMED CONSENT
Mar 9, 2022	1	0	0	1	Read full report
Deficiencies cited in this report: COVID-19 Vaccination of Facility Staff
Sep 28, 2021 Follow-up to inspection on 2021-07-15*	3	0	0	3	Read full report
Deficiencies cited in this report: DIRECTOR OF DIETARY SERVICES INFECTION CONTROL PROGRAM OPERATING ROOM POLICIES
Jul 15, 2021	5	0	0	5	Read full report
Deficiencies cited in this report: DIRECTOR OF DIETARY SERVICES PHYSICAL ENVIRONMENT LIFE SAFETY FROM FIRE INFECTION CONTROL PROGRAM OPERATING ROOM POLICIES
Jul 13, 2021	0	9	0	9	Read full report
Deficiencies cited in this report: Stairways and Smokeproof Enclosures Illumination of Means of Egress Exit Signage Vertical Openings - Enclosure Hazardous Areas - Enclosure Cooking Facilities Sprinkler System - Installation Portable Fire Extinguishers Gas and Vacuum Piped Systems - Other
Dec 12, 2019	2	0	0	2	Read full report
Deficiencies cited in this report: REASSESSMENT OF A DISCHARGE PLAN HHA AND SNF REQUIREMENTS
Nov 22, 2019	2	0	0	2	Read full report
Deficiencies cited in this report: PATIENT RIGHTS: NOTICE OF GRIEVANCE DECISION PATIENT RIGHTS: CARE IN SAFE SETTING
Mar 1, 2018	2	0	0	2	Read full report
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS: CARE IN SAFE SETTING
Feb 14, 2017 Follow-up to inspection on 2016-09-30*	2	0	0	2	Read full report
Deficiencies cited in this report: PHYSICAL ENVIRONMENT LIFE SAFETY FROM FIRE
Sep 30, 2016	14	0	0	14	Read full report
Deficiencies cited in this report: PATIENT RIGHTS: INFORMED DECISION PATIENT RIGHTS: CARE IN SAFE SETTING RN SUPERVISION OF NURSING CARE ADMINISTRATION OF DRUGS PROTECTING PATIENT RECORDS CONTENT OF RECORD: FINAL DIAGNOSIS Standard-level Tag for Pharmaceutical Service UNUSABLE DRUGS NOT USED DIRECTOR OF DIETARY SERVICES PHYSICAL ENVIRONMENT LIFE SAFETY FROM FIRE INFECTION CONTROL PROGRAM TIMELY DISCHARGE PLANNING EVALUATIONS OPERATING ROOM POLICIES
Sep 29, 2016	0	29	0	29	Read full report
Deficiencies cited in this report: No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available
Aug 18, 2016	5	0	0	5	Read full report
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS: PERSONAL PRIVACY PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION
Feb 10, 2016	3	0	0	3	Read full report
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS: NOTICE OF RIGHTS PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT
Apr 28, 2015 Follow-up to inspection on 2013-11-01*	7	0	0	7	Read full report
Deficiencies cited in this report: PATIENT RIGHTS: INFORMED CONSENT PATIENT RIGHTS: CARE IN SAFE SETTING RN SUPERVISION OF NURSING CARE CONTENT OF RECORD: FINAL DIAGNOSIS INFECTION CONTROL PROFESSIONAL INFECTION CONTROL PROGRAM OPERATING ROOM POLICIES
Nov 18, 2014 Follow-up to inspection on 2013-10-31*	0	1	0	1	Read full report
Deficiencies cited in this report: No Description Available
Jul 16, 2014 Follow-up to inspection on 2013-10-31*	0	10	0	10	Read full report
Deficiencies cited in this report: No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available
Nov 1, 2013	9	0	0	9	Read full report
Deficiencies cited in this report: PATIENT RIGHTS: INFORMED CONSENT PATIENT RIGHTS: CARE IN SAFE SETTING RN SUPERVISION OF NURSING CARE CONTENT OF RECORD: FINAL DIAGNOSIS PHYSICAL ENVIRONMENT LIFE SAFETY FROM FIRE INFECTION CONTROL PROFESSIONAL INFECTION CONTROL PROGRAM OPERATING ROOM POLICIES
Nov 1, 2013	1	0	0	1	Read full report
Deficiencies cited in this report: MAINTENANCE OF PHYSICAL PLANT
Oct 31, 2013	0	41	0	41	Read full report
Deficiencies cited in this report: No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available
Jul 11, 2013	3	0	0	3	Read full report
Deficiencies cited in this report: SURGICAL SERVICES OPERATING ROOM POLICIES REQUIRED OPERATING ROOM EQUIPMENT
Jul 25, 2012	1	0	0	1	Read full report
Deficiencies cited in this report: No Description Available

Some state health departments and regional offices of the Centers for Medicare and Medicaid Services sometimes did not upload their inspection reports into a central computer system that could then be shared by us. In such cases, CMS identified the dates of the missing inspections and the number of deficiencies identified. You can request the actual reports from CMS or your state health department.

* Deficiencies cited in follow-up inspections are not counted toward a facility's total deficiency count.

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Complete reports and deficiency counts