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600 E 1ST ST SPRING VALLEY, IL 61362 | 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
Nov 15, 2021	6	0	0	6	Read full report
Deficiencies cited in this report: MEDICAL STAFF CREDENTIALING ADMINISTRATION OF DRUGS PHYSICAL ENVIRONMENT LIFE SAFETY FROM FIRE FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE INFECTION CONTROL SURVEILLANCE, PREVENTION
Nov 15, 2021	0	10	0	10	Read full report
Deficiencies cited in this report: Emergency Lighting Exit Signage Vertical Openings - Enclosure Hazardous Areas - Enclosure Fire Alarm System - Installation HVAC Fire Drills Gas and Vacuum Piped Systems - Information an Electrical Systems - Other Electrical Systems - Receptacles
Apr 1, 2021	2	0	0	2	Read full report
Deficiencies cited in this report: MEDICAL RECORD SERVICES FORM AND RETENTION OF RECORDS
Jul 16, 2019 Follow-up to inspection on 2019-02-07*	7	0	0	7	Read full report
Deficiencies cited in this report: PATIENT RIGHTS: RESTRAINT OR SECLUSION CONTENT OF RECORD: ORDERS,NOTES,REPORTS SECURE STORAGE UNUSABLE DRUGS NOT USED DIRECTOR OF DIETARY SERVICES FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE INFECTION CONTROL PROGRAM
May 22, 2019 Follow-up to inspection on 2019-02-07*	0	4	0	4	Read full report
Deficiencies cited in this report: Stairways and Smokeproof Enclosures Hazardous Areas - Enclosure Elevators Maintenance, Inspection and Testing - Doors
Feb 7, 2019	0	13	0	13	Read full report
Deficiencies cited in this report: Building Construction Type and Height Stairways and Smokeproof Enclosures Horizontal Exits Illumination of Means of Egress Exit Signage Vertical Openings - Enclosure Hazardous Areas - Enclosure Fire Alarm System - Installation Sprinkler System - Maintenance and Testing Elevators Maintenance, Inspection and Testing - Doors Electrical Systems - Receptacles Gas Equipment - Cylinder and Container Storag
Feb 7, 2019	9	0	0	9	Read full report
Deficiencies cited in this report: PATIENT RIGHTS: RESTRAINT OR SECLUSION CONTENT OF RECORD: ORDERS,NOTES,REPORTS SECURE STORAGE UNUSABLE DRUGS NOT USED DIRECTOR OF DIETARY SERVICES PHYSICAL ENVIRONMENT LIFE SAFETY FROM FIRE FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE INFECTION CONTROL PROGRAM
Nov 3, 2015 Follow-up to inspection on 2015-03-13*	8	0	0	8	Read full report
Deficiencies cited in this report: PATIENT RIGHTS: INFORMED CONSENT PATIENT RIGHTS: CARE IN SAFE SETTING DATA COLLECTION & ANALYSIS QAPI GOVERNING BODY, STANDARD TAG SECURE STORAGE DIRECTOR OF DIETARY SERVICES FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE INFECTION CONTROL PROGRAM
Sep 16, 2015 Follow-up to inspection on 2015-03-13*	10	0	0	10	Read full report
Deficiencies cited in this report: PATIENT RIGHTS: INFORMED CONSENT PATIENT RIGHTS: CARE IN SAFE SETTING DATA COLLECTION & ANALYSIS QAPI GOVERNING BODY, STANDARD TAG SECURE STORAGE DIRECTOR OF DIETARY SERVICES PHYSICAL ENVIRONMENT LIFE SAFETY FROM FIRE FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE INFECTION CONTROL PROGRAM
Sep 16, 2015 Follow-up to inspection on 2015-03-13*	0	3	0	3	Read full report
Deficiencies cited in this report: No Description Available No Description Available No Description Available
Mar 13, 2015	10	0	0	10	Read full report
Deficiencies cited in this report: PATIENT RIGHTS: INFORMED CONSENT PATIENT RIGHTS: CARE IN SAFE SETTING DATA COLLECTION & ANALYSIS QAPI GOVERNING BODY, STANDARD TAG SECURE STORAGE DIRECTOR OF DIETARY SERVICES PHYSICAL ENVIRONMENT LIFE SAFETY FROM FIRE FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE INFECTION CONTROL PROGRAM
Mar 13, 2015	0	28	0	28	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
Jan 29, 2013 Follow-up to inspection on 2012-07-26*	0	4	0	4	Read full report
Deficiencies cited in this report: No Description Available No Description Available No Description Available No Description Available
Aug 9, 2012 Follow-up to inspection on 2012-06-29*	2	0	0	2	Read full report
Deficiencies cited in this report: PHYSICAL ENVIRONMENT LIFE SAFETY FROM FIRE
Jul 26, 2012	0	19	0	19	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
Jun 29, 2012	2	0	0	2	Read full report
Deficiencies cited in this report: PATIENT RIGHTS: GRIEVANCE REVIEW TIME FRAMES PATIENT RIGHTS: NOTICE OF GRIEVANCE DECISION
Jun 29, 2012	18	0	0	18	Read full report
Deficiencies cited in this report: GOVERNING BODY MEDICAL STAFF - ACCOUNTABILITY PATIENT RIGHTS: GRIEVANCE REVIEW TIME FRAMES PATIENT RIGHTS: NOTICE OF GRIEVANCE DECISION PATIENT RIGHTS: CARE IN SAFE SETTING QAPI No Description Available No Description Available No Description Available QAPI EXECUTIVE RESPONSIBILITIES No Description Available ADMINISTRATION OF DRUGS CONTENT OF RECORD CONTENT OF RECORD: FINAL DIAGNOSIS UNUSABLE DRUGS NOT USED DIRECTOR OF DIETARY SERVICES INFECTION CONTROL PROGRAM OPERATING ROOM POLICIES
Sep 16, 2010	1	0	0	1	Read full report
Deficiencies cited in this report: PATIENT RIGHTS: CARE IN SAFE SETTING
Jan 25, 2010 Follow-up to inspection (date unspecified)*	8	0	0	8	Read full report
Deficiencies cited in this report: PATIENT RIGHTS: INFORMED CONSENT ORDERS FOR DRUGS AND BIOLOGICALS CONTENT OF RECORD: ORDERS,NOTES,REPORTS CONTENT OF RECORD: FINAL DIAGNOSIS UNUSABLE DRUGS NOT USED WRITTEN PROTOCOL FOR TISSUE SPECIMENS ORGANIZATION PRE-ANESTHESIA EVALUATION

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.

HospitalInspections.org

ST MARGARET'S HEALTH SPRING VALLEY

Complete reports and deficiency counts