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1740 WEST TAYLOR ST SUITE 1400 CHICAGO, IL 60612 | Government - State

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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
Feb 6, 2024	1	0	0	1	Read full report
Deficiencies cited in this report: RN SUPERVISION OF NURSING CARE
Aug 11, 2022	1	0	0	1	Read full report
Deficiencies cited in this report: PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT
Feb 25, 2022	3	0	0	3	Read full report
Deficiencies cited in this report: PATIENT RIGHTS: INFORMED CONSENT PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION
Oct 2, 2020	7	0	0	7	Read full report
Deficiencies cited in this report: RN SUPERVISION OF NURSING CARE BLOOD TRANSFUSIONS AND IV MEDICATIONS PHYSICAL ENVIRONMENT LIFE SAFETY FROM FIRE INFECTION CONTROL PROGRAM OPERATING ROOM POLICIES RESPIRATORY CARE SERVICES POLICIES
Oct 2, 2020	0	20	0	20	Read full report
Deficiencies cited in this report: Egress Doors Stairways and Smokeproof Enclosures Non-Sleeping Suites Exit Signage Protection - Other Vertical Openings - Enclosure Hazardous Areas - Enclosure Cooking Facilities Alcohol Based Hand Rub Dispenser (ABHR) Fire Alarm - Control Functions Sprinkler System - Installation Corridors - Areas Open to Corridor Corridors - Construction of Walls Elevators Fire Drills Fundamentals - Building System Categories Gas and Vacuum Piped Systems - Other Electrical Systems - Other Electrical Systems - Receptacles Electrical Systems - Wet Procedure Locations
Aug 25, 2020	2	0	0	2	Read full report
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS: CARE IN SAFE SETTING
Jun 7, 2019	1	0	0	1	Read full report
Deficiencies cited in this report: EMERGENCY SERVICES POLICIES
Nov 1, 2018	1	0	0	1	Read full report
Deficiencies cited in this report: PATIENT RIGHTS: PERSONAL PRIVACY
May 10, 2018	3	0	0	3	Read full report
Deficiencies cited in this report: RN SUPERVISION OF NURSING CARE ADMINISTRATION OF DRUGS ORDERS FOR DRUGS AND BIOLOGICALS
Sep 6, 2017	3	0	0	3	Read full report
Deficiencies cited in this report: COMPLIANCE WITH 489.24 MEDICAL SCREENING EXAM APPROPRIATE TRANSFER
Sep 23, 2016	4	0	0	4	Read full report
Deficiencies cited in this report: PATIENT RIGHTS: NOTICE OF RIGHTS PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION
Aug 7, 2014	1	0	0	1	Read full report
Deficiencies cited in this report: PATIENT RIGHTS: INFORMED CONSENT
Jun 14, 2012	2	0	0	2	Read full report
Deficiencies cited in this report: COMPLIANCE WITH 489.24 RECIPIENT HOSPITAL RESPONSIBILITIES
Jun 6, 2012	1	0	0	1	Read full report
Deficiencies cited in this report: RN SUPERVISION OF NURSING CARE
Mar 5, 2012 Follow-up to inspection on 2010-02-25*	0	9	0	9	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
Nov 8, 2011 Follow-up to inspection on 2010-02-25*	0	13	0	13	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
Jun 3, 2011 Follow-up to inspection on 2010-02-25*	0	21	0	21	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
Oct 5, 2010 Follow-up to inspection on 2010-02-25*	12	0	0	12	Read full report
Deficiencies cited in this report: PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS: RESTRAINT OR SECLUSION RN SUPERVISION OF NURSING CARE NURSING CARE PLAN CONTENT OF RECORD: FINAL DIAGNOSIS ADEQUACY OF LABORATORY SERVICES DIRECTOR OF DIETARY SERVICES LIFE SAFETY FROM FIRE FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE INFECTION CONTROL PROFESSIONAL INFECTION CONTROL PROGRAM OPERATING ROOM POLICIES
Oct 5, 2010 Follow-up to inspection on 2010-02-25*	0	33	0	33	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
Feb 25, 2010	0	35	0	35	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
Feb 25, 2010	14	0	0	14	Read full report
Deficiencies cited in this report: PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS: RESTRAINT OR SECLUSION RN SUPERVISION OF NURSING CARE NURSING CARE PLAN CONTENT OF RECORD: FINAL DIAGNOSIS ADEQUACY OF LABORATORY SERVICES DIRECTOR OF DIETARY SERVICES PHYSICAL ENVIRONMENT MAINTENANCE OF PHYSICAL PLANT LIFE SAFETY FROM FIRE FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE INFECTION CONTROL PROFESSIONAL INFECTION CONTROL PROGRAM OPERATING ROOM POLICIES

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

UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS

Complete reports and deficiency counts