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1045 WEST STEPHENSON STREET FREEPORT, IL 61032 | Voluntary non-profit - Other

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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 21, 2024	2	0	0	2	Read full report
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS: CARE IN SAFE SETTING
Jun 1, 2023	3	0	0	3	Read full report
Deficiencies cited in this report: COMPLIANCE WITH 489.24 MEDICAL SCREENING EXAM STABILIZING TREATMENT
Jul 1, 2021 Follow-up to inspection on 2020-12-17*	5	0	0	5	Read full report
Deficiencies cited in this report: PATIENT RIGHTS: RESTRAINT OR SECLUSION RN SUPERVISION OF NURSING CARE DIRECTOR OF DIETARY SERVICES FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE OPERATING ROOM POLICIES
Dec 17, 2020	1	0	0	1	Read full report
Deficiencies cited in this report: DISCHARGE PLANNING-FREEDOM OF CHOICE
Dec 17, 2020	7	0	0	7	Read full report
Deficiencies cited in this report: PATIENT RIGHTS: RESTRAINT OR SECLUSION RN SUPERVISION OF NURSING CARE DIRECTOR OF DIETARY SERVICES PHYSICAL ENVIRONMENT LIFE SAFETY FROM FIRE FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE OPERATING ROOM POLICIES
Dec 17, 2020	0	16	0	16	Read full report
Deficiencies cited in this report: Egress Doors Egress Doors Number of Exits - Corridors Suite Separation, Hazardous Content, and Subd Discharge from Exits Illumination of Means of Egress Illumination of Means of Egress Exit Signage Vertical Openings - Enclosure Hazardous Areas - Enclosure Cooking Facilities Fire Alarm System - Installation Fire Alarm System - Installation Corridors - Areas Open to Corridor Fire Drills Electrical Systems - Essential Electric Syste
Dec 16, 2020	1	0	0	1	Read full report
Deficiencies cited in this report: MEDICAL STAFF RESPONSIBILITIES - ASSESSMENT
Sep 22, 2016 Follow-up to inspection on 2016-07-21*	6	0	0	6	Read full report
Deficiencies cited in this report: ADMINISTRATION OF DRUGS CONTENT OF RECORD: FINAL DIAGNOSIS DIRECTOR OF DIETARY SERVICES FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE INFECTION CONTROL PROGRAM OPERATING ROOM POLICIES
Aug 3, 2016	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
Jul 21, 2016	8	0	0	8	Read full report
Deficiencies cited in this report: ADMINISTRATION OF DRUGS CONTENT OF RECORD: FINAL DIAGNOSIS DIRECTOR OF DIETARY SERVICES PHYSICAL ENVIRONMENT LIFE SAFETY FROM FIRE FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE INFECTION CONTROL PROGRAM OPERATING ROOM POLICIES
Oct 15, 2013 Follow-up to inspection on 2012-11-15*	5	0	0	5	Read full report
Deficiencies cited in this report: RN SUPERVISION OF NURSING CARE ADMINISTRATION OF DRUGS CONTENT OF RECORD: FINAL DIAGNOSIS INFECTION CONTROL PROGRAM OPERATING ROOM POLICIES
Sep 11, 2013 Follow-up to inspection on 2012-12-12*	0	1	0	1	Read full report
Deficiencies cited in this report: No Description Available
Apr 11, 2013 Follow-up to inspection on 2012-12-12*	0	4	0	4	Read full report
Deficiencies cited in this report: No Description Available No Description Available No Description Available No Description Available
Dec 12, 2012	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
Nov 15, 2012	7	0	0	7	Read full report
Deficiencies cited in this report: RN SUPERVISION OF NURSING CARE ADMINISTRATION OF DRUGS CONTENT OF RECORD: FINAL DIAGNOSIS PHYSICAL ENVIRONMENT LIFE SAFETY FROM FIRE INFECTION CONTROL PROGRAM OPERATING ROOM POLICIES
Jan 20, 2012 Follow-up to inspection (date unspecified)*	16	0	0	16	Read full report
Deficiencies cited in this report: MEDICAL STAFF - ACCOUNTABILITY CONTRACTED SERVICES PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION No Description Available RN SUPERVISION OF NURSING CARE NURSING CARE PLAN No Description Available CONTENT OF RECORD: STANDING ORDERS PHARMACY DRUG RECORDS UNUSABLE DRUGS NOT USED DIRECTOR OF DIETARY SERVICES FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE INFECTION CONTROL PROFESSIONAL INFECTION CONTROL PROGRAM OPERATING ROOM POLICIES
Jan 12, 2012 Follow-up to inspection (date unspecified)*	0	2	0	2	Read full report
Deficiencies cited in this report: No Description Available No Description Available
Oct 27, 2011 Follow-up to inspection (date unspecified)*	0	4	0	4	Read full report
Deficiencies cited in this report: No Description Available No Description Available No Description Available No Description Available
Apr 1, 2011 Follow-up to inspection (date unspecified)*	0	7	0	7	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
Aug 4, 2010 Follow-up to inspection (date unspecified)*	0	11	0	11	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
Apr 16, 2010 Follow-up to inspection (date unspecified)*	0	25	0	25	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

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