THE PEARL OF DOWNERS GROVE
CMS
Actual Harm
Documentation Failure
Immediate Jeopardy
Inadequate Staffing
Infection Control
Medication Error
Nutrition Care
Resident Neglect
Wound Care
Penalty
$30,264
Outcome
THE PEARL OF DOWNERS GROVE in DOWNERS GROVE, IL was fined $30,264 by CMS following 69 deficiency citations identified during federal surveys.
Details
THE PEARL OF DOWNERS GROVE (DOWNERS GROVE, IL) — $30,264 in CMS Fines
Outcome: THE PEARL OF DOWNERS GROVE in DOWNERS GROVE, IL was fined $30,264 by CMS following 69 deficiency citations identified during federal surveys.
Deficiency areas cited:
- Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
- Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
How Crucible Prevents This
Crucible's continuous compliance monitoring would have flagged the regulatory gaps that led to these CMS fines — through automated survey-readiness checks, real-time deficiency tracking, staff compliance dashboards, and corrective action plan enforcement — preventing the violations before the next federal survey.
Don't let this happen to your organization. See how Crucible works.
See How Crucible Works