Public Record
Libertyville Manor Ext Care
From CMS
Facility profile
- CMS overall rating
- 2 / 5
- Certified beds
- 174
- Avg. residents per day
- 27.2
*CMS Five-Star
*CMS
*CMS
Inspection record
On record from CMS
- Citations on record
- 93
- Inspections on file
- 10
- Last inspection
- 2025-02-18
*CMS
*CMS
*CMS
Citations
93 citations on record
Each deficiency cited on a CMS health inspection of this facility, sourced from the federal record. Open a report for the raw CMS Scope and Severity grade on each finding.
What do CMS severity letters mean?
Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.
General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.
Each letter combines severity with scope: how many residents the deficiency affected.
- 0689Seriousactual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 0727Generalpotential for harm
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
- 0692Seriousimmediate jeopardy
Provide enough food/fluids to maintain a resident's health.
- 0690Generalpotential for harm
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- 0689Generalpotential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 0677Generalpotential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
- 0583Generalpotential for harm
Keep residents' personal and medical records private and confidential.
- 0926Generalpotential for harm
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
- 0920Generalpotential for harm
Ensure proper usage of power strips and extension cords.
- 0918Generalpotential for harm
Have generator or other power source capable of supplying service within 10 seconds.
- 0712Generalpotential for harm
Have simulated fire drills held at unexpected times.
- 0531Generalpotential for harm
Have elevators that firefighters can control in the event of a fire.
- 0355Generalpotential for harm
Properly select, install, inspect, or maintain portable fire extinguishes.
- 0353Generalpotential for harm
Inspect, test, and maintain automatic sprinkler systems.
- 0324Generalpotential for harm
Provide properly protected cooking facilities.
- 0321Generalpotential for harm
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- 0223Generalpotential for harm
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- 0222Generalpotential for harm
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- 0039Generalpotential for harm
Conduct testing and exercise requirements.
- 0037Generalpotential for harm
Establish staff and initial training requirements.
- 0013Generalpotential for harm
Develop Emergency Preparedness policies and procedures.
- 0004Generalpotential for harm
Develop and maintain an Emergency Preparedness Program (EP).
- 0351Generalpotential for harm
Install an approved automatic sprinkler system.
- 0345Generalpotential for harm
Have approved installation, maintenance and testing program for fire alarm systems.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0803Generalpotential for harm
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0759Generalpotential for harm
Ensure medication error rates are not 5 percent or greater.
- 0600Generalpotential for harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- 0610Generalpotential for harm
Respond appropriately to all alleged violations.
- 0346Generalpotential for harm
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- 0004Generalpotential for harm
Develop and maintain an Emergency Preparedness Program (EP).
- 0013Generalpotential for harm
Develop Emergency Preparedness policies and procedures.
- 0015Generalpotential for harm
Address subsistence needs for staff and patients.
- 0022Generalpotential for harm
Establish policies and procedures for sheltering.
- 0025Generalpotential for harm
Create arrangements with other facilities to receive patients.
- 0026Generalpotential for harm
Establish roles under a Waiver declared by secretary.
- 0032Generalpotential for harm
Provide primary/alternate means for communication.
- 0039Generalpotential for harm
Conduct testing and exercise requirements.
- 0041Generalpotential for harm
Implement emergency and standby power systems.
- 0211Generalpotential for harm
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- 0223Generalpotential for harm
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- 0281Generalpotential for harm
Install proper backup exit lighting.
- 0291Generalpotential for harm
Install emergency lighting that can last at least 1 1/2 hours.
- 0293Generalpotential for harm
Have properly located and lighted "Exit" signs.
- 0321Generalpotential for harm
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- 0325Generalpotential for harm
Have properly installed hallway dispensers for alcohol-based hand rub.
- 0353Generalpotential for harm
Inspect, test, and maintain automatic sprinkler systems.
- 0354Generalpotential for harm
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- 0521Generalpotential for harm
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- 0531Generalpotential for harm
Have elevators that firefighters can control in the event of a fire.
- 0712Generalpotential for harm
Have simulated fire drills held at unexpected times.
- 0918Generalpotential for harm
Have generator or other power source capable of supplying service within 10 seconds.
- 0640Generalpotential for harm
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
- 0689Generalpotential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 0692Seriousactual harm
Provide enough food/fluids to maintain a resident's health.
- 0727Generalpotential for harm
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
- 0801Generalpotential for harm
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
- 0809Generalpotential for harm
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
- 0835Generalpotential for harm
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
- 0689Seriousimmediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 0835Generalpotential for harm
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
- 0531Generalpotential for harm
Have elevators that firefighters can control in the event of a fire.
- 0521Generalpotential for harm
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- 0374Generalpotential for harm
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- 0363Generalpotential for harm
Install corridor and hallway doors that block smoke.
- 0354Generalpotential for harm
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- 0353Generalpotential for harm
Inspect, test, and maintain automatic sprinkler systems.
- 0346Generalpotential for harm
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- 0345Generalpotential for harm
Have approved installation, maintenance and testing program for fire alarm systems.
- 0293Generalpotential for harm
Have properly located and lighted "Exit" signs.
- 0291Generalpotential for harm
Install emergency lighting that can last at least 1 1/2 hours.
- 0223Generalpotential for harm
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- 0041Generalpotential for harm
Implement emergency and standby power systems.
- 0037Generalpotential for harm
Establish staff and initial training requirements.
- 0036Generalpotential for harm
Establish emergency prep training and testing.
- 0025Generalpotential for harm
Create arrangements with other facilities to receive patients.
- 0022Generalpotential for harm
Establish policies and procedures for sheltering.
- 0015Generalpotential for harm
Address subsistence needs for staff and patients.
- 0690Generalpotential for harm
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0801Generalpotential for harm
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
- 0758Generalpotential for harm
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
- 0695Generalpotential for harm
Provide safe and appropriate respiratory care for a resident when needed.
- 0923Generalpotential for harm
Have proper medical gas storage and administration areas.
- 0926Generalpotential for harm
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
- 0920Generalpotential for harm
Ensure proper usage of power strips and extension cords.
- 0918Generalpotential for harm
Have generator or other power source capable of supplying service within 10 seconds.
- 0914Generalpotential for harm
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- 0761Generalpotential for harm
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- 0712Generalpotential for harm
Have simulated fire drills held at unexpected times.
- 0741Generalpotential for harm
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- 0711Generalpotential for harm
Provide a written emergency evacuation plan.
FAQ
Questions and answers
- What is Libertyville Manor Ext Care?
- Libertyville Manor Ext Care is a Medicare- and Medicaid-certified nursing home in Libertyville, IL, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 145344.
- What is the CMS rating for Libertyville Manor Ext Care?
- Libertyville Manor Ext Care has a CMS overall rating of 2 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
- How many beds does Libertyville Manor Ext Care have?
- Libertyville Manor Ext Care is certified for 174 beds. It serves an average of 27.2 residents per day.
- How many citations does Libertyville Manor Ext Care have?
- Libertyville Manor Ext Care has 93 citations on record from CMS health inspections, each tied to a federal deficiency tag.
- When was Libertyville Manor Ext Care last inspected?
- Libertyville Manor Ext Care was last inspected on February 18, 2025. CMS surveys nursing homes about once a year and after complaints.
- What can I do if I have concerns about care at this facility?
- Start by raising the concern with the facility administrator or director of nursing. Every state also runs a free long-term care ombudsman program that advocates for residents and families; the federal Eldercare Locator at eldercare.acl.gov can connect you with yours. Complaints about quality of care can also be filed with your state survey agency.
*Sourced from the Centers for Medicare & Medicaid Services (CMS). See the official record on CMS Care Compare. If you believe any information is inaccurate, report it here.
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