Inspection Reports for
Celebrate Senior Living Niles
7000 N Newark Ave, Niles, IL 60714, Niles, IL, 60714
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
2.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
23% better than Illinois average
Illinois average: 3.5 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Annual Inspection
Deficiencies: 4
Date: Oct 31, 2024
Visit Reason
The inspection was conducted as an annual survey to assess compliance with regulatory requirements related to resident care, medication management, infection control, and pressure ulcer prevention.
Findings
The facility failed to develop and implement a comprehensive care plan for incontinence for one resident, failed to prevent deterioration and reopening of pressure ulcers for two residents, failed to properly date multidose medication vials and eye drops, and failed to consistently implement enhanced barrier precautions for residents requiring them.
Deficiencies (4)
F 0656: The facility failed to develop and implement a comprehensive person-centered care plan for incontinence care for one resident (R18).
F 0686: The facility failed to assess and implement interventions to prevent development and reopening of pressure ulcers and failed to maintain proper functioning of low air loss mattress for two residents (R24 and R30).
F 0761: The facility failed to ensure multidose vials, eye drops, inhalers, and nasal sprays were properly dated when opened, affecting seven residents.
F 0880: The facility failed to follow policy on enhanced barrier precautions, with staff not consistently wearing gowns and gloves for residents on EBP and lack of signage outside rooms.
Report Facts
Residents reviewed for incontinence care: 32
Residents reviewed for skin impairment: 32
Residents reviewed for medication storage and labeling: 32
Residents reviewed for infection control: 32
Residents affected by incontinence care deficiency: 1
Residents affected by pressure ulcer deficiency: 2
Residents affected by medication labeling deficiency: 7
Residents affected by infection control deficiency: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| V2 | Director of Nursing | Interviewed regarding care plans, pressure ulcer prevention, medication labeling, and enhanced barrier precautions |
| V3 | Licensed Practical Nurse | Provided observations on wound care, medication storage, and infection control practices |
| V7 | Wound Doctor | Provided wound assessments and treatment orders |
| V8 | Wound Nurse | Involved in wound care and assessments |
| V9 | Licensed Practical Nurse | Observed medication administration and wound care |
| V10 | Certified Nurse Assistant | Observed providing care to residents on enhanced barrier precautions |
| V16 | Certified Nursing Assistant | Observed providing incontinence care and transfers |
| V17 | Infection Preventionist | Interviewed regarding enhanced barrier precautions and infection control policies |
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Jun 6, 2024
Visit Reason
The inspection was conducted due to a complaint investigation regarding resident safety during transfer from a regular bed to a bariatric bed at Celebrate Senior Living Niles.
Complaint Details
The investigation was complaint-driven, focusing on an incident where resident R1 was transferred using a bed sheet instead of a mechanical lift, despite pain and refusal. The complaint was substantiated by findings of an acute fracture confirmed by hospital X-ray.
Findings
The facility failed to maintain resident safety during the transfer of one resident (R1) using a bed sheet, resulting in an acute right proximal femoral fracture. Multiple staff assisted with the transfer despite the resident's refusal of mechanical lift and complaints of pain.
Deficiencies (1)
F 0689: The facility failed to ensure a nursing home area was free from accident hazards and provide adequate supervision to prevent accidents. This failure led to a resident sustaining an acute right proximal femoral fracture during transfer from a regular bed to a bariatric bed using a bed sheet.
Report Facts
Residents affected: 1
Staff assisting transfer: 6
Pain scale: 8
Pain scale: 10
X-ray views: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| V6 | Registered Nurse (RN) | Assigned nurse on 4/20/24 who assisted with transfer and reported pain complaints. |
| V12 | Licensed Practical Nurse (LPN) | Nurse who ordered right hip X-ray and reported pain complaints. |
| V13 | Nurse Practitioner (NP) | Ordered X-ray and hospital transfer for resident R1. |
| V2 | Director of Nursing (DON) | Reported on admission and transfer details of resident R1. |
| V5 | Certified Nursing Assistant (CNA) | Observed and assisted with resident transfer. |
| V7 | Registered Nurse (RN) | Present during transfer and observed resident condition. |
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Sep 22, 2023
Visit Reason
Annual inspection survey of Celebrate Senior Living Niles nursing home to assess compliance with health and safety regulations.
Findings
No health deficiencies were found during the inspection.
Inspection Report
Complaint Investigation
Deficiencies: 2
Date: Apr 11, 2023
Visit Reason
The inspection was conducted to investigate complaints regarding failure to monitor residents' vital signs and inadequate fall prevention measures in the nursing home.
Complaint Details
The investigation was complaint-driven, focusing on allegations of inadequate vital sign monitoring and fall prevention. The deficiencies were substantiated as the facility failed to monitor vital signs timely and did not implement fall prevention measures or update care plans accordingly.
Findings
The facility failed to ensure timely monitoring of a resident's vital signs, resulting in severe sepsis and hospitalization. Additionally, the facility did not implement fall prevention interventions or update care plans for residents at high risk of falls, affecting seven residents.
Deficiencies (2)
F 0658: The facility failed to ensure a resident's daily vital signs were monitored, missing vital signs documentation from 12/1/23 to 12/3/23, leading to severe sepsis and hospitalization.
F 0689: The facility failed to implement fall prevention interventions and update care plans for seven residents at high risk for falls, including improper bed positioning and inaccessible call lights.
Report Facts
Residents affected: 1
Residents affected: 7
Fall incidents history: 12
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Mentioned in relation to vital signs monitoring and fall prevention | |
| Care Plan Coordinator | Mentioned in relation to vital signs monitoring and fall prevention | |
| Restorative Aide | Observed adjusting bed position for resident | |
| Licensed Practical Nurse | Reported resident falls and assisted with call light placement | |
| Social Service Director | Observed and corrected call light placement | |
| Certified Nursing Assistant | Observed resident room and bed conditions |
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Oct 6, 2022
Visit Reason
The inspection was conducted due to concerns about medication administration errors, specifically to ensure medication error rates were not 5 percent or greater.
Complaint Details
The visit was complaint-related due to medication administration errors. The medication error rate was substantiated at 15.38%, affecting one resident out of nine reviewed during medication administration.
Findings
The facility failed to maintain a medication error rate of 5% or lower, with 4 medication errors observed out of 26 opportunities, resulting in a 15.38% error rate. Errors included crushing extended release medications and medications that should be given whole, and failure to administer a medication due to unavailability.
Deficiencies (1)
F 0759: The facility failed to ensure medication error rates were not 5 percent or greater, with a 15.38% error rate observed during medication administration. Errors included crushing extended release medications and not administering a medication due to unavailability.
Report Facts
Medication administration opportunities observed: 26
Medication errors observed: 4
Medication error rate: 15.38
Residents reviewed for medication administration: 9
Employees mentioned
| Name | Title | Context |
|---|---|---|
| V4 | Licensed Practical Nurse (LPN) | Named in medication error findings for crushing medications and medication unavailability |
| V2 | Director of Nursing | Interviewed regarding medication administration policies and procedures |
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