Inspection Reports for
Peterson Park Health Care Center

Complaint #145838: Section F0925 cited.

The facility failed to provide and maintain an effective pest control program, resulting in roach sightings in resident rooms and common areas. The pest control policy was not effectively implemented despite hiring an exterminator.

Complaint #145838: Allegation of physical abuse investigated; based on resident and staff interviews, the allegation of abuse cannot be substantiated.

The facility found that a resident slapped another resident on the face, constituting physical abuse. The allegation was investigated but could not be substantiated as the alleged offender stated he lost control due to sleep deprivation and did not intend harm.

The facility was found to have multiple deficiencies including failure to provide appropriate care for residents with splints, inadequate supervision and safety measures on the smoking patio, failure to provide proper enteral feeding care, expired medications and enteral feedings in stock, failure to follow pureed diet menus, improper kitchen sanitation practices, unlabeled food in resident refrigerators, failure to implement infection prevention protocols including PPE use and linen handling, and a non-functioning call light system for one resident.

The facility failed to schedule service plan meetings for the [NAME] Consent Decree Program to transition residents back into the community, potentially affecting 28 residents.

The facility was found to have deficiencies related to resident rights and feeding tube care. The facility failed to inventory a resident's belongings upon readmission and allowed unauthorized staff to operate an enteral feeding pump.

The facility was found to have multiple deficiencies including failure to maintain resident dignity, inadequate maintenance, insufficient nail and foot care, medication administration errors, improper refrigerator temperature logging, unsanitary bathroom and shower conditions, and failure to control cigarette odor affecting non-smoking residents.

The facility was found to have deficiencies related to sanitation and smoking policy compliance affecting residents on the first floor and north wing.

The facility failed to ensure timely response to a resident's call device and failed to provide showers or bed baths as scheduled for a resident requiring extensive assistance. The deficiencies affected one resident out of four reviewed for ADL care.

The facility was found to have multiple deficiencies including failure to complete admission contracts timely, storing staff belongings in a resident's closet, and a hazardous faulty power cord that caused immediate jeopardy to resident health or safety. The facility implemented an abatement plan to remove the immediate jeopardy and initiated staff in-service and monitoring procedures.

The facility failed to provide an escort for a resident during transportation to an appointment on 4/15/23, which affected one resident. The facility's policies require escorts depending on resident needs, but the escort was not scheduled or provided on that date.

The facility failed to ensure effective communication interventions for a resident with language barriers, failed to protect residents from abuse, and failed to timely report abuse incidents to IDPH. The survey identified issues with resident-to-resident abuse and inadequate staff awareness and reporting.

The facility was found to have multiple deficiencies including failure to provide privacy during incontinent care, failure to ensure dignity during dining, failure to assess resident for safe self-administration of medication, failure to provide oral care and grooming, improper use and setting of low air loss mattresses, failure to apply restorative devices to prevent contractures, unsecured laundry chute posing a safety hazard, failure to label oxygen tubing, medication errors, and improper medication storage and labeling.