Inspection Reports for
Symphony Bronzeville

The facility failed to ensure missing ceiling tiles were replaced in a hallway and residents' room, affecting three residents and potentially 36 residents in total.

Two deficiencies were cited: failure to monitor and document blood glucose per physician's order affecting one resident, and failure to provide appropriate pressure ulcer care resulting in actual harm to two residents.

The facility failed to ensure medications were securely stored for one resident, with staff leaving medications unattended at the bedside.

The facility failed to ensure call lights were answered in a timely manner for one resident, resulting in a delay of 11 minutes before assistance was provided.

The facility failed to protect residents from physical abuse by roommates, resulting in actual harm to three residents. Multiple incidents of resident-to-resident altercations were documented and investigated.

The facility failed to provide appropriate pressure ulcer care, resulting in actual harm to one resident who developed wound infection and was hospitalized.

The facility failed to ensure proper inventory of a resident's personal belongings and failed to adequately assess, plan, and implement fall prevention measures for a high-risk resident, resulting in actual harm.

The facility failed to notify a representative of a resident's change in condition, failed to prevent resident-to-resident abuse resulting in injury, and failed to provide adequate supervision and monitoring to prevent accidents and wandering. These failures affected multiple residents and posed risks to the resident population.

The facility failed to ensure the resident's call light device was functioning properly, affecting one resident out of three reviewed.

The facility was found to have multiple deficiencies including failure to prevent resident-to-resident physical abuse, improper administration of IV fluids, and unsecured medication carts. The facility presented an educational in-service on calculating drip rates and policies on medication administration.

The facility failed to provide appropriate assistance during ADL care and follow ADL care plan interventions for use of side rails, and failed to complete fall risk evaluation/assessment in a timely manner. These failures resulted in a resident fall with a left hip fracture.

The facility was found to have multiple deficiencies related to care planning, nursing care, pressure ulcer management, and call light functionality affecting several residents. The facility failed to provide individualized care plans for pressure ulcers, did not properly address abnormal vital signs for a hospice resident, failed to follow physician orders for pressure ulcer care, and did not ensure a working call light for one resident.

The facility was found to have two deficiencies: one related to failure to protect a resident from abuse and another related to inadequate pressure ulcer care and documentation. The facility failed to prevent resident-to-resident abuse and did not properly assess, monitor, or document pressure ulcers for a high-risk resident.

The facility was found to have failed to protect a resident from verbal and emotional abuse by a staff member and failed to timely report the abuse allegation to the state surveying agency. The facility's policies and staff training on abuse were documented.

Complaint investigation involving verbal abuse and physical aggression between residents R2 and R3, and pain management issues for resident R1.

The facility failed to affirm the right of a resident to be free from verbal abuse and failed to administer scheduled pain medication on time for a hospice resident with prostate and bone cancer. The facility investigated the resident altercation and took corrective actions including separating the residents and educating staff on medication administration.

The facility was found to have multiple deficiencies including failure to assess residents' ability to self-administer medications, inadequate call light accessibility, failure to maintain survey records for resident review, incomplete PASRR screenings, lack of resident participation in care plan conferences, failure to follow physician orders for infectious disease consult, inadequate wound care, unsafe environment hazards, improper catheter care, untimely feeding tube formula changes, unlabeled respiratory equipment, improper storage of controlled substances, incomplete personal refrigerator monitoring, failure to implement enhanced barrier precautions, and unsafe laundry dryer maintenance.

The facility failed to ensure two staff members were present during ADL care for one resident, resulting in a fall and hematoma. The resident was dependent on staff for bed mobility and rolled out of bed when only one staff member was present.

The facility was found to have deficiencies in call light response, environmental comfort, incontinent care, feeding assistance, and staffing adequacy. The surveyor observed delays in call light response, inadequate cooling in resident rooms, untimely incontinent care for four residents, failure to provide 1:1 feeding assistance to a resident, and insufficient nursing staff to meet resident needs.

The facility failed to provide the nutritional supplement as ordered by the physician to one resident. The dietary and nursing staff acknowledged the omission and facility policy requires supplements to be given with meals according to physician orders.

The facility failed to provide adequate supervision and individualized fall prevention interventions for cognitively impaired residents, resulting in repeated falls affecting three residents. The facility's Fall Prevention and Management Policy was reviewed and found to include appropriate interventions, but staff compliance was lacking.

The facility failed to maintain a clean and sanitary environment due to dirty air vents and stained ceiling tiles caused by water leaks, potentially affecting all 189 residents.

The facility was found to have deficiencies in bathing/showering documentation and frequency, fall risk evaluation and care plan updates for a resident with multiple falls, and food temperature standards affecting many residents.

The facility was found to have minimal harm level deficiencies related to environmental conditions and failure to timely report and investigate an injury of unknown origin. The facility failed to provide a safe, clean, and homelike environment and did not thoroughly investigate a resident's bruising as required by policy.

The facility failed to maintain a homelike environment due to water stains on ceiling tiles and non-functioning exhaust vents in multiple resident restrooms. The facility acknowledged the issues and planned to repair or replace the rooftop motor controlling the exhaust vents.

The facility failed to provide an environment free from accident hazards related to defective wheelchairs, resulting in an injury to resident R3 and safety concerns for residents R6 and R7.

The facility was found to have deficiencies related to failure to provide personal trust fund allowance to one resident and failure to provide routine access to warm/hot water for residents. The facility's policies and procedures for trust fund management and water temperature monitoring were reviewed.

The facility failed to maintain a functioning call light system affecting all 173 residents and failed to follow fall prevention policies resulting in a resident sustaining a fall with head injury.

The facility was found to have multiple deficiencies including failure to ensure accurate medication administration, insufficient nursing staff, improper medication storage, and food safety violations. Corrective actions are required to address these issues to ensure resident safety and compliance with regulations.

The facility was found to have failed to prevent misappropriation of property affecting one resident, did not consistently provide meals according to a resident's dietary orders, and failed to maintain complete and accurate medication administration records for one resident.

The facility failed to utilize two staff members during a mechanical lift transfer for one resident, resulting in a fall causing a right hip and fibular fracture. Staff interviews and facility policy indicate two staff are required for mechanical lift transfers to ensure safety.

The facility was found to have three deficiencies related to resident-to-resident abuse, pressure ulcer care, and incontinent care. The facility failed to prevent physical abuse between residents, provide wound treatments as ordered, and provide timely incontinence care to dependent residents.

The facility failed to implement fall prevention interventions as care planned for one resident and failed to provide adequate supervision to another resident using a motorized wheelchair, resulting in injury. The facility's policies and documentation regarding fall risk and supervision were reviewed.

The facility was found to have multiple deficiencies including failure to develop baseline care plans within 48 hours of admission, improper labeling of peripheral intravenous catheters, failure to discard expired medications and secure medication carts, improper food storage and thawing practices, and failure to enforce transmission-based precautions for visitors.