6 CMS Surveys
Inspection Report — Sep 4, 2025
Date: Sep 4, 2025
Visit Reason
The document does not contain an A 000 Initial Comment block specifying the visit type.
Findings
The facility failed to provide needed care and services in accordance with residents' plans of care as ordered by physicians and facility protocols, affecting two residents reviewed for quality of care.
Deficiencies (1)
F0684 - The facility failed to provide appropriate treatment and care according to orders, resident's preferences and goals, affecting two residents with skin impairments and wound care needs.
Report Facts
Residents affected: 2
Inspection Report — May 8, 2025
Annual Inspection
Date: May 8, 2025
Visit Reason
Annual Licensure Survey
Findings
The facility failed to conduct PASARR screenings for 4 of 6 residents reviewed and failed to provide appropriate pressure ulcer care for 1 of 4 residents reviewed. The deficiencies were cited with minimal harm and affected some or few residents.
Deficiencies (2)
F0645 (PASARR screening for Mental disorders or Intellectual Disabilities) - The facility failed to conduct a PASARR screening for 4 of 6 residents reviewed and failed to ensure residents identified with a mental disorder were evaluated and provided care in the most appropriate setting.
F0686 (Provide appropriate pressure ulcer care and prevent new ulcers from developing) - The facility failed to assess pressure ulcers and provide timely treatment for 1 of 4 residents reviewed, resulting in a facility-acquired stage 4 coccyx wound with worsening condition and pain.
Report Facts
Residents affected: 4
Residents affected: 1
Residents reviewed: 6
Residents reviewed: 4
Inspection Report — Oct 12, 2024
Date: Oct 12, 2024
Visit Reason
The document does not contain an A 000 Initial Comment block specifying the visit type; therefore, inspection_type is set to 'other'.
Findings
The facility failed to ensure soiled linens were handled properly and incontinence care was not completed according to policy for one of three residents reviewed, posing an infection control risk.
Deficiencies (1)
F0880 - Provide and implement an infection prevention and control program. The facility failed to ensure soiled linens were handled to prevent cross contamination and failed to provide proper incontinence care for one of three residents reviewed.
Report Facts
Residents affected: 1
Residents reviewed: 3
Inspection Report — Jun 7, 2024
Date: Jun 7, 2024
Visit Reason
The document does not contain an A 000 Initial Comment block specifying the visit type. It is a Statement of Deficiencies and Plan of Correction form for Grove of Skokie, completed on 06/07/2024.
Findings
Two deficiencies were cited: one for failure to maintain resident privacy affecting one resident, and another for failure to properly label and date food items and sanitize equipment, potentially affecting 131 residents on oral diet and 13 residents on puree diet.
Deficiencies (2)
F0583 (Statement of Resident Rights) - The facility failed to follow the Statement of Resident Rights when a resident was left exposed showing his bare chest and legs visible from the hallway, affecting one resident.
F0812 (Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards) - The facility failed to label and date a package of pita bread and a bulk bag of Indian flour and failed to immerse blender items for the required time during sanitization, potentially affecting 131 residents on oral diet and 13 residents on puree diet.
Report Facts
Residents affected: 1
Residents affected: 131
Residents affected: 13
Inspection Report — Jun 1, 2023
Date: Jun 1, 2023
Visit Reason
The document does not contain an A 000 Initial Comment block specifying the visit type; therefore, the inspection type is classified as 'other'.
Findings
The facility failed to protect residents from physical abuse by another resident, resulting in injury to one resident. The investigation detailed an incident where resident R3 physically attacked resident R4, causing shoulder pain and hospital admission.
Deficiencies (1)
F0600 (295.6000 Resident Rights) - The facility failed to protect residents from physical abuse by another resident, as evidenced by R3 physically attacking R4 causing injury and hospital admission.
Report Facts
Residents affected: 2
Inspection Report — May 18, 2023
Date: May 18, 2023
Visit Reason
The document does not contain an A 000 Initial Comment block specifying the visit type. It is a Statement of Deficiencies and Plan of Correction for Grove of Skokie.
Findings
The facility was found to have multiple deficiencies related to pressure ulcer care, pain management, controlled medication counts, and medication storage and labeling.
Deficiencies (4)
F0686 (Pressure Ulcer Care) - The facility failed to prevent or identify the formation of a pressure injury and failed to follow physician's orders and facility skin care policy for one resident (R49), resulting in a stage 4 pressure ulcer.
F0697 (Pain Management) - The facility failed to perform comprehensive pain assessments as scheduled, failed to administer pain medication as requested or needed, and failed to follow pain policy for two residents (R115, R129), resulting in periods of unbearable pain.
F0755 (Controlled Medication Count) - The facility failed to maintain an accurate count of schedule II controlled pain medication for one resident (R129), resulting in a significant medication discrepancy.
F0761 (Medication Storage and Labeling) - The facility failed to follow pharmacy medication storage and labeling policy and medication pass policy by not noting and implementing open date labels and failing to refrigerate new medication requiring refrigeration for six residents (R22, R27, R61, R70, R76, R121).
Report Facts
Residents affected: 1
Residents affected: 2
Residents affected: 1
Residents affected: 6
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