Inspection Reports for
The Selfhelp Home Senior Living Community
908 W Argyle St, Chicago, IL 60640, IL, 60640
Back to Facility Profile4 CMS Surveys
Inspection Report — Aug 14, 2024
Annual Inspection
Date: Aug 14, 2024
Visit Reason
Annual Licensure Survey
Findings
The facility was found to have multiple deficiencies including failure to ensure privacy and dignity with catheter care, inadequate ADL care, medication administration issues, improper catheter drainage bag positioning, respiratory equipment labeling, failure to post daily nurse staffing, unlocked medication cart, improper food storage monitoring, infection control lapses including improper medication tray sanitization and isolation precautions.
Deficiencies (9)
F0550 - The facility failed to ensure that indwelling catheter drainage bags were covered in a privacy bag for two residents (R4 and R33).
F0677 - The facility failed to provide adequate ADL care for one dependent resident (R23), resulting in poor personal hygiene and dignity.
F0684 - The facility failed to ensure medications for one resident (R16) were administered at the scheduled time.
F0690 - The facility failed to ensure the urinary drainage bag was positioned below the bladder for one resident (R4).
F0695 - The facility failed to label and date oxygen equipment and properly contain oxygen equipment for one resident (R33).
F0732 - The facility failed to post daily nursing staffing information in a visible and accessible location.
F0761 - The facility failed to ensure a medication cart was kept locked when unattended, risking medication safety for 15 residents on the 6th floor.
F0813 - The facility failed to ensure personal refrigerators had temperature logs and were maintained properly for two residents (R16 and R46).
F0880 - The facility failed to implement infection prevention and control measures including failure to sanitize medication trays between residents, improper trash receptacle placement for isolation, failure to maintain COVID-19 isolation precautions, and unlabeled IV sites for multiple residents.
Report Facts
Residents affected: 2
Residents affected: 1
Residents affected: 1
Residents affected: 1
Residents affected: 1
Residents affected: 59
Residents affected: 15
Residents affected: 2
Residents affected: 5
Inspection Report — Sep 6, 2023
Date: Sep 6, 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 follow their fall protocol, provide adequate supervision, and develop specific fall interventions for one resident, resulting in a serious injury. The findings detail the circumstances of the fall, staff interviews, and the resident's medical condition.
Deficiencies (1)
F0689 (Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents) - The facility failed to follow their fall protocol, failed to provide adequate supervision, and failed to develop specific fall interventions for one resident, resulting in a closed displaced fracture of the left femoral neck and surgical arthroplasty.
Report Facts
Residents affected: 1
Inspection Report — May 12, 2023
Annual Inspection
Date: May 12, 2023
Visit Reason
Annual Licensure Survey
Findings
The facility was found to have multiple deficiencies including failure to provide private space for resident council meetings, improper use of physical restraints, unsecured controlled medications, expired medications and food, inaccurate resident records, failure to follow infection control procedures, and incomplete COVID-19 vaccination documentation for healthcare personnel.
Deficiencies (9)
F0565 - The facility failed to provide residents with private space for resident council meetings and failed to notify the resident representative of meeting date changes, potentially affecting all 55 residents.
F0604 - The facility failed to ensure residents are free from physical restraints for 1 resident (R47) out of 3 reviewed, by placing her behind the nurse's desk with wheelchair locked without documentation in the care plan.
F0689 - The facility failed to follow policy to use gait belts when transferring 1 resident (R47) out of 4 reviewed, increasing risk of falls.
F0755 - The facility failed to properly secure controlled medications for 3 residents (R261, R27, R36) by leaving medication refrigerator unlocked and not double locked as required.
F0761 - The facility failed to dispose of expired medications found on medication carts and in storage, potentially affecting 21 residents.
F0812 - The facility failed to ensure the kitchen was free of expired food products, potentially affecting 52 residents.
F0842 - The facility failed to maintain accurate resident records for 3 residents (R111, R17, R47), including removal of infection control precautions and omission of wound status in resident matrix.
F0880 - The facility failed to follow enhanced barrier precautions for 1 resident (R111) with Lyme's disease by not wearing proper PPE and failed to perform hand hygiene during wound care for 1 resident (R47).
F0888 - The facility failed to ensure and monitor COVID-19 vaccination status for all healthcare personnel, with missing documentation for multiple staff and contractors, potentially affecting all 55 residents.
Report Facts
Residents affected: 55
Residents affected: 21
Residents affected: 52
Residents affected: 1
Residents affected: 3
Residents affected: 3
Inspection Report — Mar 10, 2022
Date: Mar 10, 2022
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
Two deficiencies were cited related to medication labeling and vaccination tracking. The facility failed to date opened eye drop bottles for two residents and lacked a policy to track influenza and pneumococcal vaccinations for residents.
Deficiencies (2)
F0761 - The facility failed to ensure bottles of eye drops were dated when opened, affecting two residents of ten reviewed for medication storage.
F0883 - The facility failed to track the status of influenza and pneumococcal vaccinations and consents for three residents in a sample of seven, and had no procedure for tracking these vaccinations.
Report Facts
Residents affected: 2
Residents affected: 3
Sample size: 10
Sample size: 7
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