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 maintain privacy and dignity with catheter care, inadequate ADL assistance, 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 sanitation and isolation precautions.
Deficiencies (9)
F0550 (295.6000 Resident Rights) - The facility failed to ensure that indwelling catheter drainage bags were covered in privacy bags for two residents, compromising dignity and privacy.
F0677 (295.6000 Provide care and assistance) - The facility failed to provide adequate ADL care for one dependent resident, resulting in poor personal hygiene and discomfort.
F0684 (295.6000 Provide appropriate treatment and care) - The facility failed to ensure medications were administered at the scheduled time for one resident, potentially affecting all residents.
F0690 (295.6000 Provide appropriate catheter care) - The facility failed to ensure the urinary drainage bag was positioned below the bladder for one resident, risking urinary tract infection.
F0695 (295.6000 Provide safe and appropriate respiratory care) - The facility failed to label and date oxygen equipment and properly contain nebulizer masks for one resident.
F0732 (295.6000 Post nurse staffing information) - The facility failed to post daily nursing staffing information in a visible and accessible location, affecting all residents.
F0761 (295.6000 Ensure drugs and biologicals are stored securely) - The facility failed to keep a medication cart locked and unattended, risking medication errors and resident safety.
F0813 (295.6000 Have a policy regarding use and storage of foods) - The facility failed to maintain temperature logs and proper cleaning for personal refrigerators and freezers for two residents.
F0880 (295.6000 Provide and implement an infection prevention and control program) - The facility failed to sanitize medication trays between residents, improperly placed trash receptacles outside isolation rooms, failed to maintain COVID-19 isolation precautions, and failed to label IV sites with dates 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. It is a deficiency report for Selfhelp Home of Chicago dated 09/06/2023.
Findings
The facility failed to follow fall protocols, provide adequate supervision, and develop specific fall interventions for one resident, resulting in a fractured femoral neck and surgical repair.
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. For this survey, the establishment is in compliance with Part 295 except for the cited violations.
Findings
The facility was found to have multiple deficiencies including failure to provide private space for resident council meetings, improper use of physical restraints, failure to secure controlled medications, expired medications and food items, inaccurate resident records, failure to follow infection control procedures, and incomplete COVID-19 vaccination documentation for staff.
Deficiencies (9)
F 0565 (Resident Rights) - The facility failed to provide residents with private space for resident council meetings and failed to notify the resident representative (Ombudsman) of meeting date changes, affecting all 55 residents.
F 0604 (Physical Restraints) - The facility failed to ensure residents are free from physical restraints for 1 resident (R47) by placing her behind the nurse's desk with wheelchair locked without documentation in the care plan.
F 0689 (Accident Hazards) - The facility failed to follow policy to use gait belts when transferring 1 resident (R47) who requires extensive assistance.
F 0755 (Pharmaceutical Services) - The facility failed to properly secure controlled medications in the medication refrigerator for 3 residents (R261, R27, R36).
F 0761 (Drug Storage) - The facility failed to dispose of expired medications found on the medication cart and in the medication room, potentially affecting 21 residents.
F 0812 (Food Procurement and Storage) - The facility failed to ensure the kitchen was free of expired food products, potentially affecting 52 residents.
F 0842 (Resident Records) - The facility failed to maintain accurate resident records for 3 residents (R111, R17, R47), including removal of infection control care plan and omission of wound status.
F 0880 (Infection Control) - The facility failed to follow enhanced barrier precautions for 1 resident (R111) with Lyme's disease and failed to perform hand hygiene during wound care for 1 resident (R47).
F 0888 (COVID-19 Vaccination) - The facility failed to ensure and monitor COVID-19 vaccination status for all healthcare personnel, including contracted staff and therapists, potentially affecting all 55 residents.
Report Facts
Residents affected: 55
Residents affected: 1
Residents affected: 3
Residents affected: 21
Residents affected: 52
Residents affected: 3
Residents affected: 1
Residents affected: 55
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, the inspection type is classified as 'other'.
Findings
Two deficiencies were cited related to medication storage and vaccination tracking. The facility failed to ensure eye drop bottles were dated when opened, affecting two residents, and lacked a policy for tracking influenza and pneumococcal vaccinations for three 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
Residents reviewed: 10
Residents reviewed: 7
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