3 CMS Surveys
Inspection Report — Jun 26, 2025
Date: Jun 26, 2025
Visit Reason
No Initial Comment block found specifying the visit type; the document states no health deficiencies found.
Findings
The establishment was found in compliance with no health deficiencies cited.
Inspection Report — Jun 13, 2024
Date: Jun 13, 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 implement its grievance policy by not documenting a resident complaint and resolution. The facility also failed to conduct timely background checks for 10 residents, potentially affecting all 42 residents currently residing in the facility.
Deficiencies (2)
F0585 - The facility failed to implement their grievance policy by not documenting a complaint and applicable resolution made by a resident regarding the carpet in their room.
F0607 - The facility failed to follow its policy in conducting background checks for 10 residents reviewed for admission screening, potentially affecting all 42 residents currently residing in the facility.
Report Facts
Residents affected: 1
Residents affected: 10
Inspection Report — Aug 25, 2023
Date: Aug 25, 2023
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 was found to have multiple deficiencies related to care plan updates after falls, failure to timely report falls to IDPH, lack of behavioral health care planning for a resident with delusions, and inadequate monitoring of antibiotic use without proper indication.
Deficiencies (4)
F0657 (Care Plan Revision) - The facility failed to update fall care plan interventions after each fall incident and failed to update the care plan for a resident on indefinite prophylaxis antibiotics. This affected four residents (R11, R21, R26, and R39).
F0689 (Fall Prevention) - The facility failed to follow its fall prevention protocol by not notifying IDPH timely of a resident fall requiring hospitalization and failed to ensure effective interventions to reduce fall risk for two residents (R11 and R39).
F0740 (Behavioral Health Care) - The facility failed to provide psychiatric/psychological evaluation and behavioral management interventions for a resident (R26) with delusions of food poisoning and refusal of care and medications.
F0757 (Unnecessary Drugs) - The facility failed to adequately monitor a resident (R26) on antibiotics without adequate indication, lacking care plan and documentation for prophylactic antibiotic use.
Report Facts
Residents affected: 4
Residents affected: 2
Residents affected: 1
Residents affected: 1
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