West Chicago, IL

Aperion Care West Chicago

1-star overall rating with 1-star inspections with abuse icon flag with $250,348 in total fines with 20 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle

201 West North Avenue, West Chicago, IL

(630) 876-8100

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

213

Certified beds

Average residents

209

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Aperion Care

Operator or chain grouping

Approved since

1995-03-30

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

33 facilities

Chain averages 2 overall / 2 health / 2 staffing / 3 quality stars

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.45

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

0.39

Licensed practical nurse staffing · state 0.64 · national 0.87

Aide hours / resident day

0.85

Nurse aide staffing · state 2.13 · national 2.35

Total nurse hours

1.69

All reported nurse hours · state 3.49 · national 3.89

Licensed hours

0.85

RN + LPN hours · state 1.36 · national 1.54

Weekend hours

1.50

Weekend nurse staffing · state 3.09 · national 3.43

Weekend RN hours

0.36

Weekend registered nurse coverage · state 0.56 · national 0.47

Physical therapist

0.02

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.36

CMS adjusted RN staffing hours

Adjusted total hours

1.33

CMS adjusted total nurse staffing hours

Case-mix index

1.74

Higher values indicate more complex resident acuity

RN turnover

Annual RN turnover · state 44% · national 45%

Total nurse turnover

22%

Annual nurse turnover · state 46% · national 46%

SNF VBP

Value-based purchasing

Program rank

4,401

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

40.13

Composite VBP score used to determine payment impact.

Payment multiplier

0.9931

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

3.64

Baseline 21.63% · Performance 19.74% · Measure score 3.64 · Achievement 3.64 · Improvement 3.60

Healthcare-associated infections

3.63

Baseline 6.56% · Performance 6.75% · Measure score 3.63 · Achievement 3.63 · Improvement 0

Total nurse turnover

8.78

Baseline 42.86% · Performance 27.78% · Measure score 8.78 · Achievement 8.78 · Improvement 7.87

Adjusted total nurse staffing

Baseline 1.30 hours · Performance 1.39 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.65%	10.72% 1.1 pts better	No Different than the National Rate · Eligible stays 68 · Observed rate 4.41% · Lower 95% interval 6.08%
Discharge to community	Not Available	50.57%	Not Available · Eligible stays 11 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary	0.97	1.02 0.1 pts better
Drug regimen review with follow-up	95.24%	95.27% About the same	Numerator 40 · Denominator 42
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 42
Discharge self-care score	7.69%	53.69% 46 pts worse	Numerator 3 · Denominator 39
Discharge mobility score	25.64%	50.94% 25.3 pts worse	Numerator 10 · Denominator 39
Pressure ulcers or injuries, new or worsened	2.38%	2.29% 0.1 pts worse	Numerator 1 · Denominator 42 · Adjusted rate 2.22%
Healthcare-associated infections requiring hospitalization	6.75%	7.12% 0.4 pts better	No Different than the National Rate · Eligible stays 34 · Observed rate 2.94% · Lower 95% interval 2.93%
Staff COVID-19 vaccination coverage	1.2%	8.2% 7 pts worse	Numerator 2 · Denominator 167
Staff flu vaccination coverage	51.38%	42% 9.4 pts better	Numerator 93 · Denominator 181
Discharge function score	10.26%	56.45% 46.2 pts worse	Numerator 4 · Denominator 39
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	9.09%	25.2% 16.1 pts worse	Numerator 2 · Denominator 22

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.9	2.0 0.9 pts worse	1.9 1 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.9 · Observed 2.1 · Expected 1.4 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.0	2.3 1.3 pts better	1.8 0.8 pts better	Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 1.0 · Expected 1.6 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	90.6%	89.6% 1 pts better	93.4% 2.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 85.9% · Q2 87.6% · Q3 93.7% · Q4 95.2% · 4Q avg 90.6%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	97.7%	91.6% 6.1 pts better	95.5% 2.2 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 97.7%
Percentage of long-stay residents experiencing one or more falls with major injury	1.8%	3.3% 1.5 pts better	3.3% 1.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 2.4% · Q3 1.9% · Q4 1.0% · 4Q avg 1.8% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	99.9%	50.3% 49.6 pts worse	11.4% 88.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 99.5% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 99.9%
Percentage of long-stay residents who lose too much weight	3.3%	6.5% 3.2 pts better	5.4% 2.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 2.0% · Q3 5.1% · Q4 3.6% · 4Q avg 3.3%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	41.3%	18.5% 22.8 pts worse	19.6% 21.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 41.6% · Q2 42.0% · Q3 39.3% · Q4 42.3% · 4Q avg 41.3%
Percentage of long-stay residents who received an antipsychotic medication	87.7%	22.8% 64.9 pts worse	16.7% 71 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 85.3% · Q2 89.7% · Q3 87.4% · Q4 87.5% · 4Q avg 87.7% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.1% 0.1 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	7.7%	17.2% 9.5 pts better	16.3% 8.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 15.8% · Q2 7.4% · Q3 3.8% · Q4 3.7% · 4Q avg 7.7% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	3.8%	15.0% 11.2 pts better	14.9% 11.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.6% · Q2 3.0% · Q3 1.5% · Q4 4.0% · 4Q avg 3.8% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	1.1% 1.1 pts better	1.0% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.1%	1.7% 1.6 pts better	1.7% 1.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.5% · 4Q avg 0.1% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	5.9%	21.3% 15.4 pts better	19.8% 13.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.5% · Q2 6.1% · Q3 4.2% · Q4 7.7% · 4Q avg 5.9%
Percentage of long-stay residents with pressure ulcers	2.1%	5.2% 3.1 pts better	5.1% 3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.4% · Q3 3.7% · Q4 2.3% · 4Q avg 2.1% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	67.1%	68.8% 1.7 pts worse	81.7% 14.6 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 48.0% · Q2 73.9% · Q3 80.0% · 4Q avg 67.1%
Percentage of short-stay residents who had an outpatient emergency department visit	12.3%	14.0% 1.7 pts better	12.0% 0.3 pts worse	Short Stay · 20240701-20250630 · Adjusted 12.3% · Observed 15.2% · Expected 13.8% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	56.5%	63.0% 6.5 pts worse	79.7% 23.2 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 56.5%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	29.9%	26.2% 3.7 pts worse	23.9% 6 pts worse	Short Stay · 20240701-20250630 · Adjusted 29.9% · Observed 30.4% · Expected 24.2% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-12-05 · Fire 2024-12-05

20 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (6 deficiencies)

7 fire-safety deficiencies

Top issue: Smoke (5 deficiencies)

Cycle 2 Health 2024-01-10 · Fire 2024-01-10

18 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (6 deficiencies)

6 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 3 Health 2022-12-21 · Fire 2022-12-21

22 health deficiencies

Top issue: Quality of Life and Care (7 deficiencies)

10 fire-safety deficiencies

Top issue: Smoke (5 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-12-05

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-12-11

E · Potential for more than minimal harm 2024-12-05

K225 · Egress Deficiencies

Fire Safety

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

Corrected 2024-12-11

E · Potential for more than minimal harm 2024-12-05

K311 · Smoke Deficiencies

Fire Safety

Have an enclosure around a vertical opening shaft.

Corrected 2024-12-11

E · Potential for more than minimal harm 2024-12-05

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2024-12-11

E · Potential for more than minimal harm 2024-12-05

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-12-11

E · Potential for more than minimal harm 2024-12-05

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-12-11

E · Potential for more than minimal harm 2024-12-05

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2024-12-11

F · Potential for more than minimal harm 2024-01-10

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-01-29

E · Potential for more than minimal harm 2024-01-10

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2024-01-29

E · Potential for more than minimal harm 2024-01-10

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2024-01-29

E · Potential for more than minimal harm 2024-01-10

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-01-29

E · Potential for more than minimal harm 2024-01-10

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2024-01-29

E · Potential for more than minimal harm 2024-01-10

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-01-29

F · Potential for more than minimal harm 2022-12-21

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2023-03-03

F · Potential for more than minimal harm 2022-12-21

K531 · Services Deficiencies

Fire Safety

Have elevators that firefighters can control in the event of a fire.

Corrected 2023-03-02

E · Potential for more than minimal harm 2022-12-21

K111 · Construction Deficiencies

Fire Safety

Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.

Corrected 2023-03-02

E · Potential for more than minimal harm 2022-12-21

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2023-03-02

E · Potential for more than minimal harm 2022-12-21

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2023-03-02

E · Potential for more than minimal harm 2022-12-21

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2023-03-10

E · Potential for more than minimal harm 2022-12-21

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-03-02

E · Potential for more than minimal harm 2022-12-21

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-03-02

E · Potential for more than minimal harm 2022-12-21

K781 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of portable space heaters.

Corrected 2023-03-02

E · Potential for more than minimal harm 2022-12-21

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2023-03-02

Inspection history

Recent health citations

G · Actual harm 2026-01-31

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2026-02-04

F · Potential for more than minimal harm 2026-01-31

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2026-02-11

E · Potential for more than minimal harm 2026-01-31

F919 · Environmental Deficiencies

Health

Make sure that a working call system is available in each resident's bathroom and bathing area.

Corrected 2026-02-12

D · Potential for more than minimal harm 2026-01-31

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2026-02-04

D · Potential for more than minimal harm 2026-01-31

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2026-02-04

D · Potential for more than minimal harm 2026-01-31

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2026-02-11

F · Potential for more than minimal harm 2025-12-19

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2025-12-20

D · Potential for more than minimal harm 2025-10-22

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-10-27

D · Potential for more than minimal harm 2025-08-19

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2025-08-21

D · Potential for more than minimal harm 2025-07-14

F563 · Resident Rights Deficiencies

Health

Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.

Corrected 2025-07-17

D · Potential for more than minimal harm 2025-05-02

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2025-05-06

D · Potential for more than minimal harm 2025-04-24

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-04-28

J · Immediate jeopardy 2025-01-23

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-01-14

E · Potential for more than minimal harm 2024-12-05

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2024-12-10

D · Potential for more than minimal harm 2024-12-05

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2024-12-10

D · Potential for more than minimal harm 2024-12-05

F561 · Resident Rights Deficiencies

Health

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Corrected 2024-12-10

D · Potential for more than minimal harm 2024-12-05

F694 · Quality of Life and Care Deficiencies

Health

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Corrected 2024-12-10

D · Potential for more than minimal harm 2024-12-05

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2024-12-10

D · Potential for more than minimal harm 2024-12-05

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-12-10

D · Potential for more than minimal harm 2024-12-05

F803 · Nutrition and Dietary Deficiencies

Health

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Corrected 2024-12-10

D · Potential for more than minimal harm 2024-12-05

F806 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Corrected 2024-12-10

J · Immediate jeopardy 2024-07-18

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-07-21

D · Potential for more than minimal harm 2024-07-18

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-07-21

D · Potential for more than minimal harm 2024-07-18

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-07-21

D · Potential for more than minimal harm 2024-07-18

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2024-07-21

E · Potential for more than minimal harm 2024-06-18

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-06-24

E · Potential for more than minimal harm 2024-06-18

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-06-24

K · Immediate jeopardy 2024-02-08

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-02-09

G · Actual harm 2024-02-08

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-02-09

F · Potential for more than minimal harm 2024-02-08

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2024-02-09

D · Potential for more than minimal harm 2024-02-08

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2024-02-13

G · Actual harm 2024-01-10

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-02-09

E · Potential for more than minimal harm 2024-01-10

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-01-18

E · Potential for more than minimal harm 2024-01-10

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-01-18

D · Potential for more than minimal harm 2024-01-10

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2024-01-18

D · Potential for more than minimal harm 2024-01-10

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-01-18

D · Potential for more than minimal harm 2024-01-10

F685 · Quality of Life and Care Deficiencies

Health

Assist a resident in gaining access to vision and hearing services.

Corrected 2024-01-18

D · Potential for more than minimal harm 2024-01-10

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-02-09

D · Potential for more than minimal harm 2024-01-10

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2024-01-18

D · Potential for more than minimal harm 2024-01-10

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-01-18

D · Potential for more than minimal harm 2024-01-10

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-03-08

D · Potential for more than minimal harm 2024-01-10

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2024-01-15

D · Potential for more than minimal harm 2023-08-10

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2023-08-17

D · Potential for more than minimal harm 2023-07-18

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2023-07-24

D · Potential for more than minimal harm 2023-05-22

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2023-06-07

D · Potential for more than minimal harm 2023-05-22

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2023-06-08

D · Potential for more than minimal harm 2023-05-22

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2023-06-07

D · Potential for more than minimal harm 2023-05-22

F622 · Resident Rights Deficiencies

Health

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

Corrected 2023-06-07

F · Potential for more than minimal harm 2022-12-21

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-01-24

E · Potential for more than minimal harm 2022-12-21

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2023-01-04