Evercare of Swansea

Inspectors wroteBased on observation, interview and record review, the facility failed to ensure residents were free of abuse for 2 (R6 and R7) of 4 residents reviewed for abuse in a sample of 9.

Inspectors wroteBased on interview and record review the facility failed to thoroughly investigate an allegation of physical resident to resident altercation for 4 (R4, R5, R6, R7) of 4 residents reviewed for abuse in a sample of 9.

Inspectors wroteBased on interview and record review, the facility failed to provide supervision and monitoring for 1 of 1 (R38) resident reviewed for elopement. This failure allowed a resident with fluctuating cognition impairments to sign himself out of the facility on 11/27/2025 at 3:00 PM with unknown destination, unknown return, and with staff unaware of his whereabouts. At 9:40 PM police found R38 sitting on the ground, very confused, a mile away from the facility by a busy 4 lane highway intersection. R38 was transferred to the emergency room with multiple abrasions, bruises and lethargy where he required IV fluids, a head CT, X-Ray of chest and right knee. On 12/11/2025 at 1:40 PM V2 Director of Nurses, V3 Assistant Director of Nurses, V10, V25, V26 and V27 were notified of the Immediate Jeopardy. [...]

Inspectors wroteBased on interview and record review, the facility failed to prevent resident to resident abuse in 1 of 3 residents (R26) reviewed for abuse in a sample of 32. This failure resulted in R26 obtaining a laceration to the forehead requiring medical treatment. Findings Include:R26's Undated Face Sheet documents R26 was originally admitted to the facility on [DATE] and has a Medical Diagnosis of Hypertension, Schizophrenia, Depression, Type 2 Diabetes, and Hemiplegia Affecting Left Non-Dominant Side. R26's Minimum Data Set (MDS) dated [DATE] documents R26 is cognitively intact and has had verbal behavioral symptoms directed towards others occurring 1-3 days. R26's Care Plan Date Revised 12/2/2025 documents R26 is/has potential to be physically aggressive toward peers related to anger, poor impulse control. [...]

Inspectors wroteBased on observation, interview and record review, the Facility failed to provide residents with flavorful and properly cooked food for proper food temperatures and ensure food is held at temperatures to prevent food borne illness. This has the potential to affect all 58 residents living in the facility.

Inspectors wroteBased on observation, interview and record review the facility failed to ensure food was stored and prepared in a manner which prevents potential contamination. This has the potential to affect all 58 residents living in the Facility.

Inspectors wroteBased on observation, interview, and record review, the facility failed to wear appropriate PPE (Personal Protective Equipment) and perform hand hygiene to prevent the spread of infections. This failure has the potential to affect all 58 residents residing in the facility. Findings Include: 1. On 12/9/2025 9:54 AM R59 stated he tested positive for COVID last week and the facility staff have not worn gowns when coming into his room to provide care. There was no container or red biohazard bag observed in R59's room or bathroom to dispose of dirty Personal Protective Equipment (PPE) in. R59 stated there have been no containers with red biohazard bags to dispose dirty gown and gloves in and staff are putting their dirty gloves in his trash can. Sign of R59's door states Warning COVID-19 high risk of infection beyond this point. Please wear a face covering. [...]

Inspectors wroteBased on interview and record review the Facility failed to ensure Care Plans were resident centered and up to date for 1 of 5 residents (R13) reviewed for Care Plans in the sample of 32.

Inspectors wroteBased on observation, interview and record review the Facility failed to address pain in 1 of 4 residents (R13) reviewed for pain in the sample of 32.

Inspectors wroteBased on observation, interview, and record review, the facility failed to administer medications as prescribed by the physician in 2 of 3 residents (R7, R22) reviewed for medication errors in the sample of 32. Findings Include:1. On 12/10/25 at 8:05 AM, V12, Agency LPN (Licensed Practical Nurse), was observed administering medications to R7. V12 did not administer R7's Timolol eye drops, Anastrozole, or Omeprazole. R7's Face Sheet, undated, documents R7 has, in part, the following diagnoses: Malignant Neoplasm of the Right and Left Breast and Glaucoma. R7's MAR (Medication Administration Record), documents the following physician orders: 11/15/25 Timolol Maleate Ophthalmic Solution 0.5% instill one drop in the right eye twice daily for eye pressure; 11/15/25 Anastrozole 1mg (milligram) daily for breast cancer; 11/15/25 Omeprazole 20mg twice daily for acid indigestion. [...]

Inspectors wroteBased on observation, interview and record review, the facility failed to perform hand hygiene before and after glove changes and wear personal protective equipment during wound care for 3 of 3 (R1, R2 and R4) residents, reviewed for infection control in a sample of 8.

Inspectors wroteBased on interview and record review, the facility failed to initiate, implement, and add progressive care plan intervention for 2 of 3 residents (R5 and R8) reviewed for falls in a sample of 23. This failure resulted in R5 falling and sustaining a laceration to his head and R8 falling and sustaining a fracture to her left wrist. Finding Include:1. R8's admission Record, print date of 08/05/25, documented R8 has diagnoses of but not limited to Multiple Sclerosis and other abnormalities of gait and mobility. R8's Minimum Data Set (MDS), 05/27/25, documented R8 is cognitively intact with a brief interview of mental status (BIMS) of 14 out of 15 and she requires substantial/maximum assistance from staff for toileting hygiene and she requires partial/moderate assistance with transfers from bed to chair and toilet transfers. [...]

Inspectors wroteBased on interview and record review the facility failed to assess and develop behavioral interventions for a resident with diagnoses of schizophrenia and bipolar disorder and notify the physician of resident having active hallucinations for 1 of 1 resident (R3) reviewed for behavioral services in a sample of 23. This failure resulted in R3 being sent out to the emergency room (ER) for evaluation and found to have a fractured nose and two fractured ribs. Findings Include:R3's admission Record, print date of 08/20/25, documented R3 has diagnoses of but not limited to Schizophrenia and bipolar disorder. [...]

Inspectors wroteBased on observation, interview, and record review, the Facility failed to store food in a manner that prevents foodborne illness. This has the potential to affect all 56 residents living in the Facility. On 8/20/25 at 8:53 AM, in the refrigerator/freezer unit on the wall of the kitchen entryway, there was a large package of uncooked beef patties in the freezer stored directly above a box of popsicles. On 8/20/25 at 8:55 AM, in the standing refrigerator on the adjacent wall, there was a plastic tub of sour cream with manufacturer's Best By date of 7/2/25. There was a clear container with hamburger patties that was not labeled or dated. There was a container labeled banana pudding with a prepared date of 8/12 and no discard date. There was a container labeled chocolate pudding with prepared date of 8/11 with no discard date. [...]

Inspectors wroteBased on observation, interview, and record review the facility failed to provide a clean and safe, sanitary environment for 4 of 5 residents (R1, R7, R10, and R11), reviewed for environment in a sample of 23. This has the potential to affect all 56 residents who reside at the facility. Findings Include:Survey Team Observations:On 08/15/25 at 11:00 AM, While touring the 100 hallways there was a room that had a large brown smear (appeared to be feces) on the floor in front of the first bed. There was trash scattered on the floor. On 08/15/25 at 11:11 AM, The main hallway of the facility had a large pink stain on the floor in front of the dining room and there were black scuff marks up and down the hallway. On 08/15/25 at 11:13 AM, V6, Housekeeping was using the wet vac to clean up water in two of the rooms on the 200 hallways. [...]

Inspectors wroteBased on observation, interview, and record review, the Facility failed to provide adequate clean linen supplies for 4 of 4 residents (R7, R10, R20, R21) reviewed for clean, comfortable, homelike environment in the sample of 23. R7's Minimum Data Set (MDS) dated [DATE] documented R7 was cognitively intact. On 8/18/25 at 9:50 AM, R7 stated there are not enough towels and wash cloths in the Facility. She likes to wash her face daily, so her family has to bring in wash cloths and towels in order for her to do that. R10's MDS dated [DATE] documented R10 was cognitively intact. On 8/22/2025 at 11:00 AM, R10 stated the Facility is always out of towels and wash cloths. She has had to wait up to two weeks for a shower because staff tell her they do not have enough towels and wash cloths. R20's MDS dated [DATE] documented R20 was cognitively intact. [...]

Inspectors wroteBased on interview and record review, the Facility failed to provide reasonable access to a telephone in an area where calls can be made without being overheard for 1 of 3 residents (R2) reviewed for communication with privacy in the sample of 23. R2's Face Sheet documents R2 was admitted to the facility on [DATE] with diagnoses including depression, hypertension, and heart failure. R2's Minimum Data Set, dated [DATE] documented R2 was moderately cognitively impaired. R2's 7/25/25 Progress Note documents R2 became upset because he wanted to use the phone, but the nurse was already using it. On 8/20/2025 at 9:10 AM R2 stated V14, Licensed Practical Nurse (LPN), would not allow him to use the phone at the nurse's station. He stated, I have the right to use the phone. [...]

Inspectors wroteBased on interview and record review, the facility failed to follow advanced directives for 1 of 3 (R5) residents reviewed for advanced directives in a sample of 16. This failure resulted in an Immediate Jeopardy on [DATE] when staff performed unnecessary chest compressions, respiratory ventilation for 20 plus minutes, and intubation on R5 against his advanced directive status. On [DATE] at 9:22 AM V1, Administrator was notified of the Immediate Jeopardy. The Surveyor confirmed by observation, interview and record review, the Immediate Jeopardy was removed on [DATE], after abatement reviews dated [DATE] at 7:35 AM and [DATE] at 3:07 PM but remains at Level Two because additional time is needed to evaluate the implementation and effectiveness of the in-servicing training and policies and procedures.

Inspectors wroteBased on interview and record review the facility failed to implement its written policy by not ensuring that required background checks were completed prior to allowing direct care staff to work with residents. This failure had the potential to place all 52 residents living in the facility.

Inspectors wroteBased on interview and record review, the Facility failed to ensure residents were free from misappropriation of property for 1 of 6 residents (R10) reviewed for abuse in the sample of 17.1. R10's Face Sheet documents R10 was admitted to the facility on [DATE] with diagnoses including alcohol dependence with alcohol-induced dementia and need for assistance with personal care. R10's Minimum Data Set (MDS) dated [DATE] documented R10 was moderately cognitively impaired with inattention and disorganized thinking and ambulated with walker. R10's Care Plan does not address risk of abuse and neglect. The Facility's Initial Report sent to the Illinois Department of Public Health (IDPH) on 2/18/25 documents R10 notified V17, Social Services Director, of allegation of misappropriation of money, and an investigation was initiated. [...]

Inspectors wroteBased on interview and record review, the facility failed to report allegations of exploitation immediately to the Executive Director for 1 of 3 residents (R5) reviewed for reporting of abuse in the sample of 17.

Inspectors wroteBased on observation, interview, and record review the facility failed to ensure residents were supervised to prevent elopement. This failure resulted in R2 eloping from the facility on 6/15/2025, unknown as being gone and spotted 0.2 miles from the facility, alone in a parking lot by V5 (Certified Nurse Assistant) who was returning from lunch. R2 was brought back to the facility but her return condition at the time of her return remains unknown, as she received no assessment for injuries and no longer resides in the facility. This failure also resulted in R22 eloping from the facility on 7/8/25 when R22's nurse (V30) noticed him missing between 9:30 AM to 10 AM. V30 stated R22 was returned to the facility at approximately 12:40 PM. [...]

Inspectors wroteBased on interview and record review, the facility failed to ensure Quality Assurance Performance Improvement (QAPI) meetings consisted of the required members. This failure has the potential to affect all 57 residents residing in the facility. V1 (Administrator) provided an attendance record from the last QAPI meeting, which was dated 4/25/25. The provided sign in sheet does not document the line labeled as Medical Director was in attendance, as it is blank. V1 stated the last QAPI meeting at the facility was on 4/25/25 and confirms V31 (Medical Director) was not in attendance. V1 stated the meeting was last minute and V31 wasn't able to attend. [...]

Inspectors wroteBased on observation, interview, and record review the facility failed to maintain a safe, clean, well maintained, homelike environment for 8 of 8 residents (R1, R6, R7, R11, R16, R19, R20, & R21) reviewed for physical environment in the sample of 23. This failure has the potential to affect all 57 residents in the facility. Findings Include: On 6/24/25 at 8:26 AM room [ROOM NUMBER] was observed with a brown sticky substance on the floor throughout the room and restroom. Dirt and debris were observed under the bed and nightstand. A large amount of dried feces and urine were observed on the toilet seat. On 6/24/25 at 8:30 AM a sign noting DO NOT USE was observed on the toilet lid of room [ROOM NUMBER] restroom. The floor along the cove base was observed with a brown/black buildup throughout the room and restroom. Debris and dirt were observed under the bed and nightstand. On 6/24/25 at 8: [...]

Inspectors wroteBased on interview and record review the facility failed to implement an infection control training program for staff. This failure has the potential to affect all 57 residents residing in the facility. Findings Include: On 7/8/25 at 10:30 AM, V1 (Administrator) stated that she does not know the last time staff were trained on infection control program and confirms she does not have any reproducible evidence to support training occurred. V1 stated that staff will be in-serviced on infection control at their upcoming staff meeting. V32 (Licensed Practice Nurse) is documented as being the facility's certified Infection Preventionist. On 7/9/25 at 10:25 AM, although requested, V11 (Vice President of Clinical Services) confirmed a policy regarding infection control training was not available. [...]

Inspectors wroteBased on interview and record review the facility failed to implement a nurse aide training program which continues competence equivalent to no less than 12 hours per year. This failure has the potential to affect all 57 residents residing in the facility. Findings Include: On 7/8/25 at 10:30 AM, V1 (Administrator) stated that she does not know the last time staff received nurse aide training and confirms she does not have any reproducible evidence to support training occurred. V1 stated that staff will be inserviced on nurse aide training competencies at their upcoming staff meeting. The facility assessment dated [DATE] documented the facility has 90 licensed beds for long term care nursing services. On 7/9/25 at 10:25 AM, although requested, V11 (Vice President of Clinical Services) confirmed a policy regarding nurse aide training was not available. [...]

Inspectors wroteBased on interview and record review the facility failed to implement a behavior training program for staff. This failure has the potential to affect all 57 residents residing in the facility. Findings Include: On 7/8/25 at 10:30 AM, V1 (Administrator) stated that she does not know the last time staff received behavior training and confirms she does not have any reproducible evidence to support training occurred. V1 stated that staff will receive behavior training at their upcoming staff meeting. V1 also confirms the facility currently serves residents with mental health conditions. The facility assessment dated [DATE] documents the facility accepts residents with the following psychiatric/mood disorders: [...]

Inspectors wroteBased on interview and record review the facility failed to report allegations of abuse to the administrator immediately after an allegation is made and the state agency within the 2-hour timeframe for 2 of 3 residents (R2, R3) reviewed for abuse reporting in the sample of 5.

Inspectors wroteBased on interview and record review the facility failed to thoroughly investigate allegations of abuse for 2 of 3 residents (R2, R3) reviewed for abuse investigations in the sample of 5.

Inspectors wroteBased on interview and record review the facility failed to provide specialized rehabilitative services following a physician order for 1 of 2 (R4) residents investigated for being bed bound.

Inspectors wroteBased on observation and interview, the facility failed to maintain clean, sanitary shower rooms for 4 of 4 residents (R1, R2, R3 and R5) reviewed for environment in a sample of 5.

Inspectors wroteBased on interview, and record review, the facility failed to provide information, obtain consents, and offer influenza (flu) vaccination for 4 of 4 residents (R1, R2, R3, R5) reviewed for Influenza immunization in the sample of 12.

Inspectors wroteBased on interview, and record review, the facility failed to provide information, obtain consents, and offer COVID-19 vaccinations to 4 of 4 residents (R1, R2, R3, R5) reviewed for COVID-19 immunization in the sample of 12.

Inspectors wroteBased on interview and record review, the facility failed to prevent significant medications errors by ensure medications are available for 2 of 5 residents (R2, R5) reviewed for significant medication error in the sample of 12. Findings Include: 1. R2's Face Sheet documents an admission date of 10/402021 and diagnoses include Hypertension, Chronic Obstructive Pulmonary Disease, Type 2 Diabetes. R2's order sheet dated 10/25/2024 documents Metoprolol Tartrate Tablet 25 milligrams (mg), Give 1 tablet by mouth two times a day related to Essential Primary Hypertension. R2's Medication Administration Record (MAR) dated 3/1/2025-3/31/2025 documents Metoprolol Tartrate 25mg not administered on 3/1, 3/2 AM and PM, 3/3 AM, 3/7 AM and PM with no reason documented as to why not given. R2's Minimum Data Set, MDS, dated [DATE] documents R2 has no cognitive deficits and is independent with transfers. [...]

Inspectors wroteBased on Interview, Observation, and Record Review, the facility failed to provide a Registered Nurse (RN) for a minimal of eight hours per day seven days per week and failed to have a Director of Nursing (DON) on a full-time basis. These failures have the potential to affect all 39 residents residing in the facility. The Findings Include: V1, Administrator, stated they have been without a Director Of Nursing (DON) since 11/27/24. V1 stated they interviewed V2, DON, and offered her the position on 12/13/24, however, V2 did not accept the position until 12/20/24. V1 stated that V2, DON, did not start until 1/6/25. On 1/15/25 at 8:05 AM, upon entrance to the facility, there were only three Certified Nursing Assistants (CNAs) and one Licensed Practical Nurse (LPN) on duty. V1 arrived around 8:15 AM and began passing medications on the 100-Hall. [...]

Inspectors wroteBased on Interview, Observation, and Record Review, the facility failed to provide sufficient staffing to care for resident needs, including assisting a resident to get out of bed, and answering call lights, for 3 of 4 residents (R2, R3, R4) reviewed for sufficient staffing in the sample of 4. The Findings Include: 1. R3's Face Sheet, dated 1/14/25, documents R3 was admitted to the facility on [DATE] with diagnosis of Congestive Heart Failure (CHF), Major Depressive disorder, Chronic Obstructive Pulmonary Disease (COPD), Type 2 Diabetes Mellitus (DM) with Polyneuropathy, Hypertension (HTN), and Intestinal obstruction. R3's Care Plan, dated 12/18/24, documents R3 uses anti-anxiety medications related to (r/t) anxiety disorder. R3 uses multiple antidepressant medication r/t major depressive disorder. R3 may display symptoms of crying or sadness r/t depression. [...]

Inspectors wroteBased on interview, and record review, the facility failed to physically assess a resident (R2) after a fall. This failure resulted in R2 sustaining a tibial plateau fracture on 11/22/2024 and not being sent to hospital for evaluation until 11/26/2024.

Inspectors wroteBased on interview and record review, the facility failed to provide the services of a Registered Nurse (RN) for at least 8 consecutive hours a day, 7 days a week. This has the potential to affect all 40 residents who reside in the facility.

Inspectors wroteBased on interview and record review the facility failed to administer ordered medications to 4 of 4 residents in the sample of 12.

Inspectors wroteBased on Observation, Interview, and Record Review, the facility failed to administer ordered medications, resulting in 4 of 4 residents missing medications in the sample of 12.

Inspectors wroteBased on interview, observation, and record review, the Facility failed to ensure food was stored, prepared, and served in a manner that prevents food-borne illness. This has the potential to affect all 35 residents living in the Facility.

Inspectors wroteBased on interview and record review, the Facility failed to develop an ongoing infection control program that adequately collects data to calculate and analyze infection rates. This has the potential to affect all 35 residents living in the Facility.

Inspectors wroteBased on interview, observation, and record review, the Facility failed to ensure food was prepared in a form to meet residents individual needs for 4 of 4 residents (R8, R9, R11, R13) reviewed for modified diets in the sample of 27.

Inspectors wroteBased on interview and record review, the Facility failed to establish an infection prevention and control program that reduces the risk of adverse events, including the development of antibiotic-resistant organisms, from unnecessary or inappropriate antibiotic use in 4 of 4 residents reviewed (R7, R21, R31, R91) for antibiotic stewardship in the sample of 27.

Inspectors wroteBased on interview, observation and record review, the facility failed to provide appropriate services to prevent significant weight loss for one (R20) in a sample 27. R20's not dated Face Sheet documents R20's medical diagnosis as Chronic Obstructive Pulmonary Disease, Major Depressive Disorder, Recurrent, Moderate, Other Frontotemporal Neurocognitive Disorder, Paranoid Schizophrenia, Type 1 Diabetes Mellitus W/O Complications and Unspecified Dementia, Unspecified Severity with other Behavioral Disturbances. R20's Minimum Data Set (MDS) dated [DATE] documents (R20's) Cognitive Skills for Daily for Daily Decision Making is severely impaired and requires feeding assistance. On 10/08/24 04:39 PM V13 sister-n-law of R20 stated R20 lost considerable amount of weight because facility did not place him on diet prescribed by hospital. [...]

Inspectors wroteBased on observation, interview, and record review, the Facility failed to properly store and label medications and dispose of expired medications for 3 of 3 residents (R11, R14, R23) reviewed for medication storage and labeling in the sample of 27.

Inspectors wroteBased on interview and record review the facility failed to prevent abuse for 3 of 3 residents (R2, R5 and R8) reviewed for abuse in the sample of 14. This failure placed these residents at risk for physical and psychological harm.

Inspectors wroteBased on interview and record review the Facility failed to ensure roof damage was being repaired and fixed to prevent future leaking of water in the facility. This has the potential to affect all 34 residents living in the facility.

Inspectors wroteBased on observation, interview and record review, the facility failed to ensure a Registered Nurse (RN) was working in the facility. This failure has the potential to affect all 44 residents living in the facility.

Inspectors wroteBased on observation, interview and record review the Facility failed to ensure a qualified and licensed Administrator was certified in accordance with applicable State laws for overseeing the daily operations of the facility. This has the potential to affect all 44 residents living in the facility.

Inspectors wroteBased on interview and record review the Facility failed to ensure treatment was being completed for 1 of 3 residents (R2) reviewed for wound care in the sample of 7.

Inspectors wroteBased on observation, interview, and record review, the facility failed to provide services of a Registered Nurse (RN) for at least eight hours daily seven days per week. This has the potential to affect all 42 residents living in the Facility.

Inspectors wroteBased on interview and record review the facility failed to investigate an allegation of abuse for 3 of 7 residents (R1, R5 and R7) reviewed for investigation of abuse allegations in the sample of 7.

Inspectors wroteBased on interview and record review, the facility failed to notify the Physician and/or Nurse Practitioner in a change in condition for 1 of 1 resident (R95) reviewed for change in condition in the sample of 24. Due to this failure R95's condition worsened with increased blood noted in his stools the next day, requiring him to be admitted to the hospital for treatment.

Inspectors wroteBased on observation, interview and record review, the facility failed to ensure a Registered Nurse (RN) was working in the facility on the weekends. This failure has the potential to affect all 44 residents living in the facility.

Inspectors wroteBased on observation, interview and record review the facility failed to ensure food was stored and prepared in a manner which prevents potential contamination. This has the potential to affect all 44 residents living in the facility.

Inspectors wroteBased on interview and record review the facility failed to adequately develop an ongoing Infection Control Program that adequately collects data to calculate and analyze infection rates and failed to operationalize infection control policies to adequately define infection control practice in the facility. This has the potential to affect all 44 residents living in the facility. Findings Include: R146 was documented on the Facility Infection Control Log for the month of August 2023. Date of onset 8/9/2023 and date resolved 8/11/2023 from hospital. The log documents, R146 had a UTI, (urinary tract infection). R146 returned from the hospital taking Cefdinir 300 milligrams, 1 capsule by mouth two times a day for 2 days. The Infection Control Log for the month of August 2023 does not document the organism causing the UTI. [...]

Inspectors wroteBased on observation, interview and record review the facility failed to ensure residents were eating in a homelike environment and not served food on Styrofoam containers with plastic utensils for 4 of 4 residents (R11, R29, R34, and R42) reviewed for accommodations of needs in the sample of 24.

Inspectors wroteBased on interview and record review, the facility failed to notify the physician and/or nurse practitioner in a change in condition for 1 of 1 resident (R95) reviewed for change in condition in the sample of 24.

Inspectors wroteBased on interview, observation and record review, the facility failed to maintain a clean, comfortable environment for 3 of 4 residents (R1, R2 and R34) reviewed for poor housekeeping services in the sample of 24.

Inspectors wroteBased on interview and record review the facility failed perform antibiotic stewardship for one of three residents (R26, R27, R146, R147,) reviewed for antibiotic stewardship in the sample of 24. Findings Include: 1-R146 was documented, on the Facility Infection Control Log for the month of August 2023. The log documents R146 had a UTI, (urinary tract infection). R145 returned from the hospital taking Cefdinir 300 milligrams, 1 capsule my mouth two times a day for 2 days. On 9/26/2023 at 10:00 AM, the Culture and Sensitivity Report, (C&S), was requested for R146 for 8/9/2023 and no Culture and Sensitivity Report was provided. No documentation was provided documenting Cefdinir was effective for the urinary tract infection on 8/9/2023. R146 was documented, on the Facility Infection Control Log for the month of August 2023. [...]