Selfhelp Home of Chicago

Inspectors wroteBased on observation, interview and record review, the facility failed to post the daily nursing staffing. This failure has the potential to affect all 59 residents residing in the facility.

Inspectors wroteBased on observation, interview, and record review the facility failed to ensure that a medication cart was kept locked. This failure has the potential to affect all 15 residents on the 6th floor unit.

Inspectors wroteBased on observation, interview, and record review the facility failed to ensure two residents (R33 and R56) intravenous site (IV) was labeled with a date; failed to ensure staff sanitize the medication tray after use for two residents (R18 and R29); failed to ensure the trash receptacle for residents on isolation was not outside the resident room and was not side by side with the PPE (Personal Protective Equipment) bin for one resident (R211); and failed to ensure a resident (R211) who was positive for COVID 19 maintain contact/droplet isolation precautions in efforts to prevent the spread of COVID 19; including failure to prevent a resident's (R212) exposure. These failures affected five residents (R18, R29, R33, R56, R212 and R211) and has the potential to affect all 15 residents on the 6th floor unit.

Inspectors wroteBased on observation, interview and record review, the facility failed to ensure that a indwelling catheter drainage bag was covered in a privacy bag. This failure affected two residents (R4 and R33) reviewed for privacy and dignity in the sample of 34 residents.

Inspectors wroteBased on observation, interview, and record review the facility failed to provide ADL (Activity of Daily Living) care for one dependent resident (R23) to maintain personal hygiene and dignity. This failure affected one resident (R23) out of a sample size of 34.

Inspectors wroteBased on observation, interview, and record review the facility failed to ensure medications for one resident (R16) was administered to the resident at the scheduled time. This failure affected one resident (R16) and has the potential to affect all residents in the sample size of 34.

Inspectors wroteBased on observation, interview, and record review the facility failed to ensure that the urinary drainage bag was hanging below the bladder. This failure affected one resident (R4) reviewed in a sample of 34.

Inspectors wroteBased on observation, interview and record review, the facility failed to label and date oxygen equipment (oxygen tubing and nebulizer mask); and failed to properly contain oxygen equipment (nebulizer mask) per the facility policy. These failures affected one residents (R33) reviewed for oxygen equipment, in a total sample of 34 residents.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a personal freezer has a temperature log and a personal refrigerator has no ice built up for 1 (R16) resident and failed to ensure the personal refrigerator has a temperature log for 1 (R46) resident. These failures affected 2 (R16 and R46) residents reviewed for personal food in the total sample of 34 residents.

Inspectors wroteBased on interview and record review, the facility failed to follow their fall protocol, failed to provide adequate supervision, and failed to develop specific fall interventions for 1 (R1) of 3 residents reviewed for falls. These failures resulted in R1 sustaining a closed displaced fracture of left femoral neck, and surgical arthroplasty of particle hip. Findings inlude, R1's clinical record documents R1 is a [AGE] year-old with the medical diagnoses of fracture of part of neck of left femur subsequent encounter for closed fracture with routine healing, aftercare following joint replacement surgery, dementia, Parkinson's Disease, urinary incontinence, type II diabetes, major depression disorder, hypertensive heart disease, moderate protein calorie malnutrition, adult failure to thrive, and delirium. [...]

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the kitchen was free of expired food products. This failure has the potential to affect 52 residents residing in the facility receiving food from the kitchen.

Inspectors wroteBased on observation, interview, and record review, the facility failed to follow their policy on ensuring and monitoring all HCP (Healthcare Personnel) Covid-19 vaccination status, and failed to ensure all HCP had complete documentation and records as to Covid-19 vaccination status. These failures have the potential to affect all 55 residents living in the facility.

Inspectors wroteBased on observation, interview, and record review, the facility failed to provide residents with private space for resident council meetings, and failed to notify resident representative (Ombudsman) with resident council meeting date changes. These failures have the potential to affect all 55 residents living in the facility.

Inspectors wroteBased on observation, interview, and record review, the facility failed to properly secure controlled medications for 3(R261, R27, R36) residents reviewed in a sample of 15 residents.

Inspectors wroteBased on observation, interview, and record review, the facility failed to dispose/discard expired medications in one two medications carts/medication room/storage reviewed. This failure has the potential to affect 21 residents receiving medications from the 7th floor medication cart/storage room, in a sample of 55.

Inspectors wroteBased on observation, interview ,and record review, the facility failed to ensure residents are free from physical restraints for 1 resident (R47) out 3 residents reviewed for restraints, in a sample of 15.

Inspectors wroteBased on observation, interview, and record review, facility failed to follow their policy to use gait belts to transfer residents who require limited to extensive assistance with partial, toe-touch, or non-weight bearing restrictions for 1 (R47) resident out of 4 residents reviewed for falls in a sample of 15.

Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain accurate record of residents for 3 out of 15 residents (R111, R17, and R47) for a total sample of 15 residents reviewed for resident's record.

Inspectors wroteBased on observation, interview, and record review, the facility failed to follow enhance barrier precautions procedure by not wearing proper PPE (personal protective equipment) for 1 resident (R111) that currently treated for Lyme's disease infection, and the facility failed to follow policy for hand hygiene during treatment of wound for 1 resident (R47), in a sample reviewed for Infection Control.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure bottles of eye drops were dated when opened. This failure affected two residents (R21 and R30) of ten residents reviewed for medication storage, in a total sample of 35 residents.

Inspectors wroteBased on observation, interview, and record review, the facility failed to track the status of influenza and pneumococcal vaccinations and consents for three residents (R29, R37, and R40), in a sample of 7 residents.