Sunny Hill Nursing Home of Will County

Inspectors wroteBased on interview and record review, the facility failed to follow the care plan interventions of two-person care and as a result, R1 fell from the bed during personal care and sustained a fracture. This applies to 1 of 3 residents (R1) reviewed for accidents.

Inspectors wroteBased on observation interview and record review the facility failed to protect a resident from a fall during care activities. This applies to 1 of 3 residents (R126) reviewed for falls in a sample of 29.

Inspectors wroteBased on interview and record review, the facility failed to honor the wishes of a POA (Power of Attorney) by not administering an antidepressant medication. This applies to 1 of 1 resident (R3) reviewed for medications.

Inspectors wroteBased on observation, interview and record review, the facility failed to follow guidance from the State and local health authority to control the spread of a respiratory infection. This has the potential to affect all 142 residents living in the facility.

Inspectors wroteBased on observation, interview, and record review, the facility failed to properly label/date/store food items, remove expired items, and wear hair restraints in the facility kitchen. This applies to all residents that receive oral nutrition and foods prepared in the facility kitchen.

Inspectors wroteBased on observation, interview, and record review, the facility failed to follow fall interventions for residents who were high risk for falls. This applies to 4 of 5 residents (R99, R51, R107, R24,) reviewed for accidents and supervision in a sample of 30.

Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to follow its catheter care policy by not having the catheter tube secured and not using warm water and soap to provide catheter care. The facility also failed to use new catheter bags and leg bags instead of reusing them and to have a resident in bed with a leg bag instead of a standard drainage bag to prevent backflow. This applies to 5 of 5 residents (R19, R59, R69, R126, and R132) reviewed for catheter care in a sample of 30.

Inspectors wroteBased on interview and record review, the facility failed to provide written notice of reason for transfer to resident and/or their representative before resident transferred to the hospital. This applies to 3 residents (R103, R137, and R20) reviewed for hospital transfers in a sample of 30.

Inspectors wroteBased on interview and record review, the facility failed to provide written bed hold policy to resident and/or their representative prior to the resident transfer to the hospital. This applies to 1 resident (R103) reviewed for hospital transfers in a sample of 30.

Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to implement services to prevent further decline in range of motion and contractures for R59. This applies to 1 of 1 resident (R59) reviewed for restorative nursing in a sample of 30.

Inspectors wroteBased on observation and interview the facility failed to label, store, and dispose of medications to facilitate a safe administration to residents. This applies to 2 of 2 residents (R41 and R114) reviewed for safe medication storage in a sample of 30.

Inspectors wroteBased on observation, interview, and record review, the facility failed to follow infection control practices. This applies to 3 of 5 residents (R52, R451, R19) reviewed for infection control in a sample of 30.

Inspectors wroteBased on observation, interview and record review, the facility failed to provide urinary catheter care and services, and failed to provide incontinence care in a manner that would prevent the potential development of infection and to maintain hygiene. This applies to 4 of 6 residents (R20, R36, R42 and R130) reviewed for catheter and incontinence care in the sample of 30.

Inspectors wroteBased on observation, interview and record review, the facility failed to serve pureed meat portions and pureed soup and garlic bread as shown on the menu spreadsheet for the lunch meal. This applies to 4 of 4 residents (R37, R47, R140 and R145) observed for dining in the sample of 30.

Inspectors wroteBased on observation, interview and record review, the facility failed to maintain a unit refrigerator under sanitary conditions. This applies to 7 of 7 (R45, R67, R68, R83, R87, R107, R121) observed for dining in the sample of 30.

Inspectors wroteBased on observation, interview, and record review, the facility failed to follow standard infection control practices with regards to hand hygiene and changing gloves during provisions of care. This applies to 4 of 6 residents (R20, R42, R54 and R84) reviewed for infection control during provisions of care in the sample of 30.

Inspectors wroteBased on observation, interview and record review the facility failed to assess and provide adaptive device to residents, to prevent further reduction in ROM (range of motion). This applies to 2 of 6 residents (R83 and R129) reviewed for range of motion in the sample of 30.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that a resident who was receiving gastrostomy tube (g-tube) feeding was not lying flat in bed while tube feeding was being administered. This applies to 1 of 3 residents (R54) reviewed for enteral feeding in the sample of 30.

Inspectors wroteBased on observation, interview, and record review, the facility failed to provide incontinence care in a manner that would prevent potential urinary tract infection (UTI). The facility also failed to ensure that the indwelling catheter drainage bag was not touching the floor. This applies to 4 of 4 residents (R42, R101, R119, R134) reviewed for incontinence and urinary catheter care in the sample of 27 residents.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure puree food was prepared to a smooth consistency for the dinner meal. This applies to all the 11 residents (R5, R7, R12, R16, R19, R24, R55, R60, R92, R98, R119) who are receiving pureed diet in the facility in the sample of 27.

Inspectors wroteBased on observation, interview, and record review, the facility failed to flush a resident's gastrostomy tube when disconnecting an enteral feeding. This applies to 1 of 3 residents (R28) reviewed for tube feeding in the sample of 27.

Inspectors wroteBased on interview and record review the facility failed to ensure that narcotic medication administered to residents was recorded according to the facility's-controlled substances policy. This applies to 2 of 2 residents (R294, R295) reviewed for medication storage in the sample of 27.

Inspectors wroteBased on observation, interview, and record review, the facility failed to follow standard infection control practices with regards to changing of gloves and hand hygiene during provisions of care. This applies to 2 of 27 residents (R101, R134) reviewed for infection control in the sample of 27 residents.

Inspectors wroteBased on interview and record review, the facility failed to offer residents the pneumococcal vaccine. This applies to 3 of 6 residents (R15, R8, and R81) reviewed for immunizations in the sample of 27.