Wecare at Rolling Meadows Rehab and Nursing Ce

Inspectors wroteBased on a review of facility provided policies and documentation, clinical records, and staff interviews, it was determined that the facility failed to ensure residents were free from physical restraints. This failure resulted in the actual harm of staff members restraining a resident to a bed with a bed sheet which caused abdominal bruising for one of eight residents (Resident R1). This was identified as past noncompliance.

Inspectors wroteBased on review of facility documents, facility policy, clinical records, and staff interviews, it was determined that the facility failed to develop written policies and procedures that include training new and existing nursing home staff on abuse, neglect, misappropriation of resident property, and exploitation. This failure resulted in the actual harm of staff members being unaware that unauthorized physical restraints can be a form of physical abuse and restraining a resident to a bed with a bed sheet which caused abdominal bruising for one of eight residents (Resident R1).

Inspectors wroteBased on review of job descriptions, and staff interviews, it was determined that the facility failed to employ a full-time qualified dietary services manager in the absence of a full-time qualified dietitian.

Inspectors wroteBased on observations, and staff interviews, it was determined that the facility failed to provide sufficient dietary staff to perform essential kitchen duties. Based on observation and staff interviews, it was determined that the facility failed to have sufficient dietary staff to perform essential kitchen duties.

Inspectors wroteBased on a review of select facility policy and staff interview, it was determined the facility failed to designate a qualified individual(s) onsite, who is responsible for implementing programs and activities to prevent and control infections.

Inspectors wroteBased on observations, review of facility policy, resident, and staff interviews, it was determined that the facility failed to provide a safe, clean, comfortable, and homelike environment on two of two nursing units (A and B nursing units). Based on observations, review of facility policy, resident, and staff interview, it was determined that the facility failed to provide a safe, clean, comfortable, and homelike environment on two of two nursing units (A and B Nursing Units).

Inspectors wroteBased on a review of facility policy, resident interviews, resident council meeting, resident choice menu selections, and meal observations, it was determined that the facility failed to provide resident selected menu items for 12 of 12 residents (Resident R6, R8, R24, R43, R57, R101, R2, R500, R501, R502, R503 and R504).

Inspectors wroteBased on review of facility policies and clinical records, observations, and staff interviews, it was determined that the facility failed to ensure enhanced barrier precautions (EBP) were implemented for one of four residents (Resident R69).

Inspectors wroteBased on staff interviews and observations, it was determined that the facility failed to employ staff with the appropriate competencies and skills to carry out the daily functions of the food and nutrition services department.

Inspectors wroteBased on review of facility files and an interview with the Nursing Home Administator, it was determined that the facility failed to employ a qualified social worker.

Inspectors wroteBased on review of the Resident Assessment Instrument User's Manual, clinical records, and staff interview, it was determined that the facility failed to make certain that comprehensive Minimum Data Set assessments were completed accurately for nine of 11 residents (Resident R3, R39, R71, R72, R73, R74, R79, R82, and R83).

Inspectors wroteBased on review of facility policy, clinical record review, and staff interview, it was determined that the facility failed to provide prescribed treatment and services related to the care of pressure ulcers for one of three residents (Resident R82).

Inspectors wroteBased on review of facility policy and documents, and staff interview, it was determined that the facility failed to provide training on Quality Assurance and Performance Improvement (QAPI) for four of ten staff members (Employees E2, E3, E4, and E5).

Inspectors wroteBased on review of facility policy and resident interviews and observations, it was determined that the facility failed to ensure sufficient staffing to meet resident need for ten of twelve residents (Resident R1. R2, R3, R4, R5, R6, R7, R8, R9, and R10).

Inspectors wroteBased on review of facility policies, observations, and staff interviews it was determined that the facility failed to maintain sanitary conditions in the Main Kitchen. Findings Include: A review of the facility policy Cleaning and Disinfecting of Environmental Surfaces, Dated 3/28/23, indicated environmental surfaces will be cleaned and disinfected according to CDC recommendations and OSHA standards. During observations in the main kitchen on 8/14/23, at 11:00 a.m. the following was observed: The floors in the main kitchen, walk in freezer and refrigerator had a buildup of brown and black substances, and brown and white dust. The beverage refrigerator and ice cream cooler had white streaks and smears on the glass surfaces. The tray drying rack near the three-compartment sink had brown debris and white dust on the bottom rack. [...]

Inspectors wroteBased on observations and interview, the facility failed to store medications in a safe and sanitary manner for three of four medication carts reviewed (Zone 1, Zone 2/4, and Zone 5).

Inspectors wroteBased on review of facility policy, observations and staff interviews, it was determined that the facility failed to properly store food products in two of three storage areas in the main kitchen (dry storage, and freezer).

Inspectors wroteBased on review of facility policies, observations, and staff interviews it was determined that the facility failed to accurately label and date open medications, and secure medications in four of six medication carts and to store medications at the correct temperatures in one of two medication rooms (Medication carts Zone 1, 2/4, and 7, and Medication Room A).

Inspectors wroteBased on review of facility policy and clinical record, observations and resident and staff interviews, it was determined that the facility failed to determine it was safe to self administer medications for one of eight residents (Resident R70).

Inspectors wroteBased on review of facility policy, clinical records, and staff interviews, it was determined that the facility failed to notify physicians of increased and decreased Capillary Blood Glucose (CBG) levels, and failed to assess residents for hyperglycemia (high blood glucose) and hypoglycemia (low blood glucose), for two of six Residents (Residents R22, and R32).

Inspectors wroteBased on review of facility policy, observation, and staff interview it was determined that the facility failed to prevent the potential for cross-contamination during glucometer usage for one of two residents (Resident R54), and medication administration for one of two residents (Resident R72).