Health inspection·August 19, 2025

F 0585 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Many Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Based on observation, interview, and record review the facility failed to educate residents on what a grievance is, provide grievance forms, and provide a clear and noticeable destination for grievances to be submitted. This failure has the potential to affect all 63 residents who reside in the facility. Findings Include:The Filing Grievances/Complaints policy dated 12/2004 documents Our facility will assist residents, their representatives (sponsors), other interested family members, or resident advocates in filing grievances or complaints when such requests are made. The Ombudsman Program Residents' Rights Booklet (undated) documents Your personal property rights. You have the right to keep and wear your own clothing. Your facility must try to keep your property from being lost or stolen. If your property is missing, the facility must try to find it.The Resident Council meeting minutes dated 7/8/2025 documents, R11, R28, R38, R48, and R64 all confirmed they did not know what a grievance was or how to file a grievance.The facility census sheet dated 8/18/2025 documents 63 residents reside in the facility.On 8/18/2025 at 1:13PM, R8 voiced she has had a brown jacket missing since Christmas and has never gotten it back. R8 voiced she did not know what a grievance was or how to file one.On 8/18/2025 at 1:20PM, R3 stated she has a turquoise dress missing for months and that laundry keeps saying they are looking for it. R3 voiced she did not know what a grievance was.On 8/18/2025 at 1:30 PM, R4 voiced she had pink pants missing and she does not know what a grievance is. R4 stated she has had a lot of clothing items come up missing and that this happens all the time.On 8/18/2025 at 3:05PM, V4 (Laundry Aide) stated residents tell me things are missing all the time V4 stated she will try and go to the laundry room and look for the article of clothing that is missing and if she cannot find it, she will tell V5 (Housekeeping/Laundry Supervisor). V4 does not know about grievances or how to tell residents to file one.On 8/19/2025 at 8:30AM, V5 (Housekeeping/Laundry Supervisor) stated when a resident does voice that they cannot find an article of clothing she will checks the lost and found, check resident closets, and throw the word out there and keep looking V5 stated there is a list in the laundry office of resident missing clothing items for other laundry staff to keep an eye out for but does not advice residents to file a grievance.On 8/19/2025 at 12:05PM, The laundry room had four carts for each hall, room numbers in sections of what rooms each cart had, and clothes had labels of each resident's piece of clothing. The bulletin board hung that above the folding table by the dryer on the wall had no list of missing clothing items. On 8/19/2025 at 12:05 PM, V11 (Laundry Aide) stated when residents complain of missing clothing items, she will search the lost and found cart. If she cannot locate it on the lost and found cart, V11 stated she will then search in the residents closet and if the item is not found V11 will put a note on the bulletin board. V11 stated there is no list of residents with missing items. V11 confirmed R4's pink pants, R8's brown jacket, and R3's dress has been missing.On 8/19/2025 at 12:40PM, V12 (Social Services Director/SSD) stated she was supposed to oversee grievances when she was hired in November 2024. V1 (Administrator) did not Page 1 of 2 145000 145000 08/19/2025 Washington Senior Living 1201 Newcastle Washington, IL 61571

F 0585 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Many train V12, and she was directed to send all grievances to V1. V12 stated she still does not know the process of a grievance and does not have the forms and does not know the process. V12 stated she does know R6 had family bring in four new pairs of black pants and the pants were never found. V12 stated R6 did not know how to file a grievance and R6's pants were never found. V12 stated V1 replaced two pairs of R6's pants but not all four. V12 stated R7 is still missing her sweatshirt that has kittens on it and R7 has voiced for months how she still has not received the sweatshirt. V12 stated R7 voiced this to V1, and nothing has been resolved.On 8/19/2025 at 1PM, V13 (Activities Director) stated residents do occasionally complain that they have missing clothing. V13 stated she will then look in laundry for the missing clothing item if she cannot find it, V13 will report it to V11, and V11 tells V13 to look for the item. V13 stated she did not know about grievances and has never helped a resident fill out a grievance. V13 stated there is no place to place a grievance and there is no process in place.On 8/19/2025 at 3PM, V1 (Administrator) confirmed he has never shown V12 (SSD), or V13 (Activities Director) how to address grievances and V1 directed V12 to send all residents with concerns to him. V1 also confirmed there is not a publicly visible place for residents to get a grievance form or a box grievance form. 145000 Page 2 of 2