Health inspection·October 10, 2025

F 0607 Develop and implement policies and procedures to prevent abuse, neglect, and theft. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, and record review the facility failed to implement its policy for Abuse prevention program. This deficiency affects all four (R2, R3, R4 and R5) residents reviewed for Abuse prevention program. Findings include:On 10/8/25 at 1:30PM, V4 SSD (Social Service Director) said that as part of Abuse prevention program, Abuse/trauma assessment is completed upon resident admission, quarterly assessment, annually and as needed when there is allegation or incident of abuse. Abuse assessment score of above 2 indicates at risk for abuse and abuse prevention care plan should be initiated. Abuse prevention care plan is updated after investigation of allegation or incident of abuse or resident to resident altercation. On 10/9/25 at 9:30AM, V13 Care plan Coordinator said that Abuse prevention care plan is updated when there is an allegation or incident of abuse. V4 SSD is responsible for completing abuse assessment and updating abuse prevention care plan. 1.On 10/8/25 at 11:43AM, Observed R2 sitting on his bed. He is alert and responds coherently. He can verbalize his needs to staff. R2 is initially admitted on [DATE] with diagnosis listed in part but not limited to non-ST elevation myocardial infarction, Atherosclerosis, Ischemic cardiomyopathy, Anxiety disorder, Major depressive disorder. Abuse/Trauma assessment done on 9/27/22 with score of 0, not at risk for abuse but Abuse prevention care plan was initiated. On 8/29/25, physical resident to resident altercation investigation report was submitted to IDPH between R2 and R4. Abuse/trauma assessment was completed on 8/29/25 with score of 8 at risk for abuse but abuse prevention care plan was not updated. On 10/9/25 at 9:42AM, Reviewed R2's medical records with V4 SSD. Informed V4 of concern identified with R2 regarding implementation of abuse prevention program policy. Abuse prevention care plan was not updated after resident-to-resident physical altercation incident occurred on 8/29/25. V4 said that he should update the abuse prevention care plan after a resident-to-resident altercation report investigation. 2.On 10/8/25 at 11:23AM, Observed R3 sitting on his bed. He is alert and responds coherently. He can verbalize his needs to staff. R3 is initially admitted on [DATE] with diagnosis listed in part but not limited to Atherosclerotic heart disease, Hypertensive heart and chronic kidney disease with heart failure and stage 1 through stage 4 chronic kidney disease, Presence of cardiac implants, Atrial fibrillation, Alcoholic liver cirrhosis, Bipolar disorder, Schizoaffective disorder, Abuse/Trauma assessment done on 6/25/24 indicated score of 4 at risk for Abuse/trauma related symptomatology. No Abuse prevention care plan was initiated. On 1/18/25, verbal and physical resident to resident altercation investigation report was submitted to IDPH between R3 and former resident in the facility. Abuse/Trauma assessment was done on 1/21/25 with score of 9 at risk for abuse but no abuse prevention care plan was initiated and updated. On 10/9/25 at 10:00AM, Reviewed R3 medical records with V4 SSD. Informed V4 of concern identified with R3 regarding implementation of abuse prevention program policy. No abuse prevention care plan was initiated when Abuse /Trauma assessment scored 4 and 9 indicated at risk for Abuse. No abuse prevention care plan was initiated and updated after resident-to-resident physical altercation Residents Affected - Some Page 1 of 3 145171 145171 10/10/2025 Elevate Care Northbrook 270 Skokie Highway Northbrook, IL 60062

F 0607 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some incident occurred on 1/18/25. V4 said that he should initiate an abuse prevention care plan when abuse trauma assessment triggered score of 2 or more and he should update the abuse prevention care plan after an allegation report investigation of resident-to-resident altercation. 3.On 10/8/25 at 11:58AM, Observed R4 sitting at the hallway. He is alert but confused with flight of ideas. He responds incoherently. R4 is initially admitted on [DATE] with diagnosis listed in part but limited to Parkinson's disease, schizoaffective disorder bipolar type, Alcohol abuse intoxication, Age related cataract bilateral. Abuse/Trauma assessment done on 1/24/24 indicated score of 6 at risk for abuse/trauma related symptomatology. No Abuse prevention care plan was initiated. On 8/29/25, physical resident to resident altercation investigation report was submitted to IDPH between R4 and R2. Abuse/trauma assessment was completed on 8/29/25 with score of 9 at risk for abuse but no abuse prevention care plan was initiated and updated. On 10/9/25 at 10:12AM, Reviewed R4 medical records with V4 SSD. Informed V4 of concern identified with R4 regarding implementation of abuse prevention program policy. No abuse prevention care plan was initiated when Abuse /Trauma assessment scored 6 and 9 indicated at risk for Abuse. No abuse prevention care plan was initiated and updated after resident-to-resident physical altercation incident occurred on 8/25/25. V4 said that he should initiate an abuse prevention care plan when abuse trauma assessment triggered score of 2 or more and he should update the abuse prevention care plan after an allegation report investigation of resident-to-resident altercation. 4.On 10/9/25 at 11:30AM, Observed R5 lying in bed. She is alert and responds coherently. She can verbalize her needs to staff. R5 is initially admitted on [DATE] with diagnosis listed in part but not limited to Elevated white blood cell count, Acute kidney failure, Paroxysmal atrial fibrillation, Chronic obstructive pulmonary disease, ileostomy status, pressure ulcer sacral region stage 4 and left buttocks stage 3, Obesity. Abuse/Trauma assessment on 10/31/23 indicated score of 3 at risk for trauma related symptomatology. No Abuse prevention care plan was formulated. On 8/25/25, verbal/mental abuse investigation report was submitted to IDPH due to R5's allegation of verbal abuse. No abuse/trauma assessment was completed, and no abuse prevention care plan was initiated or updated. On 10/9/25 at 10:30AM, Reviewed R5's medical records with V4 SSD. Informed V4 of concern identified with R5 regarding implementation of abuse prevention program policy. No abuse prevention care plan was initiated when Abuse /Trauma assessment scored 3 indicated at risk for Abuse. No abuse/trauma assessment was done after verbal abuse allegation incident occurred on 8/25/25 and no abuse prevention care plan was initiated or updated. V4 said that he should initiate an abuse prevention care plan when abuse trauma assessment triggered score of 2 or more. He should complete an abuse/trauma assessment and update the abuse prevention care plan after an allegation report investigation of resident-to-resident altercation. On 10/9/25 at 1:30PM, Informed V1 Administrator, V2 ADON (Assistant Director of Nursing), V4 SSD and V13 Care Plan Coordinator of above concerns identified in implementation of abuse prevention policy.Facility's policy on Abuse Prevention and Reporting - Illinois revised 10/24/22 indicated: Guidelines: The facility affirms the right of our residents to be free from abuse, neglect, exploitation, misappropriation of property, deprivation of goods and services by staff or mistreatment. This facility therefore prohibits abuse, neglect, exploitation, misappropriation of property and mistreatment of residents. In order to do so, the facility has attempted to establish a resident sensitive and resident secure environment. The purpose of this policy is to assure that the facility is doing all that is within its control to prevent occurrences of abuse, neglect, exploitation, misappropriation of property, deprivation of goods and services by staff and mistreatment of residents. Facility's policy on Abuse Prevention: Establishing a resident sensitive environment: Resident assessment: As part of the resident's life history on the admission assessment, comprehensive care plan 145171 Page 2 of 3 145171 10/10/2025 Elevate Care Northbrook 270 Skokie Highway Northbrook, IL 60062

F 0607 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some and MDS assessments, staff will identify residents with increased vulnerability for abuse, neglect, exploitation, mistreatment, history of trauma or misappropriation of resident property, who have needs, triggers and behaviors that might lead to conflict. Through the care planning process, staff identify any problems, goals, and approaches, which would reduce the chances of abuse, neglect, exploitation, mistreatment, or misappropriation of resident property for these residents. Staff will continue to monitor the goals and approaches on a regular basis and update as necessary. 145171 Page 3 of 3