Health inspection·March 31, 2025

F 0677 Provide care and assistance to perform activities of daily living for any resident who is unable. 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 ensure that residents who were dependent on staff for care were provided with showers according to the facility protocol and residents' preference. This failure applied to eight (R1, R2, R3, R4, R6, R7, R9, and R12) of twelve reviewed for showers during the month of March 2025. Residents Affected - Some Findings include: 1. R1 is a [AGE] year-old female originally admitted on [DATE] with medical diagnoses that include and are not limited to hemiplegia and hemiparesis, hypertension, and chronic diastolic heart failure. Per the Minimum Data Set (MDS) dated [DATE], R1 needs substantial/maximal assistance, helper does more than half the effort during shower activity. On 3/29/2025 at 10:00 am R1 wrote in a notebook, I am very unhappy because I do not receive the showers on Wednesday's, Saturday's or when I request them, I do not like to be dirty and smelly. On 3/30/2025 at 10:00 am, V2 (Director of Nursing/DON) said R1 shower schedule days are Wednesday and Saturday on 3-11 shift; per our documentation, R1 only received a shower on 3/5/2025. The other days, I do not see any documentation if the shower was given or not on the following days: 3/8, 3/12, 3/15, 3/19,3/22, 3/26, and 3/29/2025. I cannot find any documentation on those days. 2. R2 is a [AGE] year-old female originally admitted on [DATE] with medical diagnoses that include and are not limited to: hemiplegia and hemiparesis, epilepsy, and hypertensive heart disease. Per the Minimum Data Set (MDS) dated [DATE], R2 is dependent on two or more helpers for shower activity. On 3/29/2025 at 10:25 am R2 said I do not like to be filthy and with a body odor. I am used to taking a shower daily, but I am not getting that. I do not like to feel dirty. I cannot do it by myself, I need the staff to help me with my showers. On 3/30/2025 at 10:35 am, V2 (DON) said, R2 shower schedule days are Monday and Thursday during 11-7 shift. Per our documentation, R2 received a shower only on 3/10/2025. I cannot find any documentation on the other days: 3/3, 3/6, 3/13,3/17, 3/20, 3/24, and 3/27/2025. I do not know if R2 received the shower or not. I cannot find any documentation on those days. 3. R3 is a [AGE] year-old male originally admitted on [DATE] with medical diagnoses that include and are not limited to: Streptococcal arthritis left knee, diabetes, and difficulty in walking. Per the Minimum Data Set (MDS) dated [DATE], R3 needs substantial/maximal assistance, the helper does more than half the effort during shower activity. (continued on next page) Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE TITLE (X6) DATE FORM CMS-2567 (02/99) Previous Versions Obsolete Facility ID: If continuation sheet Page 1 of 3 Event ID: 145197 Printed: 05/15/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 145197 B. Wing A. Building (X3) DATE SURVEY COMPLETED 03/31/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Aperion Care Oak Lawn 9401 South Ridgeland Avenue Oak Lawn, IL 60453 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)