Inspection·May 30, 2025

F 0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Level of Harm - Actual harm Residents Affected - Few **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, and record review the facility failed to ensure a resident was free from physical abuse by another resident for 1 of 3 residents reviewed for abuse. This failure resulted in R2 being sent out to the local hospital and sustaining a human bite to the right forearm and required treatment of antibiotics. This deficiency is past non-compliance that occurred from 5/17/2025 to 5/22/2025. Findings include: Incident report submitted to the state surveying agency for the incident of 5/17/25 in part states the incident occurred in the facility dining room at around 6:30am on 5/17/25. R5 is non-verbal with a low BIMS score. R5 stood up from his wheelchair, lost his balance and fell to the floor in a seated position. R2 was sitting at a table next to where R5 was sitting. R5 was not aware that R2's arm was stretched out along the edge of the table, so instead of grabbing on to the table, R5 grabbed on to R2's forearm to get off the floor. R2 was startled when R2 felt someone touching her arm and immediately attempted to move her arm away. In the process, R2's arm raised up and pressed against R2's mouth. R5 reacted by biting R2's arm. R2 was escorted to nurse's station and evaluated. MD (medical doctor) was notified, and orders were given to send R2 to the nearby hospital for precautionary evaluation. R5 was escorted to R5's room and placed on one-to-one monitoring. R5's MD was notified, and orders were given to transfer to hospital for psychiatric evaluation. R2 returned from hospital after being evaluated and receiving treatment for bruising to the right forearm. R5 was re-admitted to the facility after following psychiatric evaluation and treatment. R5 has been placed on temporary one-to-one monitoring to ensure his safety and the safety of residents within the facility. R5 has an admission record dated 5/27/2025 indicates that R5 has a diagnosis of delusional disorders, dysphasia, and schizophrenia, restlessness and agitation, delusional disorder, other genetic related intellectual disability, and autistic disorder. An order summary report indicates that R5 was transferred to the local hospital on 5/17/2025, a care plan revision on 4/15/2025 that indicates R5 has exhibited physical abuse to other staff and resident's related to poor impulse control. R2's Discharge summary dated [DATE] from local hospital states in part being seen and evaluated for human bite. Take antibiotics as directed. Augmentin 875-125mg (milligram) 1 tablet administered. R2's progress note dated 5/30/25 signed by V2 (Director of Nursing/DON) states IDT (interdisciplinary team) note. Attendees present: DON, Admin (Administrator), SS (Social Service), Wound Care. Summary of IDT meeting: Resident involved in resident-to-resident altercation resulting in bite to right forearm. Area cleaned, dried, and covered with DCD (dry clean dressing). MD contacted and informed of incident; order received for ER (emergency room) transfer. Family made aware. Resident returned to (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 5 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 05/30/2025 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)