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Inspection visit

Health inspection

PEARL OF HINSDALE, THECMS #1452461 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

This survey cited 1 deficiency. The full statement and the facility’s plan of correction follow, verbatim from the federal record.

145246 03/27/2024 Pearl of Hinsdale, The 600 West Ogden Avenue Hinsdale, IL 60521
F 0609 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview and record review, the facility failed to report an alleged threat of harm made by a nurse toward a resident at the facility. This applies to 1 of 4 residents (R1) reviewed for abuse in a sample of 24. The findings include: Face sheet, dated 3/25/24, shows R1 was admitted to the facility on [DATE] and R1's diagnoses included polyneuropathy, spondylosis, regional pain syndrome, and osteoarthritis. On 3/20/24 at 1:55 PM, R1 stated late one night she was trying to turn her wheelchair around in her room and bumped the footboard of her roommate's bed. R1 stated V3 (Licensed Practical Nurse) entered her room and asked what R1 was doing. R1 stated she told V3 she was trying to turn around and accidentally bumped her roommate's footboard. R1 alleged V3 responded by saying it was no accident and if R1 bumped it again she would be harmed and harmed real bad. R1 stated she wanted to call the police because she felt threatened. On 3/20/24 at 9:30 AM, V1 (Former Administrator) stated R1 alleged V3 responded to R1's banging her wheelchair against her roommate's bed footboard and V3 was threatening to hurt R1. On 3/20/24 at 3:20 PM, V1 stated she did not call the police when she received R1's allegation or investigated the allegation because she did not get the impression R1 was feeling unsafe. V1 stated she asked R1 at the conclusion of the investigation if R1 felt safe and R1 stated she had no concerns about her safety. Email, dated 3/26/24, shows V1 (Former Administrator) stated she did not call the police regarding R1's allegations because there was no reasonable suspicion of a crime. Final facility investigation report, dated 2/1/24, shows R1 alleged V3 said additional things that made her feel uncomfortable Witness statement, dated 2/1/24, shows R1 alleged V3 stated, I saw you and it was not accident . R1 stated, She said, 'If I ever do that again she is gonna hurt me and hurt me bad.'' The investigation showed V11 (Registered Nurse) responded to R1 after the incident. Witness statement, dated 2/2/24, shows, [R1] said then [V3] came in and said if you do that again I'm going to make sure that you hurt. And I'm going to make sure you hurt hard. She said then she didn't feel safe [R1] stated she didn't feel safe . She said she was going to call the police because she couldn't sleep and she didn't feel safe . Review of the facility investigation shows at no time were the police called and informed of the allegation. Page 1 of 2 145246 145246 03/27/2024 Pearl of Hinsdale, The 600 West Ogden Avenue Hinsdale, IL 60521
F 0609 Level of Harm - Minimal harm or potential for actual harm Facility Abuse Prevention Program Policy, dated 11/22/17, shows, V. Reporting and Response . B. Police. The administrator or designee shall notify the local police of any suspicion of a crime or in the event of resident death or other than by disease process. Residents Affected - Few 145246 Page 2 of 2

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Citations

1 citation recorded*CMS

What do CMS severity letters mean?

Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.

General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.

Each letter combines severity with scope: how many residents the deficiency affected.

  • 0609GeneralS&S Dpotential for harm

    F609 - The facility must develop and implement written policies and procedures that:

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

FAQ · About this visit

Common questions about this visit

What happened during the March 27, 2024 survey of PEARL OF HINSDALE, THE?

This was a inspection survey of PEARL OF HINSDALE, THE on March 27, 2024. The surveyor cited 1 deficiency, recorded on the federal Form 2567 statement of deficiencies.

Were any deficiencies cited at PEARL OF HINSDALE, THE on March 27, 2024?

Yes, 1 deficiency was cited, each with a CMS Scope and Severity grade. The first was: "Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities."

What type of survey was this?

This was a inspection survey conducted by state surveyors under federal Centers for Medicare & Medicaid Services (CMS) oversight. Findings are published on CMS Care Compare.

SourceView on CMS Care Compare

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Next steps

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Data from CMS Care Compare public records. Dataset last refreshed . If you believe any information is inaccurate, report it here.