Inspection visit
Inspection
3 citations recorded
Inspector’s narrative
What the inspector wrote
This survey cited 3 deficiencies. The full statement and the facility’s plan of correction follow, verbatim from the federal record.
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
Based interviews and record reviews, the facility failed to follow their policy and procedures for providing
care and services in a timely manner by not ensuring nursing staff respond to call lights in a timely manner.
This failure applied to four (R343, R443, R445, R446) of four residents reviewed for assistance with
activities of daily living.
Residents Affected - Some
Findings include:
On 03/06/23 at 10:44 AM R343 stated she has been at the facility with diarrhea for 3 days. R343 stated
sometimes it takes 40 minutes for someone to respond to her call light when she uses it for incontinence
care.
On 03/06/23 at 12:50 PM R443 stated no one ever gets her out of bed other than for therapy and she
stopped using her call light because no one ever responds.
On 03/06/23 at 12:03 PM R445 stated he threw up on himself after eating lunch one day and pressed his
call light for assistance. R445 stated it took 20-30 minutes for someone to respond to clean him up. R445
stated sometimes it takes this long for a response to his call light.
On 03/06/23 at 11:00 AM R446 stated, this morning it took an hour for someone to respond to the call light.
R446 stated during a shift change you can't get anyone to respond to the call light. R446 stated the night
before her roommate rang the call light and she did as well, however the staff responded to her roommate
but did not acknowledge that she pressed the call light for assistance as well. R446 stated she had to yell
out and remind them that she needed to be changed. R446 stated she had already been waiting soiled for
more than an hour but then had to wait another 30-45 minutes before being changed.
On 03/07/23 at 11:17 AM R446 stated a lot of times she has to wait for assistance possibly because she's
larger and needs two person assistance.
On 03/08/23 at 01:44 PM V13 (Ombudsman) stated she has received multiple concerns from residents
about staffing, including call light response time.
Resident council meeting report dated 11/08/22 and 02/14/23 documents nursing concerns include:
resident stated that sometimes their call lights at night are being answered late. Will inform night nurses and
supervisor to take frequent rounds. Stand up meeting was held with staff.
On 03/09/23 at 11:17 AM V3 (Director of Nursing) stated it is all nursing staff's responsibility to respond to
the call lights and they should always be answered. V3 stated she is not sure what is a
(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:
145268
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
145268
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
03/09/2023
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Glenview Terrace
1511 Greenwood Road
Glenview, IL 60025
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)
F 0677
reasonable amount of time the call light should be responded to, however as soon as staff become aware
of them.
Level of Harm - Minimal harm
or potential for actual harm
The facility's Call Light Policy reviewed 03/09/23 states:
Residents Affected - Some
It is the policy of this facility to ensure that there is prompt response to the resident's call for assistance.
Facility shall answer call lights in timely manner.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
145268
If continuation sheet
Page 2 of 3
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
145268
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
03/09/2023
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Glenview Terrace
1511 Greenwood Road
Glenview, IL 60025
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)
F 0755
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a
licensed pharmacist.
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
observation, interview, and record review, the facility failed to provide documentation of administering a
narcotic medication that was in use. This failure applied to one resident (R121) whom was reviewed during
medication storage and labeling.
Findings include:
R121 is an [AGE] year old male who was admitted to the facility 7/1/22 with diagnoses that include
Alzheimer's, Dementia. According to R121's MDS (Minimum Data Set) he exhibits severe cognitive
impairments scoring a BIMS (Brief Interview of Mental Status) of 2 out of 15. According to Physicians Order
Sheet (POS) dated 2/17/23 R121 has been receiving hospice services while living in the facility.
On 03/08/23 3:50 PM, during medication and storage review with V19 LPN, lorazepam 1mg/ml gel narcotic
sheet for this resident was found in the narcotic control book and the medication was not on the cart. V19
said that they did not know where the medication was located at that time. Surveyor and V19 checked the
medication cart and the refrigerator. At 4:10PM V17 Nursing Supervisor presented the missing medication
with resident label and said that it was open and had been used. V17 said, the nurses should sign out the
medication immediately after the medication has been administered and it should have been on the cart.
3/9/23 at 10:13AM V17 presented with V20 LPN with the lorazepam medication and a modified control
sheet which indicated 2ml were wasted on 3/8/23. This was not signed by any nurse or practitioner. V17
said this medication was discontinued on 2/8/23 and should have been removed as well as the sheet. V17
said usually, we take it and give it to the DON to destroy, but V20 LPN forgot to tell me that it was wasted,
and she forgot to record it on the sheet. It was in the refrigerator, but I didn't recognize it as the medication
because it is a new form of medication that we are not accustomed to using. V20 said, I noticed that the
medication was discontinued and was opened after I counted with the nurse in the morning, but I forgot to
sign it out before I left the facility yesterday.
On 3/9/23 at 10:40AM V3 Director of Nursing said, when a medication is wasted, two nurses have to sign
out and verify that the medication was wasted.
R121 Physician Order Sheet was reviewed which included an order for lorazepam gel dated 2/9/23 and
discontinued 2/23/23.
Facility Policy titled Controlled Medications Count revised 7/27/22 states; Statement: It is the policy of the
facility to maintain an accurate count of Scheduled II controlled medications. Procedure: 1. After removing
the controlled medication from the bingo card or individual packet, the nurse will sign off the accompanying
controlled medication sheet indicating the medication is taken. 2. After administration of the controlled
medication, the nurse will sign off the eMAR. 3. If the controlled medication needs to be wasted, another
nurse should witness the wasting of the controlled medication.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
145268
If continuation sheet
Page 3 of 3
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Back to topCitations
3 citations 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.
- 0022GeneralS&S Fpotential for harm
Establish policies and procedures for sheltering.
F677 - A resident who is unable to carry out activities of daily living receives
Provide care and assistance to perform activities of daily living for any resident who is unable.
F755 - Pharmacy Services
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
FAQ · About this visit
Common questions about this visit
What happened during the March 9, 2023 survey of GLENVIEW TERRACE?
This was a inspection survey of GLENVIEW TERRACE on March 9, 2023. The surveyor cited 3 deficiencies, recorded on the federal Form 2567 statement of deficiencies.
Were any deficiencies cited at GLENVIEW TERRACE on March 9, 2023?
Yes, 3 deficiencies were cited, each with a CMS Scope and Severity grade. The first was: "Establish policies and procedures for sheltering."
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
Next steps
Concerned about a resident’s care?Find your local ombudsman through the Eldercare Locatoror file a complaint with your state survey agency.
Researching this visit professionally?Book a 15-minute calland we will walk through what we have on file.
Data from CMS Care Compare public records. Dataset last refreshed . If you believe any information is inaccurate, report it here.