Inspection·September 5, 2025

F 0558 Reasonably accommodate the needs and preferences of each resident. 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 provide an appropriate size bed to meet resident needs. This applies to 1 of 3 residents (R70) reviewed in a sample of 37.The findings include: On 9/2/25 at 1-1:38 AM, R70 was lying in bed in bed with an overhead trapeze (mobility device made of metal) hanging above his head. R70's bed was perpendicular to the bed of his roommate (R69), who happens to be his mother. The right side of R70's bed was flush against the wall with his feet facing R69. R70's feet were pressed against the footboard and, the right side of his face and body was pressed against the wall. R70 stated, look at me, I'm pinned against this wall; I don't have enough space to turn. I'm too tall for this bed. R70 stated he had requested for his bed to be positioned parallel to R69's so they could talk, and he could watch television without having to turn his neck. He also stated that he is a big guy and had previously requested a bigger (longer and wider) bed. According to R70, he also requested that his overhead trapeze be removed, and that side rails or enablers be placed for easier bed mobility. He explained that he is unable to sit up in bed because the trapeze hits his face when he is upright. At the time of observation, R70's bed was elevated at approximately 45 degrees, and the overhead trapeze was about three inches away from his head. R70's care plan, reviewed on 9/2/25, directs staff to utilize person-centered care models that afford (R70) as much initiative, control, and self-determination as possible to address his physical, psychological, and social needs. Care plan interventions dated 6/5/25 include: 1) Elevate the head of the bed to a 90-degree angle (to prevent shortness of breath related to his asthma diagnosis); 2) Encourage correct positioning (to promote comfort and to prevent muscle and joint strain); and 3) Offload R70's heels (to prevent pressure injury). At the time of the survey, R70's EMR (Electronic Medical Record) did not reflect behaviors or refusal of interventions. The EMR showed his weight as 240.6 lbs. (pounds) taken on 9/1/25 and a height of 74 inches (entered on 6/4/25).On 9/4/25 at 11:45 AM, V2 (Director of Nursing) stated that the facility does not have a specific policy outlining criteria for when to provide residents with bariatric beds. V2 explained that, since the facility does not use specific height or weight parameters, residents are provided with bariatric beds on a case-by-case basis. V2 stated she had just come from R70's room and, based on her assessment a few minutes ago, R70's current bed was appropriate for his height and weight. According to V2, R70 did not require a different type of bed-whether longer, wider, or both-at this time. V2 and V3 (Assistant Director of Nursing) were unable to provide the actual measurements or manufacturer's guidelines for R70's bed.On 9/4/25 at 12:52 PM, R70 was lying in bed while watching television. A label located on the lower left side of the bed listed the manufacturer as Basic American Products, with serial number 12020004833 and model number [PHONE NUMBER]-064020. The model specifications reflect a total bed length of 76 inches. R70's height is documented as 74 inches, providing approximately 2 inches of clearance. Residents Affected - Few 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 9 Event ID: 145308 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 145308 B. Wing A. Building (X3) DATE SURVEY COMPLETED 09/05/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE River View Rehab Center 50 North Jane Elgin, IL 60123 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)