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Inspection visit

Health inspection

WARREN BARR GOLD COASTCMS #1453361 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.

145336 03/28/2024 Warren Barr Gold Coast 66 West Oak Street Chicago, IL 60610
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 observations, interviews and record review, the facility failed to ensure that a dependent resident's call device was answered promptly for 1 of 9 residents (R3) reviewed for care. Residents Affected - Few Findings include: R3 is [AGE] year old with diagnosis including but not limited to: Secondary malignant neoplasm of brain, abnormalities of gait and mobility, unspecified lack of coordination, unsteadiness on feet, and other specified soft tissue disorders. R3 has a BIMS (Brief Interview of Mental Status) score of 14, which indicates cognitively intact. On 03/26/2024 during investigation, R3 was observed lying in bed in her room. On 03/26/2024 at 2:21 PM, R3 activated her call device by pressing the button on her device to call for help from her nurse assistant or nurse. The light outside of R3's bedroom was illuminated to indicate that R3's call device was activated. On 3/26/2024 at 2:48 PM, as R3 waited patiently for her someone to come to her room to assist her, R3 said, This happens frequently. There has been times that I have fallen asleep waiting for someone to answer my call light. When I need help being cleaned or transferring back to my bed, I have to wait hours for help. On 3/26/2024 at 2:51 PM, V8 (CNA/ Certified Nurse Assistant) entered R3's room to assist R3. At that time, V8 (CNA) said, I think that R3's nurse is on lunch break and I was receiving report on my patients because I just started at 2:00 PM. I am not sure where the other floor nurse is. Surveyor asked how soon the call lights were usually answered. V8 said, Usually, we try to answer call lights within a 5 minute period because you just never know. The patient can be trying to get out of bed to get to the toilet or something and hurt themselves. On 3/26/2024 at 2:58 PM, V20 (Licensed Practical Nurse/ LPN) said, R3's nurse is on break. I'm not sure how long R3's call light has been on. Typically the call lights are answered within 15-20 minutes. Page 1 of 2 145336 145336 03/28/2024 Warren Barr Gold Coast 66 West Oak Street Chicago, IL 60610
F 0558 Surveyor asked if 20 minutes or more was a long time for a resident to wait after activating their call device. Level of Harm - Minimal harm or potential for actual harm At that time, V20 said, A fall could occur, anything could happen. It's hard to say. I could probably answer a call light within 1 minute but that's not a real situation. Residents Affected - Few On 3/26/2024 at 3:26 PM, V2 (Director of Nursing) said, 30 minutes is too long for a resident to wait for help. Anything could happen. R3's Care Plan documents: R3 is at risk for falls related to weakness, impaired balance, reduced endurance, bilateral extremity edema; R3 has an ADL (activities of daily living) self-care performance deficit related to physical inactivity. Facility policy titled call light policy documents, 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 a timely manner. 145336 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.

  • 0558GeneralS&S Dpotential for harm

    F558 - The right to reside and receive services in the facility with reasonable

    Reasonably accommodate the needs and preferences of each resident.

FAQ · About this visit

Common questions about this visit

What happened during the March 28, 2024 survey of WARREN BARR GOLD COAST?

This was a inspection survey of WARREN BARR GOLD COAST on March 28, 2024. The surveyor cited 1 deficiency, recorded on the federal Form 2567 statement of deficiencies.

Were any deficiencies cited at WARREN BARR GOLD COAST on March 28, 2024?

Yes, 1 deficiency was cited, each with a CMS Scope and Severity grade. The first was: "Reasonably accommodate the needs and preferences of each resident."

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.