Inspection visit
Inspection
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.
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 ensure residents were provided with enough
bath towels. This failure affected two of two (R1, R2) residents reviewed for supplies.
Residents Affected - Few
Findings include:
1. R1 is a [AGE] year-old female originally admitted on [DATE], with medical diagnoses that include and are
not limited to: chronic obstructive pulmonary disease, radiculopathy sacral, and sacrococcygeal region and
anemia.
On 10-26-2024 at 11:00am, R1 said, The big problem that I have encountered here since I came in
December 2023 is the lack of supplies. I need to wait for the staff to give me the shower supplies such as
towels, soap, and a gown. Many times I need to ask many times before I get the supplies because we do
not have available towels; they only bring a few towels that the staff take for the patients that are in the bed.
I saw you going into the linen room; as you can see it is empty. That makes me feel very unhappy and sad. I
do not like to have a bad body odor. I cannot take a daily shower because I do not have towels to dry myself
with.
2. R2 is a [AGE] year-old female originally admitted on [DATE], with medical diagnoses that include and are
not limited to: chronic obstructive pulmonary disease, Atrial Fibrillation, seizures, and liver disease.
On 10-26-2024 at 11:45am, R2 said, I need to talk to you about the issue with the towels. I take a shower
independently. The only thing I need to ask the staff is for the towels, but all the time, the staff does not
have any towels available for me to use. The linen room is empty all the time, and if I need any supplies
after 5:30pm, the laundry room is closed. The staff leaves at 5:30pm until the following day at 6:00am. I do
not like to feel unwashed, unkempt, dirty, or having a body odor because I cannot get a towel to take a
shower.
On 10-26-2024 at 8:55am ,V3 (Activity Director) said the census is currently 127 residents.
On 10-26-2024 at 9:45am, V4 (Laundry Aide) said, I wash the dirty linen; towels, gowns, and bed linen, and
before the end my shift at 5:30pm, I make sure to take it to the clean linen rooms. I have not taken any linen
today because the person (V5, Laundry Aide/Housekeeping) that was supposed to start in the laundry
today at 7am was assigned to clean the resident rooms and she did not wash any linen.
On 10-26 at 9:50am, observation of the first-floor linen room completed: V4 said, I can see four
(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:
145350
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
145350
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
10/28/2024
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Pearl of Rolling Meadows,the
4225 Kirchoff Road
Rolling Meadows, IL 60008
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 0558
Level of Harm - Minimal harm
or potential for actual harm
pillows, a few fitted sheets, and many slings for the mechanical transfer machines. I do not see any
available towels.
On 10-26-2024 at 9:57am, observation of second floor room [ROOM NUMBER]: V4 said, I can see the
room have some bed linen: fitted sheets and pillowcases, but we do not have any towels.
Residents Affected - Few
On 10-26-2024 at 10:01am, observation of second floor room [ROOM NUMBER]: V4 said, I can see they
have incontinent supplies, disposable diapers, but we do not have any linen. I do not see any available
towels.
On 10-26-2024 at 10:15am, V5 (Laundry Aide/Housekeeping) said, We do not have any extra towels in the
laundry room; the only towels we have are the ones we received from the floor. We wash and return them to
the clean linen rooms. Many times staff and patients go to the laundry room asking for linen/towels. If we
have available linen, we give it to them, otherwise, they will have to wait until we wash and dry them. The
laundry room is open until 5:30pm; we do not have anyone working after that time.
On 10-26-2024 at 10:55am, V9 (Registered Nurse) said, In regard to the linen, we have a big problem. We
do not have enough towels and bed linen in the clean linen room. The residents complain about having to
wait for the towels because we do not have enough on the floors or in the linen room.
On 10-26-2024 at 12:20pm, V2(Assistant Director of Nursing) said, We have the linen that is in circulation
on both floors; in the laundry room observed only a few gowns, no towels are available. I can only say we
can use more linen in circulation to supply the floors.
On 10-26-2024 at 1:40pm, V6 (Housekeeping), said, I have a key to open the locked supply rooms. V6
opened a locked area in the first floor by the laundry room, and presented some housekeeping supplies
such as bags, mops, paper towel. Housekeeping supplies, we have some new towels here: 45 face towels,
now we can go to the second floor storage area. Observation of the other room: V6 said, We have fitted
sheets: 4 bags each one has a dozen of fitted sheets, 12 shower towels; these are the big towels and we
also have 45 face towels. I am not aware of how many dozens we need to have as backup. I know we need
more because we are low in supply. I will need to ask the person that helps putting the order.
On 10-27-2024 at 11:40am, V1 (Director of Nursing) said, We do not have any laundry/housekeeping
supervisor. (V6) is acting as one until we hire a new person.
On 10-27-2024 at 4:05pm, V6 (Housekeeping/Laundry Aide-Acting Supervisor) said, I am in housekeeping,
but we do not have a supervisor. I am the acting supervisor since April 2024. I do not do any order for
supplies. I have (V17, Floor Tech/Housekeeping); he writes the list of the supplies that we need and gives it
to the Administrator to place the order. I am not aware that we need to have any extra towels/linen supplies.
The laundry is open from 5:30am to 5:30pm; we do not have anyone working after 5:30pm. We only have
two shifts in the laundry. The first person that comes from 5:30am to 11:00am, and the second one comes
at 8:30am and closes the laundry at 5:30pm. We put 15 to 20 towels per linen room; total 45-60 towels in
the three linen rooms. I do not have any number of linens that I need to put in circulation; we take out new
supplies if the people on the floor complain that they need more. The residents the census is 127.
On 10-28-2024 at 7:30am, V17 (Floor Tech/Housekeeping) said, I write the list of the supplies we
(continued on next page)
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
145350
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
145350
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
10/28/2024
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Pearl of Rolling Meadows,the
4225 Kirchoff Road
Rolling Meadows, IL 60008
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 0558
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
need in the building and give it to the Administrator to place the order. The administrator is the
housekeeping/laundry supervisor.
On 10-28-2024 at 1:30pm V1, Director of Nursing, stated, My expectation is for the staff to go to the laundry
and obtain more linen if we do not have any in the linen rooms. The laundry closes 6:00pm, but they leave
all supplies for the second and third shifts. Having 15 to 20 towels per linen room are not enough. We have
a current census of 127 residents in house.
V1 (Director of Nursing) presented policy title: Safe Environment, dated: 02/25/2024, reads: The facility will
provide a safe, clean, comfortable, and homelike environment, clean bed and bath linens that are in good
condition.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
145350
If continuation sheet
Page 3 of 3
Reading this as a family member? Your long-term care ombudsman is a free advocate for residents and families.
Back to topCitations
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.
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 October 28, 2024 survey of PEARL OF ROLLING MEADOWS,THE?
This was a inspection survey of PEARL OF ROLLING MEADOWS,THE on October 28, 2024. The surveyor cited 1 deficiency, recorded on the federal Form 2567 statement of deficiencies.
Were any deficiencies cited at PEARL OF ROLLING MEADOWS,THE on October 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
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.