Health inspection·April 28, 2025

F 0729 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Many Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview and record review, the facility failed to ensure a Certified Nursing Assistant was certified by verifying continuous employment on the Health Care Worker Registry. This has the potential to affect all 80 residents currently residing at the facility. Findings Include: The facility undated Resident Matrix provided to this surveyor on [DATE] documents 80 residents reside at the facility. The untitled and undated staff roster given to this surveyor on [DATE] documents V11 (Certified Nursing Assistant/CNA) was hired by the facility on [DATE]. V11's Health Care Worker Registry Check, dated [DATE], documents under Work Eligibility: Eligible. The registry documents the following statement. In addition to Work Eligitibility, Employers are responsible for checking Training and Work History and Certifications to determine if person is eligible to work in a position that requires certification, such as CNA. This same Health Care Worker Registry Check documents V11's employement was verified on [DATE] and again on [DATE]. There is no documentation on this Health Care Worker Registry Check verifying V11 was employed as a Certified Nursing Assistant after [DATE]. On [DATE] at 1:22 PM, V11 (Certified Nursing Assistant) stated she had worked at the facility since February 2024. When asked when she became certified as a nursing assistant, V11 stated, It has been a long time. V11 stated she had a break in her career as a CNA to be a stay at home mom for a few years, and then went back to work as a CNA. V11 stated she was employed during that time by individuals in a home setting as a private sitter. V11 stated she wasn't aware of any lapse in her certification. On [DATE] at 1:26 PM, V1 (Administrator) stated she wasn't aware of any certified staff working without the proper certification. V1 stated when they get an applicant they are interested in, the background checks and registry checks are all completed prior to the first interview. On [DATE] at 1:41 PM, V2 (Director of Nurses) stated she wasn't aware of any certified staff working without the proper certifications. When asked about V11 (CNA), V2 (DON) stated V11 had shown her a paper last week that said something about her employer needing to show work history. V2 stated she had V11 take it to the front office and she returned and told V2 everything was ok. Page 1 of 2 145376 145376 04/28/2025 Oakview Nursing & Rehab 1320 West 9th Street Mount Carmel, IL 62863

F 0729 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Many On [DATE] at 1:47 PM, V13 (Medical Records/Office Assistant) stated she does all of the employee background checks. V13 stated V11 has worked at the facility off and on for years, and stated she didn't remember V11 showing her any paper related to the Health Care Worker Registry. On [DATE], V1 (Administrator) sent this surveyor a screen shot of the email V11 had recieved. There is no date documented on the screen shot, but it documents the email was from the Health Care Worker Registry and includes the following, Good evening, (name of facility) does not have the position category or position type listed on the registry for your work history. Your c.n.a. (certified nursing assistant) expired on -[DATE]. If you have missing work history, you could call the employers and ask them to update your work history This indicates V11 has not been a Certified Nursing Assistant since [DATE], and was hired by the facility as a CNA on [DATE]. On [DATE] at 10:53 AM, V1 (Administrator) stated she couldn't speak to what happened prior to her becoming the Administrator at the facility. V1 stated V13 (Medical Records/Office Assistant) checks everything including reference checks to make sure they are eligible, prior to offering someone employment. When asked if V11's reference and employment history was checked prior to her employment at the facility as a CNA, V1 stated V13 started working in that position two months ago, so she wasn't sure what the process was prior to that. V1 stated they have started auditing all of the employees and haven't found any other CNA's with a break in their employment history. On [DATE] at 12:45 PM, V1 stated they had not been able to locate any proof of employment as a CNA for V11 from 9/2014 until she was employed at the facility in February of 2024. 145376 Page 2 of 2