Health inspection·October 23, 2025

F 0600 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Based on interviews and record review, the facility failed to protect the resident's right to be free from abuse by a resident. This failure affected two (R1 & R2) residents out of 13 residents reviewed for abuse. Findings include:On 10/22/2025 at 3:44pm, R8 stated she was in her room adjacent to his (R2)'s room when she heard someone yelling ‘nurse' ‘nurse'. She drew the curtain and saw (R1) on the floor and a wheelchair turned on its side and (R2) punching (R1). She could not see where the punches landed on (R1). On 10/22/2025 at 3:58pm, V10 (Certified Nursing Assistant) stated he saw (R1) on the floor and the wheelchair beside him and (R2) was hitting (R1)'s back with his (R2) hand on a fist.On 10/21/2025 at 12:33pm, V3 (Licensed Practice Nurse) stated that particular day (10/14/2025). He (R1) went to the room to ask for (R3R2's roommate), and he (R2) said (R3) was not in the room. On his (R1) way out, he calls him a b***h. He (R2) stated he comes out of his room, and he starts to hit him (R1). On 10/21/2025 at 2;21pm, V4 (Psychiatric Rehabilitation Services Assistant) stated he was called up to the floor between 2:30pm and 3:30pm. When he got to the floor, (R1) was sitting on his buttocks trying to get back into his wheelchair. (R2) was already separated from the situation. He (R2) said he (R1) came into the room looking for (R3). He (R2) stated to him (R1) that (R3) wasn't in the room. On his way out, (R1) was disrespecting him by calling him out name. On his way out, (R1) said B***h. And he (R2) said that he hit him (R1). V4 stated he told him (R2) he can't put his hands on others because that's physical abuse, that he can't be physical with anybody. Everybody needs to be safe, feel safe at all times because this is their home, and residents should always feel safe in their home.On 10/21/2025 at 2:54pm, V5 (Psychiatric Rehabilitation Services Coordinator) stated he (R1) said he was coming out of the room and out of nowhere he (R2) hit him all over his body. V5 stated (R2) said he (R1) has been calling him names. (R2) said (R1) called him b***h and n***o. That he (R1) came to the room and asked for (R3). He (R2) told him he (R3) was not in the room and as he (R1) was leaving the room, he called him a b***h again. (R1) was calling (R2) b***h and n***o and then in return, (R2) followed (R1) and hit him all over his body.On 10/22/2025 at 1:34pm V1 (Administrator) stated (R1) went to (R2)'s room to look for (R3). (R2) said he (R3) was not in the room and (R1) called him a b***h and he (R2) followed him outside and hit him on the cheek. V1 stated it is not expected for residents to be abused while at the facility. The reportable result was ‘founded' because (R2) did admit he hit (R1). R1's Face sheet documented that R1's Diagnoses: (include but not limited to) hemiplegia, right hand osteomyelitis, and hypertensive heart disease. R1's (08/01/2025) Minimum Data Set documented, in part Section C. Cognitive Patterns. C0500. BIMS (Brief Interview for Mental Status) Summary Score: 15. Indicating R1's mental status as cognitively intact. R1's (10/14/2025) Progress Notes documented, in part Resident went to another residents room to ask for a fellow peer, the roommate responded to him saying the person he is looking for was not in the room, on his way out he called the resident in the room a B***H. This aggravated the resident and followed him on his way out the room and punched him, which made the both (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 2 Event ID: 145479 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 145479 B. Wing A. Building (X3) DATE SURVEY COMPLETED 10/23/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Atrium Health Care Center 1425 West Estes Avenue Chicago, IL 60626 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)