Health inspection·April 24, 2025

F 0729 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Many o For all health care employers, an unlicensed individual employed as a home health care aide, a nurse aide, a personal care assistant, a private duty nurse aide, a day training personnel, or an individual working in any similar health-related occupation where he/she provides direct care. o Additionally, for long-term care facilities ONLY, an unlicensed individual who has or may have contact with long-term care residents or access to the living quarters or financial, medical, or personal records of long-term care residents (access workers). Therefore, the only employees who fall under the HCWR's jurisdiction are unlicensed staff providing direct care or unlicensed staff in long-term care facilities who have access to resident's living quarters or records. Licensed staff (such as nurses) do not fall under the HCWR jurisdiction and should not be added to the HCWR or sent for a fingerprint-based background check through the HCWR. Likewise, staff who do not provide direct care (except for access workers in long-term care facilities) also do not fall under the HCWR jurisdiction; those staff should not be added to the HCWR or sent for a fingerprint-based background check through the HCWR. Employers may have policies that require fingerprint-based background checks to be completed on all employees. For staff that do not fall under the jurisdiction of the HCWR, however, employers must have an alternative way to conduct those background checks. Background checks for those employees cannot be initiated through the HCWR. If a background check for an employee who does not fall under the jurisdiction of the HCWR discloses disqualifying convictions, the HCWR cannot process a waiver application for that employee, since that employee is not under our jurisdiction. WHAT IS A UCIA BACKGROUND CHECK? UCIA, which stands for the Uniform Conviction Information Act, is the type of background checks used by the HCWR prior to the implementation of the fingerprint-based background checks (prior to October 2007). A UCIA background check is no longer valid for use with the HCWR. If someone on the HCWR has a UCIA background check, that person's Work Eligibility will show Not Yet Determined. A new or potential employer must initiate a Livescan request to conduct a fingerprint-based background check for that individual. The March 2019 Personnel and Staffing Background Screening Investigation policy states in part: Policy Statement Our facility conducts employment background screening checks, reference checks and criminal conviction investigation checks on all applicants for positions with direct access to residents (direct access employees). Policy Interpretation and Implementation 1. For purposes of this policy direct access employee means any individual who has access to a resident or patient of a long term care (LTC) facility or provider through employment or through a contract and has duties that involve (or may involve) one-on-one contact with a patient or resident of the facility or provider, as determined by the state for purposes of the national background check program. 2. The director of personnel, or designee, conducts background checks, reference checks and criminal conviction checks (including fingerprinting as may be required by state law) on all potential (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 145527 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 145527 B. Wing A. Building (X3) DATE SURVEY COMPLETED 04/24/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Brandel Health and Rehab 2155 Pfingsten Road Northbrook, IL 60062 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 0729 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Many FORM CMS-2567 (02/99) Previous Versions Obsolete direct access employees and contractors. Background and criminal checks are initiated within two days of an offer of employment or contract agreement and completed prior to employment. 3. For any individual applying for a position as a certified nursing assistant, the state nurse aide registry is contacted to determine if any findings of abuse, neglect, mistreatment of individuals, and/or theft of property have been entered into the applicant's file. Event ID: Facility ID: 145527 If continuation sheet Page 3 of 3