Health inspection·August 4, 2025

F 0692 Provide enough food/fluids to maintain a resident's health. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview and record review the facility failed to assess and monitor admission weights for 1 of 3 (R3) residents in a sample of 5 reviewed for weight loss.Findings include:R3's admission Record document that R3 was admitted [DATE].R3's Care Plan, dated 7/7/2025, documents that (R3) requires tube feeding r/t (related to) impaired cognition, difficulty chewing/swallowing. Chronic history of emesis with aspiration. 04/11/2025, G-Tube changed to J-Tube in hospital. 6/25/25: J-tube has been removed and replaced with a G-tube.R3's Registered Dietician (RD) Note, dated 3/21/2025, Current weight is unknown, but (R3) looks very thin with muscle & subQ (subcutaneous) fat loss. Based on (R3's) ideal body weight from his height of 141 lbs (pounds), his estimated energy needs are 2243 kcals (35kcal/kg), 77g protein (1.2g/kg), 2243 ml H20 (1 ml/kcal) Resistant is currently NPO & on TF order Jevity 1.5 45cc/hr x 23 hours providing 1552 kcals (69% kcal needs) and 83g protein (100% protein needs). RD to evaluate per facility policy and PRN. Intervention: Monitor caloric intake, estimate needs. Make recommendations for changes to tube feeding as needed.R3's Minimum Data Set, dated [DATE], documents that R3 is severely cognitively impaired. Weight 111. R3 has had a loss of 5% or more in the last month or loss of 10% or more in last 6 months and not on prescribed weight-loss regimen.R3's Post Acute Care Transfer Report, dated 3/12/2025, document that R3's weight 3/11/2025 was 70.9 kg. On 7/31/2025 The facility provided R3's first obtained weights 3/25/2025 at 4:20 PM 115.0 lbs. On 8/4/2025 at 8:15AM V5, MDS Coordinator, stated that she oversees the restorative and weight program. V5 stated that she is new to the facility. V5 stated that she is not familiar with R3. V5 stated that the normal process is that the facility obtains weights upon admission/readmission then the resident is weekly x4 weeks unless needs more. V5 stated that the dietician and physician are notified.On 8/4/2025 at 8:20 AM V6, Restorative Aide, stated that she completes weekly weights on Tuesday and Wednesday if not completed on previous day. Those residents are the tube feeders and dietary orders. V6 stated that this consists of New and Re admits. Monthly weighs are completed on the 1st to 6th. V6 stated that she is familiar with R3 and has weighed him several times. V6 stated that R3 has had multiple hospitalization and has had a weight loss when returned. V6 stated that R3 was in the hospital for about a month and came back with weight loss. V6 stated that he was placed on weekly weights and R3 started to gain the weight back and then went back out to the hospital.V5 provided a form title Weights July 2025, signed, and dated 8/3/2025, that documents that the Restorative aides performs all the weights or the facility. Weekly weights are completed every week on Tuesday/Wednesday's. Monthly weights are completed for the whole facility by the 6th of every month. New admit: are weighed at admission then once weekly x4 weeks unless there is a current doctor order in place that states for weekly weights to continue or if the resident has diagnosis respiratory issues, trach and or G tubes.On 8/4/2025 at 1:38 PM V2, Director of Nursing, stated that they do not use the hospital weight because of difference in instrument used. V2 stated that he would expect R3's weight to be obtained within the first 72 hours of admission. The facility's Residents Affected - Few Page 1 of 2 145581 145581 08/04/2025 Autumn Meadows of Cahokia 2 Annable Court Cahokia, IL 62206

F 0692 Level of Harm - Minimal harm or potential for actual harm Nutrition and Unplanned Weight Loss/Gain policy, dated 6/28/2019, documents that the facility will assess and monitor the nutrition status of residents to assist the resident in maintaining adequate nutritional status to the extent possible. Guidelines all residents shall be weighed upon admission, monthly, and as required by their clinical condition, and/or as ordered by nursing and/or physician orders. Residents Affected - Few 145581 Page 2 of 2