Health inspection·January 31, 2024

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 interview and record review the Facility failed to reasonably accommodate one of three Residents (R1) reviewed for Resident cares in a sample of three. Residents Affected - Few Findings include: Facility Resident Rights for People in Long-Term Care Facilities, dated 11/2018, documents: you have the right to make your own choices; your Facility must treat you with dignity and respect and must care for you in a manner that promotes your quality of life; the Facility must provide equal access to quality care regardless of diagnosis condition or payment source; the Facility must provide services to keep your physical and mental health, at their highest practical levels; and you have the right to complain to your Facility. R1's current Care Plan, documents that R1 admitted to the facility on [DATE]. R1's Care Plan also documents diagnoses including: Urinary Tract Infection, Congestive Heart Failure, Dyspnea, Weakness, Need for Assistance for Personal Care, Muscle Weakness, Abnormal Gait and Mobility, Pain and Anxiety; R1 is on Hospice Care; and that R1 requires substantial maximum assistance of one staff member for bed mobility and transfers. R1's Minimum Data Set/MDS, Section GG (Functional Abilities and Goals) dated 10/21/23, documents that R1 requires partial to moderate staff assistance with lying and sitting on the bed. The Facility local State Agency Report (State of Illinois/Illinois Department of Public Health), dated 12/22/23, documents an incident with R1 and V3 (Certified Nursing Assistant/CNA). The Report documents that R1 stated that V3 (CNA) was upset with R1 for requesting that the R1 asked the girls to boost me up in the bed and they did but then I slid back down so I had to call them again and I could tell she (V3) was upset. R1 stated that V3 (CNA) told R1 that they cannot just keep coming in here every two minutes to help you. R1 stated that V3's (CNA's) attitude needed to be addressed. The Facility local State Agency Report (State of Illinois/Illinois Department of Public Health), dated 12/22/23, documents V3 (CNA) stated way before dinner time, V3 Told (R1) that (R1) would stop sliding down in bed if (R1) kept (R1's) knees up and would be easier because she was on top of everything and could not help scoot (R1) up. R1 also stated, that was the third time I had boosted (R1) up in 20 minutes and I told (R1) that it was getting harder for me to pull (R1) up because I was losing strength and that I had been here since 5:30 am. (R1) got mad because I asked (R1) to help as much as (R1) could when rolling and (R1) yelled at me. I asked (R1) to please not yell at me. (R1) got nasty with me and was telling me I needed to do a bunch of things and I told her that I was getting to them one at a time. I told (R1) that I understood (R1's) pain. I asked (R1) what was going on with Page 1 of 2 145598 145598 01/31/2024 Seminary Manor 2345 North Seminary Street Galesburg, IL 61401

F 0558 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few (R1) today and why she was talking to me that way, and other than today (R1) has always made jokes and laughed with me and (R1) told me she did not really care and that I got paid as a CNA to do what (R1) wanted me to do. I told (R1) that was partly true. I asked (R1) if (R1) needed anything else while I was still in the room. I told (R1) that I get paid to help take care of my residents but that I do not get paid to be treated like crap and to be yelled at, (R1) told me to get out. (R1) was just being mean to me and yelling at me to do things, but rather than ask me and talk to me like I was a human being too, it hurt my feelings. The Facility local State Agency Report (State of Illinois/Illinois Department of Public Health), dated 12/22/23, documents V4 (CNA) stated, I went in to (R1's) room to help (V3/CNA) with (R1) and (V3) was being extremely rude and R1 was shaken and upset. The Report also documents that when leaving R1's room, R1 requested more cares, and V3 (CNA) told R1 what did you fucking say to me. On 1/20/24 at 12:16 pm, V3 (CNA) stated, I never said the 'F word' to (R1) (V4/CNA) and I do not get along that great and she was making stuff up. I had told that nurse that (R1) was not being herself all day and that something was off, because (R1) was being mean all day to me. We usually got along really well. I had to move (R1) up in bed like three times within 15 minutes, so I asked (R1) to please keep (R1's) knees up while in bed and it would help (R1) from sliding down. I had been at work since 5:30 am and this happened a little before dinner time, so I was getting tired and may have been a little short, but I never cursed at (R1). (R1) was getting mad at me and I did not feel like I deserved to be talked that way, so I was trying to make (R1) understand that, and told her. On 1/20/24 at 2:00 pm, V1 (Administrator) stated, I terminated (V3/CNA) over the way that (V3) talked to (R1) during cares. I have no tolerance for any employee being short with any Resident. I do know that when I interviewed with (R1) regarding this situation, (R1) did tell me that (V3) was not abusive to (R1), but (R1) did not like the way that (V3) talked to (R1) during cares. (R1) did state that there were normally not any problems with (V3), but that (V3) was extra short tempered that day. 145598 Page 2 of 2