Health inspection·August 22, 2024

F 0688 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations, interviews and records reviews the facility failed to provide a recliner wheelchair to a dependent resident. This failure affected one (R12) resident out of three residents reviewed for resident rights who expressed a desire to get out of bed and interact with the environment. Findings Includes: R12 is [AGE] years old admitted to the facility 09/08/23 with diagnoses including but not limited to multiple sclerosis, Sacral ulcer, Chronic anemia, and protein energy undernutrition. MDS (minimum data set) dated 06/17/2024 reads R12 uses a wheelchair for mobility. On 08/20/24 at 10:30AM during facility rounds R12 observed to be in bed and said, I want to get out of bed, but I don't have a wheelchair. I don't remember when the last time was, I got up. I asked the nursing assistants, but I was told I do not have a chair to get up in. On 08/21/2024 at 10:45 AM Observed V21(Certified Nursing Assistant) getting R12 out of bed to receive a shower. V21 said, I am R12's regular certified nursing assistant. R12 was under Hospice care. After R12 was discontinued from the service, the recliner wheelchair that R12 was using was pick up from the hospice company. I have not gotten R12 up since that time. On 08/21/2024 at 10:45 AM, R12 said, I want to get out of bed. On 08/21/2024 at 11:00AM V16 (Registered Nurse) said, I have not seen R12 getting out of bed. Hospice service used to get R12 out of bed. Hospice services was discontinued on 06/08/24. I am not aware that R12 does not have a recliner wheelchair to use. On 08/21/2024 at 11:15 AM V20 (Assistant Director of Nursing) said, I expect R12 to have a wheelchair. I do not know why R12 has not received a recliner wheelchair after hospice was discontinued. On 08/21/2024 at 2:00PM V2(Director of Nursing) said, I expect all the residents admitted to the facility to obtain a wheelchair during admission or as needed. The facility will provide a wheelchair to all residents that require one. On 08/20/2024 and 08/21/2024 surveyor checked R12's room both days and no wheelchair was available for R12 to use. Page 1 of 2 145626 145626 08/22/2024 Generations Oakton Pavillion 1660 Oakton Place Des Plaines, IL 60018

F 0688 Level of Harm - Minimal harm or potential for actual harm On 08/21/2024 at 09:57 PM V1 (Administrator) presented Facility Policy titled: Residents' Right for People in the Long-term Care Facility undated, reads: facility must make reasonable arrangements to meet your needs and choices. Residents Affected - Few 145626 Page 2 of 2