Inspection visit
Inspection
2 citations recorded
Inspector’s narrative
What the inspector wrote
This survey cited 2 deficiencies. The full statement and the facility’s plan of correction follow, verbatim from the federal record.
F 0605
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's
ability to function.
Based on observation, interview and record review, the facility failed to follow their policy by failing to obtain
informed consent for increasing dosage of psychotropic medication and failed to document
symptom/behaviors for the use of the medication or any non-pharmacological behavioral interventions
attempted prior to increasing the dosage of the medication. This failure affected one (R161) of five residents
reviewed in a sample of 65.Findings include:R161 has resided at the facility since 2014. Medical history
includes, but is not limited to major depressive disorder, schizoaffective disorder morbid (severe) obesity
due to excess calories, other iron deficiency anemias, vitamin D deficiency, etc.On 2/2/2026 at 10:30AM,
R161 was in his room, alert and oriented and said that he is concerned about staff giving him a higher dose
of Quetiapine (Seroquel). R161 said that he was supposed to be on 100mg of Seroquel, but staff are giving
him 300 to 600mg. R161 said he did not consent to the dosage changes and have been refusing the
medication. R161 thinks that staff are messing with his medication on purpose.Review of physician order
showed that R161 was on Seroquel 100mg at bedtime which started on 8/1/2021 and discontinued on
11/10/2022. Resident's dosage of Seroquel had been increased as follows:11/10/2022 Seroquel 100mg,
give 1.5 tablet (total of 150mg) at bedtime.11/17/2022 Seroquel 100mg, give 2 tablets (total of 200mg) at
bedtime.11/21/2025 Seroquel 300mg, give 1 tablet at bedtime.12/2/2025 Seroquel 300mg, give 2 tablets
(total of 600mg) at bedtime.1/23/2026 Seroquel 200mg and 300mg (total of 500mg) at bedtime.Surveyor
requested consent for the above medication increases and facility provided a consent that resident refused
to sign. R161 has a guardian, there was no documentation that the guardian was informed or consented to
the dose increases.Residents have an order for behavior monitoring daily on all shifts, review of behavior
monitoring sheets for December 2025, January 2026 and February 2026 shows that resident does not have
any behaviors.On 2/5/2026 at 1:24PM, V32 (Power of Attorney/State Guardian) said, he is the guardian for
R161, he requested for the doctors to review resident's medication due to the resident is always worrying
about what others are doing, constantly calling the police. V32 said he is aware that resident is on Seroquel
100mg. He wanted his medication reviewed but no one called to inform him of the increase in dosage, he
did not give his consent for the dosage increases.On 2/5/2026 at 2:04PM, V3 (Assistant Director of
Nursing/ADON) said, if a resident is not exhibiting any behaviors, they probably should not be on
psychotropic medications. Surveyor presented behavior monitoring documentation for R161 for the months
of December 2025, January and February 2026 and she said that residents do not have any behaviors.
Surveyor also presented a consent for R161's psychotropic medication that documented that resident
refused to sign. V3 said that this is not an acceptable consent, R161 has a guardian who comes in
occasionally, the facility should have called to get a consent from the guardian for the medication dosage
increases.On 2/5/2026 at 2:18PM, V33 (Psychiatrist) said, R161's medication decreased recently when he
was seen a few weeks ago. V33 said that you want to respect resident's wishes, but at the same time do
not want to risk compensation, they are keeping the resident on
(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 3
Event ID:
145639
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
145639
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
02/06/2026
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Chicago Ridge Snf
10602 Southwest Highway
Chicago Ridge, IL 60415
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 0605
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
FORM CMS-2567 (02/99)
Previous Versions Obsolete
the medication to avoid trying to get him to a therapeutic dose if anything happens. V33 said, R161 appears
to be doing better lately, the staff are supposed to be documenting residents' behavior as ordered, and an
informed consent is needed for administering psychotropic medications and dosage increase.On 2/5/2025
at 3:32PM V31 (Licensed Practical Nurse/LPN) said, R161 wanted the Seroquel decreased but the
psychiatrist team refused. V31 said, R161 does not have any behaviors that she is aware of.On 2/6/2026 at
11:05AM, V37 (Psychiatrist Nurse Practitioner) said, R161 threatened to fire V37. The resident is very
manipulative, can go from very pleasant to being delusional and accusatory. V37 has witnessed some of
residents' behavior and staff are also reporting same behavior. Surveyor informed V37 that a review of
behavior monitoring documentation presented by the facility shows that residents do not have any
behaviors. V37 said, he is aware that most facilities are not good with their documentation, but the
resident's behaviors should be documented as ordered. V37 added that he orders treatments based on
what he observes and what is reported by staff, it is the duty of the staff to make sure that an informed
consent is obtained for any psychotropic medication.Psychotropic medication policy revised 7/1/2025 states
in part, to establish the process for monitoring the use of and the reduction of doses of psychotropic
medications without compromising the resident's health and safety, ability to function appropriately, or
safety of others.Policy specification 1. Psychotropic medication shall not be prescribed without the informed
consent of the resident, the resident's guardian or other authorized representative. Additional informed
consent is not required for reductions in dosage level or deletion of a specific medication. The informed
consent may provide for a medication administration program of sequentially increased dosages or
combination of medications to establish the lowest effective dose that will achieve the desired therapeutic
outcome.Procedural specifications: 5. Documentation of behaviors and conditions requiring the use of
these medications must be done on a routine basis including resident response to the medication.
Event ID:
Facility ID:
145639
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
145639
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
02/06/2026
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Chicago Ridge Snf
10602 Southwest Highway
Chicago Ridge, IL 60415
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 0688
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
FORM CMS-2567 (02/99)
Previous Versions Obsolete
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
observation, interview, and record review, the facility failed to assess the restorative needs and provide a
left-hand resting hand splint for one resident with hand contracture to prevent further decline. This failure
affected one resident (R21) of two residents, reviewed for restorative care, in a total sample of 63
residents.Findings include: On 2/2/26 between 10:35am and 11:55am, R21 was observed in the wheelchair
in the hallway with left hand wrist contracted, and the left-hand fingers were in a fist. R21 did not have a
device to prevent further contractures.On 2/4/26 at 12:00pm, R21's left hand was still in the same condition.
R21 was asked if staff came to encourage him to do exercise his arm and hand, but R21 stated that no one
had done anything for him.On 2/4/26 at 12:35pm, V21 (Restorative Nurse) stated I'm new here. I work
together with Therapy department to know what needs to be done for each resident, but I'm not aware that
his hand is contracted. V21 stated the restorative nurse usually will see the resident and assess the
resident to see what restorative services will benefit the resident or refer the resident for therapy.On 2/4/26
at 12:45pm, V22(Therapy Manager) came and stated that no one told them that R21 has contracture. V22
asked R21 to open his hand and stretch the wrist, but R21 attempted it and said it was painful. V22 stated
He will benefit from a left-hand resting splint. V22 stated later presented the physician order sheet dated
2/4/26 that states Apply left hand resting splint daily every morning. Remove before bedtime and assess
skin with each removal.Face sheet shows that R21 was admitted to the facility on [DATE] with diagnoses
which include but are not limited Obesity, Schizoaffective Disorder Bipolar Type, Low Back Pain, Presence
of Right Artificial Hip Joint.Care Plan dated 2/15/24 states in part: (R21) will engage in active range of
motion active range of motion (AROM) to all 4 extremities.Facility's Restorative Nursing Care Policy dated
9/14 states in part: It is the policy of this facility that a resident is given the appropriate treatment and
services to maintain or improve his/her abilities, as indicated by the president's comprehensive
assessment, to achieve and maintain the highest practicable outcome. #3: The facility's restorative nursing
care program is designed to assist each resident to achieve and maintain an optimal level of self-care and
independence. #5: The resident care plan, the goals of restorative nursing care are reinforced in the
restorative services.Facility's document Restorative Nurse Job Description states in part: #3 - Evaluate all
newly admitted residents for their rehabilitation/restorative appropriateness. Review quarterly and with
change of condition. #15: Consult and coordinate with the physical, occupational, and speech therapist and
other adjunctive professionals each residence rehabilitation plan of care and follow up with the related staff
and personnel. #22: Supervise the management of the rehabilitative/restorative equipment such as special
mattresses, wheelchairs, walkers, restraints, and splints.
Event ID:
Facility ID:
145639
If continuation sheet
Page 3 of 3
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Back to topCitations
2 citations recorded*CMS
What do CMS severity letters mean?
Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.
General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.
Each letter combines severity with scope: how many residents the deficiency affected.
F605 - Respect and Dignity
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
F688 - Mobility
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.
FAQ · About this visit
Common questions about this visit
What happened during the February 6, 2026 survey of CHICAGO RIDGE SNF?
This was a inspection survey of CHICAGO RIDGE SNF on February 6, 2026. The surveyor cited 2 deficiencies, recorded on the federal Form 2567 statement of deficiencies.
Were any deficiencies cited at CHICAGO RIDGE SNF on February 6, 2026?
Yes, 2 deficiencies were cited, each with a CMS Scope and Severity grade. The first was: "Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to fun..."
What type of survey was this?
This was a inspection survey conducted by state surveyors under federal Centers for Medicare & Medicaid Services (CMS) oversight. Findings are published on CMS Care Compare.
SourceView on CMS Care Compare
Next steps
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Data from CMS Care Compare public records. Dataset last refreshed . If you believe any information is inaccurate, report it here.