Inspection·March 28, 2025

F 0550 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview and record review, the facility failed to support resident dignity by the timely answering of call lights for 5 residents (R1, R2, R3, R12, R14) of 14 residents reviewed for dignity in the sample of 14. Findings include: 1. R1's Face Sheet documented an admission Date of 9/20/23 and listed Diagnoses including Bipolar Disorder, Chronic Obstructive Pulmonary Disease, and Morbid Obesity with a Body Mass Index of Greater than 70. A Minimum Data Set, dated [DATE] documented that R1 has minimal deficits in cognition and requires substantial or maximal staff assistance for toileting. R1's Care Plan dated 3/17/25 documented a problem area, (R1) is incontinent of bowel/bladder at times, with corresponding intervention, Check and change during personal care. On 3/21/25 at 1:25pm, R1 was alert and oriented to person, place, and time. R1 stated call lights can take up to an hour to be answered, especially during the evening and night on weekends. R1 stated when staff finally respond, they apologize and explain they are short staffed. R1 stated she needs help with toileting and has had bowel and bladder accidents while waiting on her call light, which she stated were, Humiliating. 2. R2's Face Sheet documented an admission Date of 2/22/25 and listed Diagnoses including Left Lower Leg Fracture and Epilepsy. A Minimum Data Set, dated [DATE] documented that R2 has minimal deficits in cognition and requires substantial/maximal assistance for toileting. R2's Care Plan dated 3/2/25 documented a problem area, Resident is incontinent of bladder, with corresponding intervention, Check and change during personal care. On 3/21/25 at 2:20pm, R2 was alert and oriented to person, place, and time. R2 stated on occasion she has waited over an hour on her call light. R2 stated she has never had a bowel or bladder accident while waiting, but, It's very upsetting and it's hard to hold it that long. 3. R12's Face Sheet documented an admission Date of 1/6/25 and listed Diagnoses including Multiple Sclerosis and Diabetes Type 2. A Minimum Data Set, dated [DATE] documented that R12 has minimal deficits in cognition and is totally dependent on staff for toileting. R12's Care Plan dated 2/8/25 documented a problem area, Resident is incontinent of bowel and bladder related to Multiple Sclerosis, with corresponding intervention, Check and change during personal care. On 3/21/25 at 4:00pm, R12 was alert and oriented to person, place, and time. R12 stated she has waited for an hour on her call light while she had on a wet adult brief and needed to be changed. R12 (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 11 Event ID: 145649 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 145649 B. Wing A. Building (X3) DATE SURVEY COMPLETED 03/28/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Odin Health and Rehab Center 300 Green Street Odin, IL 62870 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)