Inspection·February 24, 2025

F 0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. 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 prevent skin breakdown for a resident that drools for 1 of 3 residents (R2) reviewed for quality of care in the sample of 5. Residents Affected - Few The findings include: On 2/24/25 at 10:22 AM, V27 (R2's family member) said R1 on 1/18/25 was with the agency RT (Respiratory Therapist - V18). V27 said R1 had wounds to the left side of her neck and the center of her neck just (just below her tracheostomy tube). V27 said R2 drools a lot, and the staff must not have been keeping her dry enough. V27 said R2 can't move and is unable to remove the drool herself. V27 said the staff knows they must keep R2 dry, but they didn't do it and her skin opened up. V27 said she took pictures of the wounds and notified the facility staff. R2's Facesheet dated 2/24/25 showed diagnoses to include, but not limited to: demyelinating disease of the Central Nervous System, tracheostomy (airway opening in the neck), heart failure, surgical repair of an aortic dissection (2022), oxygen dependent, quadriplegia, need for assistance, and dysphagia. R2's Care Plan revised 1/24/25 showed R2 had skin lesions to her left neck and anterior neck. There are no interventions related to R2's frequent drooling and protecting the skin on her neck. R2's Care Plan revised 11/28/22 showed she is at risk for complications related to trach placement. R2's facility assessment dated [DATE] showed she had long and short-term memory problems and was dependent on staff assistance for ADLs (Activities of Daily Living). R2's Braden Scale dated 2/4/25 showed R2 was high risk for skin breakdown. R2's 1/18/25 Wound Care Progress Note showed R2 had new skin issues to her neck. The notes showed R2 had an open area on the left rear side of her neck and in the front of her neck under her stoma. The note showed writer alerted RT of trach collar changes and to ensure trach collar ties are not too tight. The writer placed an ABD barrier and treatment to the open areas. No measurements were documented in the progress notes. R2's Skin and Wound Note by V25 (Wound NP (Nurse Practitioner) dated 1/21/25 showed R2 had mechanical device associated wounds to her neck anteriorly and on the left side. R2's left neck skin lesion measured 4.5 cm x 0.8 cm x 0.2 cm; had moderate drainage, and the skin around the wound was fragile. (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 2 Event ID: 145650 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 145650 B. Wing A. Building (X3) DATE SURVEY COMPLETED 02/24/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Nexus at Palos 10426 South Roberts Palos Hills, IL 60465 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)