Health inspection·May 29, 2025

F 0600 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview and document review the facility failed to ensure resident the right to be free from abuse in 2 of 4 residents included in a total sample of 8 residents. Findings include: R2 is a [AGE] year old female with a diagnosis including Emphysema, Hypothyroidism and Liver disease. R2 was first admitted to the facility on [DATE]. R2's BIMS (Brief Interview of Mental Status) score is 15/15. R2 care plans include conflictual, difficult behavior with other persons. Symptoms are manifested by covert/open conflict with of repeated criticism of staff. Behavior is manifested by unprovoked expressions of anger towards staff and peers. Behaviors of false allegations, initiates false reports and allegations of mistreatment perpetrated by others. History of aggression, accused of being inconsiderate to her roommates feelings as well as being discourteous. R2 is also care planned for being susceptible to abuse. R3 is a [AGE] year old male with a diagnosis including Vertebra fracture, Neurogenic bowel, Anxiety disorder, Depressive disorder, and Angina pectoris. R3 was first admitted to the facility on [DATE]. R3 has a BIMS (Brief Interview of Mental Status) score of 15/15. R3's care plan includes R3 is susceptible to abuse due to his past trauma and current physical limitations. Displays socially inappropriate & maladaptive behavior as evidenced by being involved in a verbal disagreement with a peer, as evidenced by playing his radio/music at a high volume despite redirection. Demonstrates behavioral distress related to ineffective coping mechanisms. Problems manifested by use of profanity demeaning statements, verbal threats and yelling at others. Facility Abuse prevention investigation dated 5/14/25, shows that on 5/8/25, R2 and R3 had a verbal encounter, and R3 spilled water on R2. This prompted investigation into the incident which was found to have caused no harm to either party. Both residents received psychiatric services with respect to behaviors. R3 is on a medication to help manage anxiety and agitation. After R2 had provided a signed statement that she feels safe and that nothing detrimental had occurred, CPD (Chicago Police Department) was notified. No further action was taken by CPD. R2 was satisfied with the outcome and voiced no other concerns. The facility verified that there was no harm to either R2 and R3 and both residents expressing feeling safe and having experienced no mental/emotional harm. R2 and R3 attested they have not experienced any type of abuse at the facility. Both residents refused a room change. Other residents were interviewed, and they raised no safety concerns. Family and MD's will be notified of the outcome of the investigation. R2's progress note dated 05/05/2025, states nurse (V4) observed resident and peer having a verbal Page 1 of 2 145654 145654 05/29/2025 Landmark of Lincoln Park Rehabilitation and Nursin 735 West Diversey Chicago, IL 60614

F 0600 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few disagreement. Residents were separated and kept safe. Psych made of aware of behaviors. Resident was able to be redirected and remain calm and cooperative. Resident alert, oriented. Resident offered a room change in which resident refuse. Resident prefers to stay in room. Social worker to follow up. On 5/27/25, at 1:20 PM, V4 (LPN) stated, I heard commotion. I was at the nurses station I heard R2 say 'you poured water on me'. Then I heard R3 say now who is the wetback. I separated them and reported to V5 (Last administrator/abuse prevention coordinator). R2 called police and they arrived. That is all I know about the incident. R2 and R3's room were next to each other. R2 had an issue with R3's music being too loud. R3 was moved a few rooms down and now there are no issues between the both of them. On 5/27/25, at 11:55 AM, R2 stated, Yes R3 threw water at me in the corridor when we got into a verbal altercation. It got me wet but didn't hurt me. I called the police, and they came. I was in the room next to him. He played his radio too loud, so I called police on him. We got into a verbal altercation where he called me a lot of bad names. I moved to a new room, and I don't hear the loud radio anymore. I feel safe now, but he did assault me with the water. On 5/27/25, at 1:00 PM, R3 stated Yes, I threw water at R2 from my water cup. She called me a wetback mother------. She is a real problem since she came from another floor. I play my TV and radio and she keeps complaining that it's too loud. She called the police on me several times. I actually apologized to her for the water incident, but she keeps complaining about me. Facility policy titled Abuse Prevention Program Policy includes: It is the policy of this facility to prohibit and prevent resident abuse, neglect, exploitation, mistreatment, and misappropriation of resident property and a crime against a resident in the facility. 145654 Page 2 of 2