Health inspection·September 14, 2025

F 0880 Provide and implement an infection prevention and control program. 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 ensure a resident positive with Covid-19 was quarantined for 10 days prior to cohorting with a non-positive Covid-19 resident to prevent the spread of Covid-19 virus. This failure affected 2 (R2 and R4) residents reviewed for infection control in the total sample of 4 residents. Findings include: R2's admission Record documented that R2's diagnoses (include but not limited to) attention-deficit hyperactivity disorder, generalized anxiety disorder, and secondary hypertensionR2's census list documented that R2 was in the current room since 02/23/2023. R4's admission Record documented that R4's diagnoses (include but not limited to) covid-19, hemiplegia and hemiparesis following cerebral infarction affecting left non-dominant side, and vascular dementia. R4's census list documented that R4 was initially admitted on [DATE] and was moved to R2's room on 08/31/2025. R4's (08/27/2025) Hospital Record documented, in part Collection Time: 08/22/2025 COVID/FLU/RSV (respiratory syncytial virus) panel. Result SARS-COV-2 by PCR (polymerase chain reaction). Value: Detected. Ref(erence) Range: Not detected. R4's (08/28/2025) care plan documented, in part is on strict Droplet/CONTACT PRECAUTIONS related to covid 19. Infection will be resolved or controlled. Maintain contact isolation precaution in accordance with Centers for Disease Control (CDC) guidelines. On 09/12/2025 at 4:03pm, V2 (Assistant Director of Nursing/ADON) stated the facility has to isolate the resident for 10 days from the day the resident tested positive with Covid-19. If the resident tested positive on 08/22/2025, she (R4) should be out of the isolation on 09/01/2025. The purpose of quarantining a resident for 10 days is to control the spread of infection. The Covid positive resident should not be cohorted with a resident who is not Covid 19 positive if not yet quarantined for 10 days. Technically, the facility would want to isolate a resident if they have covid to prevent the spread of covid 19. V2 stated he will not cohort the resident who is not covid positive with a resident who tested positive with Covid-19 because the resident who is not positive can get it.On 09/12/2025 at 4:25pm, V22 (Infection Preventionist/Licensed Practical Nurse) stated the expectation is to quarantine a covid positive resident for 10 days; from the day the resident tested positive. If a resident tested positive on 8/22/2025, the resident should be on quarantine from 8/22 to 8/31 then on 9/1/25, the resident can cohort with another resident. She should not be moved to another room on 8/31 because she (R4) has not completed the quarantine days yet. She can cohort with another resident on 9/1/2025. On 09/12/2025 at 4:52pm, V8 (Assistant Administrator) stated he miscalculated the count and thought that on the 10th day of isolation she (R4) could come off isolation.The (07/16/2025) Preventing and Controlling Acute Respiratory Illness Outbreaks in Skilled Nursing Facilities and Other Facilities Providing Skilled Care documented, in part This guidance replaces previous COVID-19 disease-specific guidance. It is based on the CDC's guidance for the control of respiratory illnesses, including COVID-19, influenza, and other respiratory illnesses, in health care settings. Recommended Precautions for Common Respiratory Viruses. RESPIRATORY VIRUS: COVID-19. TYPE OF PRECAUTION: Contact precautions, N95, and eye Residents Affected - Few Page 1 of 2 145670 145670 09/14/2025 Chalet Living & Rehab 7350 North Sheridan Road Chicago, IL 60626

F 0880 protection. COVID 19 Duration of Isolation and quarantine. COVID POSITIVE RESIDENT'S ISOLATION GUIDANCE: Asymptomatic. Isolation Required: 10 Days. Day 0 = day of swabbing. Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few 145670 Page 2 of 2