Health inspection·May 6, 2023

F 0558 Reasonably accommodate the needs and preferences of each resident. Level of Harm - Minimal harm or potential for actual harm Based on observation, interview and record review the Facility failed to answer call lights in a timely manner for three Residents (R2, R3 and R4) of four Residents reviewed for call lights in a sample of four. Residents Affected - Few Findings include: Facility Call Light Policy, revised 2/2/2018, was reviewed and documents: the purpose to respond to Residents' requests and needs in a timely and courteous manner; Resident call lights will be answered in a timely manner; all residents that have the availability to use the call light shall have the nurse call light system available at all times and within accessibility to the Resident at the bedside or other reasonable accessible location; all staff should assist in answering the call lights and go into Resident rooms to respond to the call system and promptly cancel the call light when the room is entered; and call bell system defects will be reported promptly to the Maintenance Department for servicing. Facility Concern/Compliment Forms, dated 1/1/23, 1/4/23, 1/6/23, 1/11/23, 2/2/23, 2/7/23, 2/8/23, 2/15/23, 2/20/23, 2/19/23, 3/3/23, 3/16/23 and 3/27/23, document issues with call light response time and malfunctioning call lights. On 5/6/23, from 8:26 am through 8:52 am, R2's call light was activated. R2 resided in an Isolation Room that required Personal Protective Equipment/PPE. On 5/6/23, from 8:26 am through 8:52 am, V5 (Registered Nurse) was sitting at the nursing station within view of the call light and walked down the hallway past R2's room and did not answer or deactivate R2's call light. On 5/6/23, at 8:43 am, V7 (Certified Nursing Assistant/CNA) walked past R2's room and did not answer or deactivate R2's call light. On 5/6/23, at 8:32 am through 8:38 am, V4 (Therapy Assistant) walked past R2's room and did not answer or deactivate R2's call light. On 5/6/23, at 8:46 am, V6 (Licensed Practical Nurse/LPN) walked to R2's hallway from the adjoining hallway and proceeded down the hallway and V6 did not answer or deactivate R2's call light. On 5/6/23, at 10:37 am, R3 (alert and oriented) stated, They do not normally come right away when I press my button, I normally wait about thirty minutes, at best. I do not walk, and I need their help. Page 1 of 2 145683 145683 05/06/2023 Elevate Care Abington 3901 Glenview Road Glenview, IL 60025

F 0558 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few On 5/6/23, at 10:24 am, R4 (alert and oriented) stated, I am the Resident Council [NAME] President. I have to wait a long time, and I mean like an hour, for my light to be answered because there is no help. At nighttime especially, you can hear a pin drop, because there is no one around. Recently, I did not fall, but they said I fell, but I slid off of the edge of my bed, but I did not get hurt. I was trying to get myself up. On 5/6/23, at 10:48 am, R2 (alert and oriented) stated, My call light was on earlier this morning for about an hour. They do not like coming in here because they do not like to put on gowns and gloves. I called them earlier this morning because I got my breakfast delivered while I was still sleeping, and I needed my oatmeal warmed up and I also needed cleaned up. I generally always have to wait for at least a half hour to an hour for them to answer my light. On 5/6/23, at 12:15 pm, V2 (Director of Nursing) stated, I know we have had issues with call lights, but we have enough staff and there should be no reason that we cannot answer them faster than 30 minutes. I have been in-servicing them and tried to get the issue corrected. No staff should walk past an alarming call light. 145683 Page 2 of 2