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. (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: 145683 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 145683 B. Wing A. Building (X3) DATE SURVEY COMPLETED 05/06/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Elevate Care Abington 3901 Glenview Road Glenview, IL 60025 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)