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Inspection visit

Inspection

RENWICK NURSING AND REHABCMS #1456941 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

This survey cited 1 deficiency. The full statement and the facility’s plan of correction follow, verbatim from the federal record.

F 0755 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Based on interviews and record reviews, the facility failed to administer medications within the required timeframe. The facility also failed to obtain Physician's Orders to administer medications late. This applies to 25 of 27 residents (R1, R3, R5, R9, R11, R12, R13, R14, R15, R16, R17, R18, R19, R20, R21, R22, R23, R24, R25, R26, R27, R28, R29, R30, 31) reviewed for timely medication administration. Findings include: 1. On 3/28/24 at 2:02pm R3, who is oriented to person, place, and time, said that on 3/17/24 she did not get her evening medications on time. R3 said she did not get her medications until after 11:30pm. R3 said she stayed up waiting to get her medications because she was afraid if she didn't get them, she would have a stroke because her blood pressure would go up too high. R3 said after she got her medications, she had a difficult time falling asleep and her hands were shaking. R3's electronic medical records showed she has diagnoses including congestive heart failure, atrial fibrillation, hypertension, hypothyroidism, depression, atherosclerotic heart disease, hyperlipidemia, anemia, and anxiety. A review of the facility's Medication Administration Audit Report for 3/17/24, Nights 6pm - 6am, showed that residents (R1, R3, R5, R9, R11, R12, R13, R14, R15, R16, R17, R18, R19, R20, R21, R22, R23, R24, R25, R26, R27, R28, R29, R30 & R31) did not get their medications administered to them at the scheduled time between the hours of 6pm and 10pm. On 3/27/24 at 1134am, V11 (Nurse) said that she did not come in to work until 10pm and at that time she began passing the medications to the residents. V11 said she gave all the medications that were due between the hours of 6pm to 10pm at that time. V11 said that she did not call the doctor to notify that the residents' medications were late. On 3/27/24 at 12:48pm, V15 (Nurse) said that on 3/17/24 she worked from 6am to 6pm and she did not pass any medication to any residents that V11 was assigned to. On 3/28/24 at 2:13pm. V2 (DON) said that on 3/17/24 between 6pm to 10pm, 25 residents (R1, R3, R5, R9, R11, R12, R13, R14, R15, R16, R17, R18, R19, R20, R21, R22, R23, R24, R25, R26, R27, R28, R29, R30 & R31) did not get their medications as ordered/scheduled, and the facility's physician was not notified. V2 said that to give the medications late, the physician is to be notified and an order is to be obtained. 2. R3's 3/17/24 Medication Administration Audit Report showed R3's 3/17/24 8pm medications: (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 4 Event ID: 145694 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 145694 B. Wing A. Building (X3) DATE SURVEY COMPLETED 03/29/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Renwick Nursing and Rehab 3401 Hennepin Drive Joliet, IL 60435 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)
F 0755 Level of Harm - Minimal harm or potential for actual harm Hydralazine 50mg, Atorvastatin 40mg, & Hydralazine 25mg was given on 3/18/24 at 12:51am. R3's 3/17/24 Medication Administration Audit Report showed R3's 3/17/24 9pm medications: Eliquis 5 mg, Doxycycline Hyclate 100mg, Buspirone HCL 10mg, Hydroxyzine HCL 50mg, & Mupirocin 2% ointment was given on 3/18/24 at 12:51am R3's 3/17/24 Medication Administration Audit Report showed R3's 3/17/24 10pm medication Alprazolam 0.5mg was given on 3/18/24 at 12:51am. Residents Affected - Some 3. R1's 3/17/24 Medication Administration Audit Report showed R1's 8pm medications: Trazadone 150mg, & Haloperidol 1 mg, was scheduled for 3/17/2024 at 8pm and R1 received it on 3/18/24 at 12:02am. R1's 3/17/24 Medication Administration Audit Report showed 9pm medications: Magnesium oxide 400 milligrams 2 tablets, Bupropion 150mg, Tacrolimus 3mg, Apixaban 5mg, Clobetasol Propionate 0.05% cream to both hands, Lactulose 30 ml, and Calcium Carbonate 1250mg was scheduled on 3/17/24 at 9pm. and R1 received it on 3/18/24 at 12:02am. 4. R12's 3/17/24 Medication Administration Audit Report showed R12's 8pm medications: Montelukast 10mg & Atorvastatin 40mg were given on 3/18/24 at 12:27am. R12's 3/17/24 9pm medication: Voltaren 1% gel to effected area, Alprazolam 0.25mg, and R3's [NAME] house were removed on 3/18/24 at 12:27am. 5. R13's 3/17/24 Medication Administration Audit Report showed R13's 8pm medication Coumadin 2mg was scheduled for 3/17/24 at 8pm and R13 received it at 11:50pm. R13's 3/17/24 Medication Administration Audit Report showed R13's 9pm medications: potassium chloride 20 MEQ, & Sennosides 8.6mg were given at 11:50pm & Metoprolol Tartrate 25mg was given at 11:51pm. 6. R14's 3/17/24 Medication Administration Audit Report showed R14's 9pm medications Sennoside 8.6mg, & Folic Acid 800mg were scheduled for 3/17/24 at 9pm and were given on 3/17/24 at 10:42pm. Risperidone 0.5gm was scheduled for 3/17/24 at 9pm and was given on 3/17/24 at 10:41pm, & Acidophilus/pectin 1 capsule, Ascorbic Acid 1000mg, and Cholecalciferol 10,00o units were scheduled for 3/17/24 at 9pm and were given on 3/17/24 at 10:45pm. 7. R15's 3/17/24 Medication Administration Audit Report showed R15's 8pm medication Ferrous Sulfate 325mg was scheduled for 3/17/24 at 8pm and it was given on 3/18/24 at 12:22am. R15's 3/17/24 9pm medications: Risperidone 0.25mg, Eliquis 2.5mg, and Donepezil 10mg were given on 3/18/24 at 12:22am. R15's 3/17/24 10pm Acetaminophen 1000mg was given on 3/18/24 at 12:22AM. 8. R16's 3/17/24 Medication Administration Audit Report showed R16's 3/17/24 8pm medication, Tamsulosin HCL 0.4mg was given on 3/18/24 at 12:45am. R16's 3/17/24 Medication Administration Audit Report showed R16's 3/17/24 9pm medications: Nystatin powder topical, Eliquis 5mg, & Vit. C 500mg was given on 3/18/24 at 12:46am 9. R17's 3/17/24 Medication Administration Audit Report showed R17's 3/17/24 8pm medications: Quetiapine 50mg & Senna 8.6mg was given at 11:53. R17's 3/17/24 Medication Administration Audit Report showed R17's 3/17/24 9pm medication Acetaminophen 650mg 2 tabs was given at 11:53pm 10. R9's 3/17/24 Medication Administration Audit Report showed R9's 3/17/24 8pm medications: Sennosides 8.6mg, Flomax 04.mg, Lipitor 20mg, Fluticasone Propionate 50 MCG/ACT, Saline Nasal Spray, Buspirone 5mg, & Norco 5-325mg was given at 11:25pm. R9's 3/17/24 Medication Administration Audit Report showed R9's 3/17/24 9pm medications: Artificial Tears Ophthalmic solution, Sodium Chloride 1 gram, Gentamicin 1% ointment, Magnesium Oxide-Mg 400mg, Oyster Shell calcium/Vit. D 500-200mg-unit, Vit D3 5000 units, Ranolazine ER 500mg, & Mucus Relief DM 20-400mg were given at 11:25pm (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 145694 If continuation sheet Page 2 of 4 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 145694 B. Wing A. Building (X3) DATE SURVEY COMPLETED 03/29/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Renwick Nursing and Rehab 3401 Hennepin Drive Joliet, IL 60435 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)
F 0755 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some 11. R18's 3/17/24 Medication Administration Audit Report showed R18's 3/17/24 7pm Atorvastatin 20mg was given at 11:02pm. R18's 3/17/24 Medication Administration Audit Report showed R18's 3/17/24 Medication Administration Audit Report showed R18's 3/17/24 17/24 9pm medications: Ropinirole 0.25mg, Mirtazapine 15mg, & Eliquis 5mg were given at 11:02pm 12. R19's 3/17/24 Medication Administration Audit Report showed R19's 3/17/24 8pm medication, Carbamazepine ER 100mg was given on 3/18/24 at 12:29am. R19's 3/17/24 Medication Administration Audit Report showed R19's 3/17/24 9pm medication Amlodipine 5mg was given on 3/18/24 at 12:29am. R19's 3/17/24 Medication Administration Audit Report showed R19's 3/17/24 9pm medications: Latanoprost Solution 0.005%, Carvedilol 3.125mg, Lorazepam 0.5mg, Losartan Potassium 50mg, Quetiapine Fumarate 25mg, & Cyclobenzaprine HCL 10mg was given on 3/18/24 at 12:30am. 13. R20's 3/17/24 Medication Administration Audit Report showed R20's 3/17/24 8pm medication, Atorvastatin Calcium 20 mg was given at 11:24pm. R20's 3/17/24 Medication Administration Audit Report showed R20's 3/17/24 9pm medications: Famotidine 20mg, Levetiracetam 750mg, Apixaban 5mg, Temazepam 15mg, & Lyrica 75mg was given at 11:24pm 14. R21's 3/17/24 Medication Administration Audit Report showed R21's 3/17/24 9pm medications: Atorvastatin 40mg & Memantine HCL 10mg were given on 3/18/24 at 12:23am. 15. R22's 3/17/24 Medication Administration Audit Report showed R22's 3/17/24 8pm medication, Atorvastatin Calcium 10mg was given at 10:52pm. R22's 3/17/24 Medication Administration Audit Report showed R22's 3/17/24 9pm medications: Potassium Chloride ER 20MEQ, Probiotic 250mg, Oxcarbazepine 150mg, & Apixaban 2.5mg was given at 10:55pm. 16. R5's 3/17/24 Medication Administration Audit Report showed R5's 3/17/24 8pm medications: Docusate Sodium 100mg, & Flomax 0.4mg were given at 11:45pm. R5's 3/17/24 Medication Administration Audit Report showed R5's 3/17/24 9pm medications: IV Saline flush (Sodium Chloride), Gabapentin 100mg, Atorvastatin 20mg, & Ceftriaxone 2gms (IV solution) was given at 11:46pm. 17. R23's 3/17/24 Medication Administration Audit Report showed R23's 3/17/24 8pm medications: Magnesium Oxide 400mg, Diltiazem CD 120mg, Glucophage 1000mg, & Glipizide 10mg were given on 3/18/24 at 12:08am. R22's 3/17/24 Medication Administration Audit Report showed R22's 3/17/24 9pm medications: Atorvastatin 10mg, Mirtazapine 15mg, & Docusate 100mg were given on 3/18/24 at 12:08am. 18. R31's 3/17/24 Medication Administration Audit Report showed R31's 3/17/24 7pm medication, Atorvastatin Calcium 40mg was given at 23:29pm. R31's 3/17/24 Medication Administration Audit Report showed R31's 3/17/24 8pm medications: Artificial Tears ophthalmic solution 0.2-2.1%, Montelukast 10mg, Dorzolamide HCL-Timolol Mal PF Ophthalmic Solution 2-0.5%, Brimonidine Tartrate Ophthalmic 0.2%, Coreg 3.125mg, & Eliquis 2.5mg was given at 11:29mg. R31's 3/17/24 Medication Administration Audit Report showed R31's 3/17/24 9pm medication, Latanoprost Ophthalmic solution 0.005% was given at 11:29am. 19. R24's 3/17/24 Medication Administration Audit Report showed R24's 3/17/24 8pm medications: Potassium Chloride ER 20 MEQ, Coumadin 2mg, Coumadin 2.5mg, Cyclobenzaprine HCL 5mg, Lipitor 40mg, & Mirtazapine 7.5mg were given at 10:50pm 20. R11's 3/17/24 Medication Administration Audit Report showed R11's 3/17/24 7pm medication, Carbidopa-Levodopa 25-100mg was given at 11:13pm. R11's 3/17/24 Medication Administration Audit Report showed R11's 3/17/24 8pm medications: Trazodone HCL 50mg (½ tablet) and Trazodone HCL 50mg, & (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 145694 If continuation sheet Page 3 of 4 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 145694 B. Wing A. Building (X3) DATE SURVEY COMPLETED 03/29/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Renwick Nursing and Rehab 3401 Hennepin Drive Joliet, IL 60435 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)
F 0755 Level of Harm - Minimal harm or potential for actual harm Metformin HCL 500mg were given 11:13pm. R11's 3/17/24 Medication Administration Audit Report showed R11's 3/17/24 9pm medications: Fenofibrate Micronized 200 mg, Senna Plus 8.6-50mg, Anastrozole 1 mg, Acetaminophen 650mg, Insulin Glargine 45 units subcutaneously, Norvasc 5mg, Debrox Otic solution, & Atorvastatin 40mg were given at 11:13pm. R11's 3/17/24 Medication Administration Audit Report showed R11's 3/17/24 10pm medications Carbidopa-Levodopa 25-100 mg was given at 11:12pm. Residents Affected - Some 21. R25's 3/17/24 Medication Administration Audit Report showed R25's 3/17/24 8pm medication, Seroquel 25mg was given at 11:30pm. 22. R26's 3/17/24 Medication Administration Audit Report showed R25's 3/17/24 8pm medications: Citalopram 10mg, Ouster calcium 500mg, Spiriva 18MCG, Reglan 5mg, Carbamazepine 400mg, Montelukast 10mg, tizanidine HCL 2mg, Colace 100mg, Keppra 500mg, Simvastatin 20mg, Melatonin 5mg, & Mucus relief 400mg were given at 11:56pm. R25's 3/17/24 Medication Administration Audit Report showed R25's 3/17/24 10pm medication, Acetaminophen 650mg were given at 11:56pm. 23. R27's 3/17/24 Medication Administration Audit Report showed R27's 3/17/24 8pm medications: Plavix 75mg, & Breo Ellipta 200-25MCG inhaler were given at 10:59pm. R27's 3/17/24 Medication Administration Audit Report showed R27's 3/17/24 9pm medication, Pepcid 20 mg was given at 10:59pm. 24. R28's 3/17/24 Medication Administration Audit Report showed R28's 3/17/24 8pm medication, Gabapentin 100mg was given on 3/18/24 at 12:21am. R28's 3/17/24 Medication Administration Audit Report showed R28's 3/17/24 9pm medications: Lactulose 15ml, Atorvastatin 10mg, Eliquis 5mg, & Basaglar 100 unit/ml 28 units was given on 3/18/24 at 12:21am. 25. R29's 3/17/24 Medication Administration Audit Report showed R29's 3/17/24 8pm medication, Seroquel 100mg was given at 11:16pm. R29's 3/17/24 Medication Administration Audit Report showed R29's 3/17/24 9pm medications: Quetiapine Fumarate 25mg, Levetiracetam 1000mg, Phenytoin 100mg, & Melatonin 3mg were given at 11:16pm 26. R30's 3/17/24 Medication Administration Audit Report showed R30's 3/17/24 7pm medication, Atorvastatin 40mg was given on 3/18/24 at 12:26am. R30's 3/17/24 Medication Administration Audit Report showed R30's 3/17/24 8pm medications: Carvedilol 6.25mg & Mirtazapine 15mg was given on 3/18/24 at 12:26am. V11's time record for 3/17/24 showed that V11 worked from 10pm - 6am. The facility's Daily Staffing Sheets of Sunday 3/17/24 showed that V11 came in at 10pm. The facility's CNA Daily Assignment sheet for 3/17/24 showed that V11 worked from 10pm on 3/17/24 to 6am on 3/18/24. A review of the facility's census on 3/17/24 for the hall that V11 was assigned to, showed a census of 27 residents. A review of the facility's 3/17/24 Medication Administration Audit Report for that hall showed that 24 of the 27 residents did not get their medication as scheduled from 6pm to 10pm. The facility's Medication Administration policy (no date) showed that all drugs will be administered in accordance with all orders of licensed medical practitioners. Medication shall be administered within one hour of the medication schedule, unless specifically ordered otherwise. In the event a physician's order for a significant drug cannot be followed, the physician will be promptly notified. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 145694 If continuation sheet Page 4 of 4

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Citations

1 citation recorded*CMS

What do CMS severity letters mean?

Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.

General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.

Each letter combines severity with scope: how many residents the deficiency affected.

  • 0755GeneralS&S Epotential for harm

    F755 - Pharmacy Services

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

FAQ · About this visit

Common questions about this visit

What happened during the March 29, 2024 survey of RENWICK NURSING AND REHAB?

This was a inspection survey of RENWICK NURSING AND REHAB on March 29, 2024. The surveyor cited 1 deficiency, recorded on the federal Form 2567 statement of deficiencies.

Were any deficiencies cited at RENWICK NURSING AND REHAB on March 29, 2024?

Yes, 1 deficiency was cited, each with a CMS Scope and Severity grade. The first was: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharm..."

What type of survey was this?

This was a inspection survey conducted by state surveyors under federal Centers for Medicare & Medicaid Services (CMS) oversight. Findings are published on CMS Care Compare.

SourceView on CMS Care Compare

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Data from CMS Care Compare public records. Dataset last refreshed . If you believe any information is inaccurate, report it here.