F 0584
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Some
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited
to receiving treatment and supports for daily living safely.
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
observations, interviews, and record reviews, the facility failed to implement effective interventions to
maintain resident room temperatures and dialysis room temperatures at safe/comfortable levels below 81
degrees Fahrenheit. This failure affected 53 residents (R1 - R53) out of 54 residents in a sample of 54.
Findings include:
On 6/18/25 starting at 2:55 PM until 3:50 PM, resident room temperatures were checked with V3
(maintenance director):
Room: temperature (degrees Fahrenheit):
404 85
402 85
408 85
419 85
427 82
305 83
312 83
313 85
316 85
317 84
328 82
237 85
201 85
(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 3
Event ID:
145718
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
145718
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
06/25/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Thryve of Crestwood
14255 South Cicero Avenue
Crestwood, IL 60445
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 0584
204 85
Level of Harm - Minimal harm
or potential for actual harm
208 85
215 82
Residents Affected - Some
220 82
226 82
229 82
Dialysis room [ROOM NUMBER]
Per www.timeanddate.com/weather, dated 6/18/25 at 10:53 AM, the outside temperature in Crestwood, IL
was 81 degrees with humidity 67%. The highest temperature was at 12:53 PM, outside temperature was 82
degrees with humidity 63%.
On 6/18/25 at 3:20 PM, R20 has a 20-inch box fan set on high positioned one foot away from R20. R20
stated that his room is hot and uncomfortable.
On 6/18/25 at 3:25 PM, there were 10 residents observed receiving dialysis treatment. R1 was observed
fanning herself with a piece of paper.
On 6/18/25 at 3:30 PM, R28 stated that room is hot and uncomfortable.
On 6/18/25 at 3:31 PM, R29 has a 20-inch box fan set on high positioned three feet away from R29. R29
stated that his room is hot and uncomfortable. R29 requested a second fan for his room.
On 6/18/25 at 2:55 PM, V3 (maintenance director) stated that the air conditioning (AC) units are located on
the side of the building. V3 stated that the AC units are working at this time. V3 stated that on 6/1/25 the
fillers were checked and cleaned. V3 stated that it took two weeks to complete this. V3 stated that water
flows through the coils in the unit in each resident room. V3 stated that the AC units blow cold air into the
hallways on each nursing unit. V3 stated that there is a small portable AC unit located at each nurses '
station as well. V3 stated that cool water comes from the main intakes and goes through the pipes in the
boiler room and then to the unit in each resident room. V3 stated that he started randomly checking hourly
temperatures since 8:00 AM yesterday, 6/17. V3 stated that he checks temperatures from 7:00 AM until
7:00 PM. V3 stated that he does not check temperatures after 7:00 PM because the temperature starts to
drop in the facility. V3 stated that the digital infrared thermometer he uses does not record humidity levels.
V3 stated that he obtains the humidity from the internet. V3 stated that temperatures will be monitored
throughout the weekend to ensure temperatures do not increase above 81 degrees. V3 stated that
residents will be provided a fan upon request.
On 6/18/25 at 4:20 PM, V6 (dialysis nurse) and V7 (dialysis nurse) stated that they were informed on
Monday, 6/16, that the facility's air conditioner was not working and they facility needed to order parts. Both
stated that residents are not permitted to eat or drink in the dialysis room. Both denied any staff checking
on residents while receiving treatments. Both stated that there are 10 residents receiving dialysis
treatments in the morning and 10 in the afternoon. V6 stated that they have
(continued on next page)
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
145718
If continuation sheet
Page 2 of 3
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
145718
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
06/25/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Thryve of Crestwood
14255 South Cicero Avenue
Crestwood, IL 60445
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 0584
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Some
been monitoring residents' vital signs throughout their treatment. V6 stated that the residents' vital signs
have been fluctuating more than usual due to the heat. Both stated that residents are in treatment for
4-4.75 hours. Both stated that residents appear to be more fatigued than usual due to heat.
On 6/18/25 at 4:30 PM, V2 DON (director of nursing) stated that staff are providing cold water to residents
every two hours. V2 stated that staff are also providing residents with popsicles/ice cream in between
meals. V2 stated that nurses are monitoring residents for signs of hyperthermia and heat exhaustion/heat
stroke. V2 stated that physicians have ordered increased water flushes for residents that have gastrostomy
tubes and cannot eat or drink. V2 stated that V2 will have staff bring ice packs to all of the residents in
dialysis right now.
On 6/20/25 at 10:30 AM, R1 and R2 stated that it is a little cooler in their room compared to the previous
days. Both stated that they were unaware the facility had fans for resident use, they were never offered a
fan. Both stated that it was very hot in the dialysis room on 6/18/25.
On 6/20/25 at 3:00 PM, V4 (outside HVAC company) stated that he was notified on Sunday, 6/15/25, that
the AC units were not functioning. V4 stated that the outside temperatures were cooler on Sunday so V4 did
not come to the facility until Monday morning. V4 stated that he has been at facility all week working on the
AC units. V4 stated that parts had to be ordered and replaced. V4 stated that as of right now the AC units
are functioning properly.
On 6/20/25 at 3:30 PM, V1 (administrator) stated that should have been checking on their residents in
dialysis. V1 stated that the dialysis staff should have notified V1 and/or V2 that the dialysis room was hot.
The facility ' s temperature log notes on 6/17/25 at 8:00 AM random temperatures were 82 degrees. At
11:00 AM, temperatures increased to 83 degrees. From 12:00 PM until 4:00 PM temperatures were 82
degrees. By 7:00 PM, temperatures were 79 degrees.
The facility ' s temperature log notes on 6/18/25 at 7:00 AM random temperatures were 79 degrees. At
11:00 AM, temperatures increased to 83 degrees. At 5:30 PM, random room temperatures were decreasing
to 80-81 degrees.
On 6/24/25 at 3:00 PM, V3 stated that the facility has rented three large portable AC units for each nursing
unit to help keep facility temperatures at a comfortable level.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
145718
If continuation sheet
Page 3 of 3