Health inspection·July 7, 2025

F 0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Level of Harm - Actual harm Residents Affected - Few **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview and record review the facility failed to ensure the resident the right to free of abuse for one (R2) of three residents included in a sample of 8 who was physically assaulted by R1, resulting in R2 sustaining a laceration to the top of head requiring 8 staples. Findings include: R1 is a [AGE] year old male with a diagnosis including Pulmonary Disease , Diabetes 2 , Heart Failure and Low Back Pain. R1 was first admitted to the facility on [DATE] and was discharged from the facility on 7/1/25. R1 has a BIMS ( Brief Interview Of Mental Status ) Score of 15/15 . R1 is care planned for including abuse potential resulting from 6/30/25 incident where R1 and R2 got into an argument with no physical contact, and on 7/1/25 where there was an altercation between R1 and R2 with physical injury to R2 . R1 was first admitted to the facility on [DATE]. R2 is a [AGE] year old male with a diagnosis including Parkinsons Disease , Dementia , Bi Polar Disorder and Repeated Falls . R2 was first admitted to the facility on [DATE] R2's BIMS ( Brief Interview Of Mental Status ) score of 15/15. R2 is care planned for abuse potential based on 6/30/25 and 7/1/25 incident. On 7/3/25 at 9AM R2's head was observed with V2 (DON). A 3.2 CM (centimeter) laceration with 8 staples was observed on top of head. On 7/2/25 at 10:45AM R2 stated, I was out smoking and R1 came up and sprayed me. I fell down and hit my head on the metal side of bench. I couldn't see. There was 15-people out there when this happened. I got 8 staples at the hospital. I don't know where he got the [NAME] from. We also had an altercation in the dining room that happened the night before on 6/30/25. The nurse stopped the altercation right away in the dining room the day before the smoking patio incident. R1 accused me of wearing his shoes. I never touched his shoes. I found them under his bed. I am ok and feel safe now since the incident. I don't see R1 here and heard he isn't coming back. On 7/2/25 at 10:54AM V1 (Administrator) stated, I am the abuse prevention coordinator. R1 and R2 got in altercation in the dining room on 6/30/25. They had an argument and were separated. V5 (Nurse) was there. On 6/30/25, R2 was moved to another room upon agreement of R2. We increased monitoring of both residents. Yesterday (7/1/25) there was a code gray called. I went out to smoking patio. I saw R2 was by edge of patio. R1 was on the bench 5 feet away. R2 had blood on head. R1 had no injury and was sitting on bench. I called the nurse to take care of R2. Nurses applied first aid while I stayed there with R1. R1 said he was having trouble breathing because he has COPD. Am ambulance was (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: 145730 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 145730 B. Wing A. Building (X3) DATE SURVEY COMPLETED 07/07/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Continental Nursing & Rehab Center 5336 North Western Avenue Chicago, IL 60625 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)