Health inspection·August 1, 2025

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, facility failed to follow their policy to accommodate resident's needs by ensuring call light is within reach for 4 (R2, R127, R156, R203) out of 8 residents reviewed for call lights as well as provide an adequately sized wheelchair for 1 (R92) resident out of 8 reviewed for appropriate wheelchairs in a sample of 37.R203 has diagnosis not limited to Unspecified Dementia, Severe Protein-Calorie Malnutrition, Encephalopathy, Adult Failure to Thrive, Alcohol Dependence with Unspecified Alcohol-Induced Disorder, Essential (Primary) Hypertension, Anemia, Muscle Wasting and Atrophy, Vitamin D Deficiency, Polyneuropathy, Abnormal Weight Gain, Restlessness and Agitation and Gastro-Esophageal Reflux Disease. R203’s MDS (Minimum Data Set) BIMS (Brief Interview for Mental Status) score is 03 indicating severe cognitive impact. Residents Affected - Some R203’s Care plan document in part: Focus: R203 is (low) risk for falls related to weakness. Interventions: Be sure R203’s call light is within reach and encourage the resident to us it for assistance as needed. Focus: R203 has a self-care deficit (ADLs (Activities of Daily Living/Mobility) generalized weakness. Interventions: Call light within reach; encourage resident to use prior to attempting self-care. On 07/29/25 at 11:06 AM R203 was observed lying in bed in a low position with the call light laying on the left side of the bed on the floor mat out of reach. V31 (Certified Nurse Assistant) was observed sitting in the hallway. V31 stated “R203 is alert and oriented x 1-2 depending on the time of day.” Surveyor asked V31 is R203 able to use the call light. V31 responded, “I don’t think so, I am not sure.” When asked if she (V31) could tell the surveyor where R203 call light was located V31 responded “I don’t have that room. The call light should be next to the resident in bed and in a place that they can reach it. It is supposed to be two call lights in that room and there is only one call light in the room.” On 07/29/25 at 11:12 AM surveyor asked V15 (Licensed Practical Nurse) the location of R203’s call light. V15 proceeded to pick R203’s call light up from the floor mat. V15 responded, it doesn’t look like R203 have one.” V15 then placed the call light on the bed next to R203. V15 stated “the call light should be placed on the bed in R203’s hand or next to her so that she can call us. R203 is alert and oriented x 1 and unable to use the call light. We check R203 frequently, other than that we can get R203 up. R203 has no history of falls. There are not two call lights, maintenance must have taken it out and did not tell us. The policy is if the resident is in the room the call light should be in reach.” Two beds were observed in the room with bed 2 call light observed to be missing. The light on the outside of R203’s room was illuminated and flashing. On 07/29/25 at 11:18 AM a staff member instructed V31 (Certified Nurse Assistant) to answer the call light in R203’s room and V31 said the call light is not working. (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: 145764 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 145764 B. Wing A. Building (X3) DATE SURVEY COMPLETED 08/01/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Morgan Park Healthcare 10935 South Halsted Street Chicago, IL 60628 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)