Inspection·January 30, 2026

F 0600 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interviews and records review, the facility failed to ensure three (R4, R6, R13) of seven residents reviewed remained free from physical and mental abuse in a sample of 14.Findings Include: 1.Facility Reported Incident Report, sent to Illinois Department of Public Health (IDPH), initial dated 10/24/2025, final dated 10/29/2025, related to R4 and R6 documents: Based on the known facts from medical records review and interviews, the following conclusions have been determined about the original allegation: Abuse is substantiated.On 01/29/2026 at 2:20PM, V1(Administrator) stated on 10/24/2025, V1 was notified by nursing staff (no names provided), R4 was verbally aggressive and loud towards R6, telling R6 to turn off his music playing from R6's phone. R6 pushed R4 on R4's face for being verbally aggressive towards him. R4's provider gave orders for R4 to be sent to the hospital for aggressive behavior. R4 refused, police were called, R4 was sent to a psychiatric hospital for evaluation related to aggressive behavior. V1 stated staff are supposed to keep residents safe and free of any form of abuse. V1 further stated verbal aggression and pushing are a form of abuse. V1 conducted investigations on what happened and concluded abuse happened between R4 and R6. R4 is a [AGE] year-old individual whose current face sheet documents R4 medical conditions to include but not limited to depression, unspecified, schizophrenia, unspecified, alcohol use, unspecified with intoxication, unspecified. MDS (Minimum Data Set) section C, dated 12/16/25, documents R4's Brief Interview for Mental Status (BIMS) as 15/15, indicating R4 has intact cognitive abilities. R4 is a closed record and was not residing in the facility during this investigation.R4's nursing progress note, dated 10/24/2025, documents R4 stated to staff his roommate (R6) pushed him. V6(Licensed Practical Nurse) heard R4 in the hallway having a verbal disagreement with co residents. Residents became aggressive, agitated, and combative. R6 is a [AGE] year-old individual whose current face sheet documents R6 medical conditions to include but not limited to: bipolar disorder, unspecified, type 2 diabetes mellitus without complications. MDS (Minimum Data Set) section C, dated 12/3/25, documents R6's Brief Interview for Mental Status (BIMS) as 15/15, indicating R6 has intact cognitive abilities.On 01/27/2026 at 12:08PM, R6 stated he got into a confrontation with R4 when R4 tried snatch R6's phone as R6 was listening to music, stating the phone was his (R4's). R6 pushed R4 away and told him to get away from him. R6 stated he and R4 cursed each other. Staff came and separated them. R4 was moved out of the room he shared with R6. R6's progress notes, dated 10/24/2025, documents R6 told V6(Licensed Practical Nurse) that he pushed R4 because R4 came on R6's side of the room and threatened to break his phone and started verbally abusing him. Police notified. Chicago Police made aware of Incident.On 01/28/2026 at 12:36PM, V8 (Licensed Practical Nurse-LPN) stated on 10/24/2025, she heard a disagreement between R4 and R6. R6 told V8 that he had pushed R4 after R4 threatened R6 and told him he was going to break his phone. R6 stated R4 she went to check to check what was going on. R4 stated R6 he was playing music on his phone, and it was not loud. R6 stated R4 was verbally abusing R6. V8 went (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: 145765 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 145765 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/30/2026 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Park View Rehab Center 5888 North Ridge Chicago, IL 60660 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)