Health inspection·January 31, 2025

F 0550 Level of Harm - Minimal harm or potential for actual harm Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Based on interview and record review, the facility failed to schedule outside appointments and testing for one resident (R1) out of three residents reviewed for resident rights in a sample of 6. Residents Affected - Few Findings include: R1's POS (physician order sheet) notes the following orders: 11/16/23, R1 to have CT (computed tomography) with contrast of lungs related to COPD (chronic obstructive pulmonary disease). 11/28/23, R1 to have CT with contrast of lungs related to COPD. 12/5/23, R1 to have CT with contrast of lungs related to COPD. 12/8/23, R1 to have CT with contrast of lungs related to COPD. 2/7/24, Schedule to see pulmonologist for evaluation and treatment, diagnoses COPD, chronic cough, and repeated upper respiratory infections. 3/27/24, Pulmonologist appointment 7/11/2024 at 2:45PM. On 1/30/25 at 9:55AM, R1 stated that R1 has not seen a pulmonologist yet or had the CT (computed tomography) scan done yet. R1 stated that R1 has asthma. R1 stated that R1 has waited a long time to see a pulmonologist. On 1/30/25 at 9:00AM, V4 (Appointment Scheduler) stated that the nurse has to notify V4 and give copy of order for outside appointments and diagnostic testing. V4 stated that R1's insurance denied CT scan because not enough information was provided to justify the need for CT scan. V4 stated that V4 does not have access to document in the resident's electronic medical record so she has to let nurses know when insurance approves or denies outside appointments and/or testing. V4 stated that the nurse is responsible for notifying the physician. V4 stated that the nurse is responsible for documenting in the resident's medical record if the resident refuses to go to appointment and informing V4 so it can be rescheduled. On 1/30/25 at 10:00AM, V2 Director of Nursing (DON) reviewed R1's medical record and stated that there is no documentation noting R1 refused to go to pulmonology appointment last July. V2 stated that V6 Nurse Practitioner (NP) noted on 8/14/24 that R1 missed pulmonology appointment and it needs to (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: 145778 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 145778 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/31/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Midway Neurological / Rehab Center 8540 South Harlem Bridgeview, IL 60455 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)