Health inspection·January 24, 2025

F 0558 Reasonably accommodate the needs and preferences of each resident. Level of Harm - Minimal harm or potential for actual harm On 1/21/2025 at 11:30am R 34 was observed in bed asking for her call light, R34 call light was observed on the floor under her bed out of reach. Residents Affected - Few On 1/21/2025 at 11:35am V11(Nurse) said her call light should be in reach and attached the call light to the bed in reach. On 1/23/2025 at 12:40pm V2(Director of Nursing-DON) said R34 has multiple sclerosis and she expect her call light to be always in reach. An admission record dated 1/23/2025 indicated that R34 has a diagnosis of multiple sclerosis. A care plan dated 1/13/2023 indicates that R34 has a focus of at risk for falls related to deconditioning an intervention to keep call light and desired personal items within reach. Based on observation, interview, and record review the facility failed to ensure call light is within reach affecting 2 of 2 (R2, R34) residents reviewed for Accommodation of Needs in a sample of 20 Findings Include: On 1/21/2025 at 11:20 AM, R2 in bed, call light not within reached. V6 (Certified Nursing Assistant/CNA) said R2 uses a custom call light that V6 was not able to find within R2's reach. On 1/23/2025 at 10:45 AM, V2 (Director of Nursing/DON) said call light should be within reach of resident. admission Record: Diagnosis Information Cerebral Palsy, Unspecified Contracture, Unspecified Joint Care Plan: Encourage R2 to use custom call light r/t contractures of all extremities for staff assistance. Policy and Procedure: Call Light, Revisions: 2-2-18 Page 1 of 4 145779 145779 01/24/2025 Elevate Care Palos Heights 12550 South Ridgeland Avenue Palos Heights, IL 60463

F 0558 Purpose: To respond to residents' requests and needs in a timely and courteous manner. Level of Harm - Minimal harm or potential for actual harm Guidelines: Resident call lights will be answered in timely manner. Residents Affected - Few 1. All residents that have the ability to use a call light shall have the nurse call light system available at all times and within easy accessibility to the resident at the bedside or other reasonable accessible location. 145779 Page 2 of 4 145779 01/24/2025 Elevate Care Palos Heights 12550 South Ridgeland Avenue Palos Heights, IL 60463

F 0880 Provide and implement an infection prevention and control program. Level of Harm - Minimal harm or potential for actual harm On 1/21/2025 at 11:35 AM R6's CPAP machine on the nightstand with mask/cannula not stored in a plastic/zip lock bag. V5 (Licensed Practical Nurse) said CPAP mask/cannula should be in the bag when not in use. Residents Affected - Few On 1/23/2025 at 10:45 AM V2 (Director of Nursing) said CPAP mask/cannula should be stored in a plastic/zip lock bag when not in use. admission Record: Diagnosis Information: Sleep Apnea, Unspecified; Obstructive Sleep Apnea (Adult) (Pediatric) Order Summary Report: CPAP to be worn at bedtime Care Plan: Interventions: CPAP to be worn at bedtime Policy and Procedure: Oxygen & Respiratory Equipment - Changing/Cleaning Review/Revisions: 1-7-19 Guidelines: Purpose: 1. To provide guidelines to employees for changing all disposable respiratory supplies. 2. To ensure the safety of residents by providing maintenance of all disposable respiratory supplies. 3. To minimize the risk of infection transmission. Procedure: 2. Nasal Cannula c. A clean plastic bag with a zip lock or draw string, etc. will be provided to store the cannula when it is not in use. Based on observation, interview, and record review the facility failed to ensure appropriate infection control practices in proper handling of respiratory equipment. This deficiency affects two (R6, R23) of four residents in the sample of 20 reviewed for Infection control. 145779 Page 3 of 4 145779 01/24/2025 Elevate Care Palos Heights 12550 South Ridgeland Avenue Palos Heights, IL 60463

F 0880 Findings include: Level of Harm - Minimal harm or potential for actual harm On 1/21/25 at 11:05 AM, R23 observed in wheelchair alert and responsive. R23 nebulizer mask observed on top of dresser uncovered and tubing with no date or label. Residents Affected - Few On 1/21/25 at 11:10 AM, V5(Licensed Practical Nurse) made aware of above findings and said that nebulizer mask should be covered in a plastic bag with date on tubing, V5 said nebulizer mask should not be left on top of dresser uncovered. On 1/22/25 at 2:00 PM, V2 (Director of Nursing) said that her nebulizer masks should be placed inside a plastic bag with tubing labeled and dated for infection control purposes. Facility's Policy on Nebulizer- Medication Administration revision: 10-9-18 Guidelines 23. When equipment is completely dry, store in a plastic bag with the resident's name and date on it. 24. Change equipment and tubing weekly. 145779 Page 4 of 4