Inspection·June 26, 2025

F 0908 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Many the hotness once you step out of your room. The air conditioning is working in my (R3) room. The moment you step out of your is not comfortable. The nurses be giving us (residents) water and ice. Supposedly, They're (facility staff) working on fixing it (air conditioning) in the halls. Hopefully these new things (pointed to portable air conditioning units) start to work right. They (portable air conditioning units) ain't doing sh** right now. [NAME], staff be telling us (residents) to stay in our rooms or wherever the temp (temperature) is comfortable for us (residents). R3's face sheet documents medical diagnoses that include but are not limited to type 2 Diabetes Mellitus, morbid obesity, and hemiplegia. R3's Minimum Data Set (MDS), dated [DATE], documents, in part, a Brief Interview of Mental Status (BIMS) score of 15 which indicates that R3 is cognitively intact. On 6/22/2025 at 10:25am, V6 (Certified Nursing Assistant/CNA) said, I (V6) usually work the first and third floors. All the halls on all the floors are too hot. Actually, the third floor is the worst. Yes, the air conditioning in the residents' rooms are working. We (staff) are giving the residents cold water, ice, and popsicles around the clock. On 6/22/2025 at 10:55am, V7 (Maintenance Director) said, There are 2 separate systems that operate the air for the hallways and the resident rooms. The resident rooms AC (air conditioning) uses multi-stack chillers with 6 compression stacks. The hallways use 2 (name of AC units/system) air blower units. The hallway AC went out 2 weeks ago and has been going off and on since. They continue to lock out and overheat. We've (facility staff) have been in contact with (name of AC units/system) technicians and they have come here 4 to 5 times to fix the issues, but they are currently still working on it. It's an old building. When one thing is fixed, up pop another problem. The technicians did fix one unit and then the other one (unit) went (broke). They (facility staff) ordered portable AC units, which is a temporary fix. The portable AC units came yesterday (6/22/25), but they (portable AC units) are not keeping up to provide cool temperatures. The tech (technician) is currently here, moving the units around to fix the issue. All the AC in the residents'' rooms are working now. We (facility staff) had to replace some motors. The facility halls are definitely too hot and not comfortable. Yes, the whole facility, all the floors are not receiving adequate cooling. On 6/24/25 at 9:53am, V1 (Administrator) provided a timeline for the air conditioning issues that documents, in part, 6/19/25 at 9:00am: maintenance identified that AC unit was malfunctioning. (Name of AC Company) tech contacted for assessment and repair. Ongoing extra fluids, ice water provided, popsicles distributed, fans operating. Cooling centers established in dining rooms with portable AC units. Fans placed throughout the facility. 6/19/25 at 10:00am: Contacted (Name of portable air conditioning company) for information regarding AC rental units. (Portable Airconditioning Company) has units on hand and is available 24/7. Delivery time estimated 2 hours if needed. 6/19/25 at 11:00am: (Company for air conditioning units for facility hallways) technician in facility for evaluation and repair of AC unit. Ongoing: Extra fluids, ice water provided, popsicles distributed, fans operating. 6/19/25 at 11:00am: (Company for air conditioning units for facility hallways) technician corrected issues with blower and referred facility to (Name of different HVAC company) HVAC to address potential issues with unit on the roof. Ongoing: Extra fluids, ice water provided, popsicles distributed, fans operating. 6/19/25 at 12:00pm: (Name of different HVAC company) HVAC to address potential issues with unit on the roof contacted to schedule service. On 6/19/25 at 4:00pm: Received return call from (Name of different HVAC company) HVAC to address potential issues with unit on the roof HVAC. Two technicians scheduled to be at the facility 6/20/25. On 6/20/25 at 7:00am: Technicians from (Name of different HVAC company) HVAC to address potential issues with unit on the roof HVAC in facility for servicing cooling units on roof. Maintenance initiated on units. On 6/20/25 at 5:00pm: Additional (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 145784 If continuation sheet Page 2 of 6 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 145784 B. Wing A. Building (X3) DATE SURVEY COMPLETED 06/26/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Briar Place Nursing 6800 West Joliet Indian Head Park, IL 60525 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)

F 0908 Level of Harm - Minimal harm or potential for actual harm fans ordered to facility to have on hand and confirmed availability of rental units with (Name of portable air conditioning company) if needed in preparation for upcoming heat advisory forecast. On 6/20/25 at 5:00pm: (Name of different HVAC company) HVAC to address potential issues with unit on the roof HVAC technicians completed maintenance on rooftop AC units. Ongoing extra fluids, ice water provided, popsicles distributed, fans operating during this time. Residents Affected - Many E-mails between V2 (Director of Nursing/DON) and V11 (employee from portable air conditioner company for the hallways of the facility), dated 6/22/2025, documents, in part, . Scheduled Date: 6/22/2025; Order Type: Pickup; Description: 2025-06-22 service call ac (air conditioners) need to move to a new location on site - circuit issues. E-mails show portable air conditioner units were not functioning properly. Facility policy titled, Preventative Maintenance Program, reviewed date 11/2023, documents, in part, Purpose: To conduct regular environmental tours/safety audits to identify areas of concern within the facility . The environmental temperature is pleasant . Facility policy titled, Resident Rights, undated, documents, in part, . Right to a Dignified Existence: . A homelike environment . Pamphlet titled, Illinois Long-Term Care Ombudsman Program Residents' Rights for People in Long-Term Care Facilities, revised date 11/18, documents, in part, Your facility must provide services to keep your physical and mental health, at their highest practical levels. Your facility must be safe, clean, comfortable, and homelike . FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 145784 If continuation sheet Page 3 of 6 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 145784 B. Wing A. Building (X3) DATE SURVEY COMPLETED 06/26/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Briar Place Nursing 6800 West Joliet Indian Head Park, IL 60525 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)

F 0921 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Many Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview and record review, the facility failed to keep the facility temperature below 81 degrees Fahrenheit and failed to ensure the temperature was comfortable for one resident (R3) out of 6 residents reviewed for safe, comfortable environment. These failures have the potential to affect all 202 residents residing in the facility. Findings include: Facility census, dated 6/22/2025, documents 202 residents residing at the facility. On 6/22/2025, resident room temperature checks were performed with V3 (Assistant Administrator). On the first, second, and third floors, three rooms on each floor had adequate temperatures ranging from 76.2 degrees Fahrenheit to 80.0 degrees Fahrenheit. On 6/22/2025, facility halls/hallways temperature checks were performed with V3 (Assistant Administrator) for inadequate cooling and the following concerns were identified: First floor low side hall/hallway: 88 degrees Fahrenheit First floor high side hall/hallway: 85.6 degrees Fahrenheit Third floor low side hall/hallway: 87.2 degrees Fahrenheit Third floor high side hall/hallway: 89.1 degrees Fahrenheit Second floor low side hall/hallway: 84.1 degrees Fahrenheit Second floor high side hall/hallway: 87.1 degrees Fahrenheit Temperatures of the facility's halls/hallways are not withing adequate temperature between 71 degrees Fahrenheit and 81 degrees Fahrenheit. On 6/22/2025 at 10:12am, V3 (Assistant Administrator) said, The air went down on Friday (6/20/25). HVAC (heating, ventilation, and air conditioning) company was contacted. The air conditioning that supplies the resident rooms was repaired. There is a separate system for the halls which is still not working. Portable air conditioners were ordered on Friday (6/20/25) for the halls, but they seem to still not be giving keeping the halls cool enough. I (V3) don't think the halls are a bad temp (temperature). On 6/22/2025 at 10:15am, R3 said, It's (temperature) awful outside of my (R3) room. You can feel the hotness once you step out of your room. The air conditioning is working in my (R3) room. The moment you step out of your is not comfortable. The nurses be giving us (residents) water and ice. Supposedly, They're (facility staff) working on fixing it (air conditioning) in the halls. Hopefully these new things (pointed to portable air conditioning units) start to work right. They (portable air conditioning units) ain't doing sh** right now. [NAME], staff be telling us (residents) to stay in our rooms or wherever the temp (temperature) is comfortable for us (residents). (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 145784 If continuation sheet Page 4 of 6 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 145784 B. Wing A. Building (X3) DATE SURVEY COMPLETED 06/26/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Briar Place Nursing 6800 West Joliet Indian Head Park, IL 60525 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)

F 0921 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Many R3's face sheet documents medical diagnoses that include but are not limited to type 2 Diabetes Mellitus, morbid obesity, and hemiplegia. R3's Minimum Data Set (MDS), dated [DATE], documents, in part, a Brief Interview of Mental Status (BIMS) score of 15 which indicates that R3 is cognitively intact. On 6/22/2025 at 10:25am, V6 (Certified Nursing Assistant/CNA) said, I (V6) usually work the first and third floors. All the halls on all the floors are too hot. Actually, the third floor is the worst. Yes, the air conditioning in the residents' rooms are working. We (staff) are giving the residents cold water, ice, and popsicles around the clock. On 6/22/2025 at 10:55am, V7 (Maintenance Director) said, There are 2 separate systems that operate the air for the hallways and the resident rooms. The resident rooms AC (air conditioning) uses multi-stack chillers with 6 compression stacks. The hallways use 2 (name of AC units/system) air blower units. The hallway AC went out 2 weeks ago and has been going off and on since. They continue to lock out and overheat. We've (facility staff) have been in contact with (name of AC units/system) technicians and they have come here 4 to 5 times to fix the issues, but they are currently still working on it. It's an old building. When one thing is fixed, up pop another problem. The technicians did fix one unit and then the other one (unit) went (broke). They (facility staff) ordered portable AC units, which is a temporary fix. The portable AC units came yesterday (6/22/25), but they (portable AC units) are not keeping up to provide cool temperatures. The tech (technician) is currently here, moving the units around to fix the issue. All the AC in the residents'' rooms are working now. We (facility staff) had to replace some motors. The facility halls are definitely too hot and not comfortable. Yes, the whole facility, all the floors are not receiving adequate cooling. On 6/24/25 at 9:53am, V1 (Administrator) provided a timeline for the air conditioning issues that documents, in part, 6/19/25 at 9:00am: maintenance identified that AC unit was malfunctioning. (Name of AC Company) tech contacted for assessment and repair. Ongoing extra fluids, ice water provided, popsicles distributed, fans operating. Cooling centers established in dining rooms with portable AC units. Fans placed throughout the facility. 6/19/25 at 10:00am: Contacted (Name of portable air conditioning company) for information regarding AC rental units. (Portable Airconditioning Company) has units on hand and is available 24/7. Delivery time estimated 2 hours if needed. 6/19/25 at 11:00am: (Company for air conditioning units for facility hallways) technician in facility for evaluation and repair of AC unit. Ongoing: Extra fluids, ice water provided, popsicles distributed, fans operating. 6/19/25 at 11:00am: (Company for air conditioning units for facility hallways) technician corrected issues with blower and referred facility to (Name of different HVAC company) HVAC to address potential issues with unit on the roof. Ongoing: Extra fluids, ice water provided, popsicles distributed, fans operating. 6/19/25 at 12:00pm: (Name of different HVAC company) HVAC to address potential issues with unit on the roof contacted to schedule service. On 6/19/25 at 4:00pm: Received return call from (Name of different HVAC company) HVAC to address potential issues with unit on the roof HVAC. Two technicians scheduled to be at the facility 6/20/25. On 6/20/25 at 7:00am: Technicians from (Name of different HVAC company) HVAC to address potential issues with unit on the roof HVAC in facility for servicing cooling units on roof. Maintenance initiated on units. On 6/20/25 at 5:00pm: Additional fans ordered to facility to have on hand and confirmed availability of rental units with (Name of portable air conditioning company) if needed in preparation for upcoming heat advisory forecast. On 6/20/25 at 5:00pm: (Name of different HVAC company) HVAC to address potential issues with unit on the roof HVAC technicians completed maintenance on rooftop AC units. Ongoing extra fluids, ice water provided, popsicles distributed, fans operating during this time. E-mails between V2 (Director of Nursing/DON) and V11 (employee from portable air conditioner (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 145784 If continuation sheet Page 5 of 6 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 145784 B. Wing A. Building (X3) DATE SURVEY COMPLETED 06/26/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Briar Place Nursing 6800 West Joliet Indian Head Park, IL 60525 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)

F 0921 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Many company for the hallways of the facility), dated 6/22/2025, documents, in part, . Scheduled Date: 6/22/2025; Order Type: Pickup; Description: 2025-06-22 service call ac (air conditioners) need to move to a new location on site - circuit issues. E-mails show portable air conditioner units were not functioning properly. Facility policy titled, Preventative Maintenance Program, reviewed date 11/2023, documents, in part, Purpose: To conduct regular environmental tours/safety audits to identify areas of concern within the facility . The environmental temperature is pleasant . Facility policy titled, Resident Rights, undated, documents, in part, . Right to a Dignified Existence: . A homelike environment . Pamphlet titled, Illinois Long-Term Care Ombudsman Program Residents' Rights for People in Long-Term Care Facilities, revised date 11/18, documents, in part, Your facility must provide services to keep your physical and mental health, at their highest practical levels. Your facility must be safe, clean, comfortable, and homelike . FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 145784 If continuation sheet Page 6 of 6