Health inspection·February 2, 2024

F 0584 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Based on observation, interview, and record review the facility failed to provide comfortable water temperature for personal cares for 7 of 7 residents (R4, R7, R9-R13) reviewed for comfortable water temperatures in the sample of 13. The findings include: On 2/2/24 at 9:59 AM, the shower room water on the second floor was reading 89 degrees Fahrenheit (F). At 12:10 PM, the second-floor shower room water temperature was reading 86 degrees F and 93 degrees F after 10 minutes of running. On 2/2/24 at 9:50 AM, R10 said the facility has two different showers that can be used and one of them is always cold. On 2/2/24 at 10:00 AM, R11 said, The showers could be warmer, it's not freezing cold, but it is not hot either. On 2/2/24 at 12:51 PM, R7 said the shower room water is cold especially if they do not let it run for a long time before they give you a shower. On 2/2/24 at 11:41 AM, R12 said she just had a shower, and the water was hot and then cold and then hot again and then cold throughout her shower. On 2/22/24 at 12:33 PM, R4's bathroom sink water temperature was reading 90 degrees F. V20 (R4's Spouse) said the water feels warm compared to what it usually is. V20 said it is usually a lot colder than it is now. V20 said it has been a constant problem since December. V20 said when the staff cleans up R4 using the cold water she yells. On 2/2/24 at 12:42 PM, R13's bathroom water temperature was reading 72 degrees F. R13 said the water is always cold and the Certified Nursing Assistants (CNAs) still use it to clean her up. R13 said, I tell them that it is cold and the say, its fine, and continue to use it. R13 said, Have you ever had to get cleaned up with cold water? It's horrible. On 2/22/24 at 12:45 PM, R9's bathroom water temperature was reading 74 degrees F. R9 said the hot water is sometimes freezing cold depending on the time of day. On 2/2/24 at V17 (CNA) said the shower room water does get warm but it has to be on for about 10 minutes or so before it gets warm. Page 1 of 2 145803 145803 02/02/2024 Pearl of Evanston,the 820 Foster Street Evanston, IL 60201

F 0584 On 2/2/24 at 12:07 PM, V18 (CNA) said the shower room water is cold. Level of Harm - Minimal harm or potential for actual harm On 2/2/24 at 10:20 AM, V1 (Administrator) said that in December, they were having trouble with hot water issues, but it was fixed. Residents Affected - Some On 2/2/24 at 1:23 PM, V19 (Maintenance) said water temperatures should be between 100-110 degrees F. V19 said he checks water temperatures randomly and he does see that they fluctuate a lot. The facility's Resident Rooms Policy dated 3/21/21 shows, Resident rooms will be designed and equipped for adequate nursing care, comfort, and privacy of residents. The facility's Safe Environment Policy dated 3/20/20 shows, The facility will provide a safe, clean, comfortable, and homelike environment, which allows the resident to use his or her person belongings to the extent possible. The facility will provide: Housekeeping and maintenance services necessary to maintain a sanitary, orderly, and comfortable interior comfortable and safe temperature levels . 145803 Page 2 of 2