F 0584
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
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.
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
observation, interview, and record review, the facility failed to provide a comfortable, homelike environment
for residents. This applies to 2 of 3 residents (R1 and R2) reviewed for inadequate cooling in the sample of
3. The findings include:Findings Include: R1's EMR (Electronic Medical Record) showed R1 was admitted
to the facility on [DATE], with multiple diagnoses including major depressive disorder, hypertension, type 2
diabetes mellitus, peripheral vascular disease, and asthma. R1's MDS (Minimum Data Set), dated August
8, 2025, showed R1 was cognitively intact. R2's EMR showed R2 was admitted to the facility on [DATE],
with multiple diagnoses including type 2 diabetes mellitus, hypertension, and major depressive disorder.
R2's MDS, dated [DATE], showed R2 was cognitively intact. On August 18, 2025, at 11:24 AM, R1 and R2
were in their room. V3 (Maintenance Director) obtained temperatures of R1 and R2's room. V3's
thermometer showed the room temperature was 77.5 degrees Fahrenheit, the humidity was 69% (percent),
and the heat index was 84.4 degrees Fahrenheit. On August 18, 2025, at 11:34 AM, R1 was lying on his
bed in his room. R1 said the room felt warm to him. R1 said he moved into this room on Friday August 15,
2025. R1 said since he moved into the room with R2, the air conditioning in the room did not work. R1 said
he told someone on Friday, but the air conditioner had not been fixed. R1 said on Sunday morning, R1 went
to the dining room around 4:00 AM because his room was so hot and he was angry, frustrated, and felt
sick. R1 said they still have not fixed the air conditioner.On August 18, 2025, at 11:39 AM, R2 was standing
in his room. R2 said the room felt warm to him. R2 said the air conditioning in their room had not been
working for a long time. R2 said the air coming out of the air conditioner was not cold and R2 said his
windows were closed. The air coming from the air conditioner in R1 and R2's room felt warm. On August
18, 2025, at 12:45 PM, V3 obtained temperatures from R1 and R2's room again. The thermometer showed
the heat index in the room was 84.8 degrees Fahrenheit. V3 said the temperature in R1 and R2's room was
too hot. On August 18, 2025, at 3:46 PM, V3 said maintenance attempted to fix R1 and R2's room air
conditioner on Friday, but the repair only lasted a short while, and the air conditioner was not fully
functional. V3 said the manager on duty over the weekend took temperatures in the facility hallways. V3
said the manager did not take temperatures in R1 and R2's room. On August 18, 2025, at 3:58 PM, V2
(DON/Director of Nursing) said R1 and R2's room is too warm since the heat index temperature is 84
degrees Fahrenheit. V2 said facility staff should have been following the facility's extreme weather policy. V2
said since the temperature outside was hot this weekend, facility staff should have checked temperatures in
R1 and R2's room since their air conditioner was not fully functional. The National Weather Service
(http://forecast.weather.gov) showed the heat index for the facility location on August 16, 2025, was 101
degrees Fahrenheit, and the heat index on August 17, 2025, was 91 degrees Fahrenheit. V3 provided the
facility's air temperatures for one month. Temperatures were obtained in one location on each floor on July
18, July 21, August 4,
(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:
145830
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
145830
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
08/19/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Aperion Care West Chicago
201 West North Avenue
West Chicago, IL 60185
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 0584
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
FORM CMS-2567 (02/99)
Previous Versions Obsolete
August 8, August 11, and August 15, 2025.The facility does not have documentation to show temperatures
were monitored in R1 and R2's room every two hours. The facility's policy titled Code White- Extreme
Weather and Temperatures dated June 24, 2025, showed Purpose: To provide staff specific guidance and
instruction on how to initiate an emergency code and steps to be taken to ensure the safety of residents
and staff in the event of extreme weather/temperature related conditions. The facility will follow federal
requirement to maintain facility temperatures between 71 to 81 degrees Fahrenheit. Heat and Humidity.
Monitoring of Facility Temperatures During Extreme Hot Weather and/or Cooling Outage: It is
recommended that the temperature and relative humidity levels be measured at least every two hours
between 8:00 AM and 10:00 PM in all areas occupied by residents during periods of extreme heat.
Temperatures in resident areas should be at 71 to 81 degrees Fahrenheit and relative humidity at 30-60%.
The heat index should not exceed 80 degrees Fahrenheit. Note: The heat index, also known as apparent
temperature, is determined by combining the actual air temperature and relative humidity to reflect how hot
the conditions feel to the human body. It essentially represents the 'feels like' temperature. This is because
high humidity reduces the body's ability to cool itself through sweat evaporation, making the air feel hotter
than the actual temperature.
Event ID:
Facility ID:
145830
If continuation sheet
Page 2 of 2