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 maintain hot water temperatures at a
comfortable range for residents in bathrooms and showers. This applies to all 206 residents residing in the
facility.The findings include:On December 16, 2025 at 10:30 AM, R3 said the water at the facility had been
freezing for the last three weeks. R3 said he had a doctor's appointment earlier in the day and he had to
take a freezing cold shower. R3 said a lot of residents had been complaining about the temperature and it
was making the residents angry. R3 said it was the water everywhere in the building including the
bathrooms and the showers. R3 said administration was not doing anything about it, based on what he
could see. On December 16, 2025, the water was tested in the facility. At 11:12 AM, V3 (Maintenance
Director) tested the hot water in a resident's bathroom sink, which showed it was 68 degrees. V3 said the
hot water temperature should be between 102 to 110 degrees. V3 said he found out on Friday, December
12, 2025 there was an issue with the hot water. At 11:22 AM, the water was tested in the men's shower
rooms on the first floor, and the hot water was 72 degrees. At 11:28 AM, the water was tested in the
women's shower rooms on the first floor, and the hot water was 72 degrees. At 12:59 PM, the water was
tested in the men's shower room on the second floor and the hot water was 84 degrees. At 1:08 PM, the
water was tested in the women's shower room on the second floor and the hot water was 67 degrees. At
1:22 PM, the water was tested in the men's shower room on the third floor and the hot water was 75.2
degrees. At 1:25 PM, the water was tested in the women's shower room on the third floor and the hot water
was 65.2 degrees. On December 16, 2025 at 11:35 AM, R6 said she was the resident council president
and there had not been hot water in the facility for over a week. R6 said taking a shower was brutal and
inhumane. R6 said the water started being cold on December 8, 2025 in the shower room. R6 said the
waters were not fluctuating, they remained cold. R6 said she wrote on the maintenance sheet three
different times and highlighted it to let them know the water was cold. R6 said the sink went out a few days
later. R6 said it was super frustrating since they were not allowed to go outside to smoke if it was less than
10 degrees, but they had to take freezing cold showers for over a week. R6 said she tried showering at
different times of the day to see if it depended on the time and when she took a shower at 4 AM, the water
was still cold. R6 said there were lots of residents complaining about the cold water and multiple residents
wrote their concerns on the maintenance logs. On December 16, 2025 at 11 AM, R12 said they did not
have hot water to take a shower since last Monday. R12 said the water temperature was tepid. R12 said
she was told the regulator was broken but the issue had been going on for a week. R12 said the water in
the sinks were ice cold and it hurt to wash her hands. At 2:17 PM, R12 said they were complaining and
nothing was happening for about a week, and it was miserable. R12 said she hoped it got fixed soon as she
used to shower at least once a week. On December 16, 2025 at 1:52 PM, R9 said the cold water issue had
been going on for at least two weeks. R9 said the cold water was consistent, but for
(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
12/19/2025
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 0921
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Many
FORM CMS-2567 (02/99)
Previous Versions Obsolete
one day there was hot water. R9 said the residents were just avoiding taking showers altogether. On
December 16, 2025 at 1:55 PM, R10 said he had to take a shower when it was freezing cold. R10 said he
did not want to take any more showers since it was so uncomfortable. On December 16, 2025 at 2:35 PM,
R5 said she used to shower every other day, but she has been avoiding it since it has been cold water for
about a month. On December 16, 2025 at 11:10 AM, V3 said he found out yesterday (December 15, 2025)
there was an issue with the mixing valve. V3 said he found out on Friday there was an issue altogether by
V4 (Maintenance). At 1:05 PM, V3 said the maintenance logs were checked daily. V3 said there was water
on Monday, but the temperatures kept changing. V3 said he did not do anything about it because with a
facility of this size, you had to wait and see how the mixing valve was working. V3 said he should have
tested the water more frequently instead of just on Monday & Friday. On December 16, 2025 at 11:14 AM,
V4 said he normally checked the water temperature twice a week, on Mondays and Fridays. V4 said he was
not sure when the water became cold but found out about it on Thursday. V4 said they had someone come
out to check the water heater. V4 said he tested the water, and it showed around 90 degrees. On December
16, 2025 at 2:49 PM, V9 (CNA/Certified Nurse Assistant) said the residents had been complaining about
the temperature of the water for at least a week. V9 said the water started out lukewarm, but then became
cold. V9 said the maintenance staff had been addressing it the last two days. On December 17, 2025 at
11:34 AM, V11 (RN/Registered Nurse) said he started to hear complaints about the cold water from last
Monday. V11 said the residents complained there was no hot water. V11 said many of the residents wrote it
in the maintenance request and he had called maintenance several times regarding the issues. The
Maintenance Logs showed the following: On December 2, 2025, someone wrote Everyone: When will we
be able to take a hot shower?????? with a response in the Fixed section showing There is hot water 12/8.
On December 4, 2025, someone wrote, Everyone: No hot water. On December 8, 2025, R12 wrote shower
water keeps switching from warm- not hot- just barely warm to cool. 1st floor shower room for women 2nd
stall. On December 10, 2025, R6 wrote, NO HOT WATER IN SHOWER with a response in the Fixed section
showing The first stall was hot. On December 10, 2025, No hot water in room [ROOM NUMBER]. On
December 12, 2025 at 4:30 AM, someone wrote, NO HOT WATER WOMEN SHOWER.On December 14,
2025 at 2 AM, someone wrote STILL NO HOT WATER- CALLING STATE. On December 16, 2025, V4
provided temperature logs for the water testing, which showed the water was tested on [DATE], December
5, 2025, December 8, 2025, and December 12, 2025. The facility's Resident Council Meeting Minutes were
reviewed from October 2025 to present. On December 5, 2025, the Resident Council Meeting Minutes
showed Water temperature for the showers in the men & women's shower rooms appear to not be hot
enough or taking a while to warm up. The facility's Bathing- Shower and Tub Bath policy, revised on January
31, 2018, showed Turn on water and ensure that the water is at a comfortable and safe temperature.
Temperature should be 100-110 degrees F (Fahrenheit).
Event ID:
Facility ID:
145830
If continuation sheet
Page 2 of 2