Health inspection·July 3, 2025

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 comfortable temperatures and failed to have a system in place to accurately take and record temperatures to ensure resident safety during extreme weather conditions. This failure has the potential to affect all 266 residents living in the facility.Findings include:On 7/1/2025, at 11:37 PM, temperature logs were reviewed for facility from April 7, 2025 - July 1, 2025. All temperatures recorded on logs ranged from 75 degrees Fahrenheit(F) - 81 degrees Fahrenheit in round numbers.On 7/1/2025, at 11:42 AM, V6, Assistant Maintenance Director, stated, We do daily temperatures in the morning and in evening. We have not had any temperatures out of range this year. The range is supposed to be 72-81 degrees. We had a town wide power outage I think it was last Sunday (6/22/2025). Temperatures were all good. It did not even last 10 minutes. Surveyor asked to accompany V6 to take temperatures on all floors. V6 took temperatures at various locations on all floors that had residents or staff. Temperatures ranged from 73.4 degrees Fahrenheit (F) to 87.4 degrees Fahrenheit. V6 observed to be aiming temperature laser targeting temperature gun at air conditioning units or at floor when taking temperatures. During facility tour with V6, the following temperatures were obtained:3rd floorR5's room temperature -83.3 F; air conditioner noted to be on cool and at 60R6's room temperature -87.4 F; air conditioner unit on and noted to be on cool at 60Hallway by R7's room temperature -83.6 FR8's room temperature -83.4 F; air conditioner on and on cool at 604th floorHallway by R9's room- 81.8 FR10's room temperature- 84.3 F; air conditioner was off.Hallway by R11's room temperature- 85.4 FR12's room temperature -86.0 F6th floorHallway by R13's room temperature -85.4 FR13'd room temperature -82.9 FHallway by R14's room temperature -84.9 FMen's bathroom across from R15's room -82.5 FHallway by room R16's room temperature -87.0R16's room temperature -84.9 F; air conditioner on cool at 608th floorHallway by R17's room temperature -83.1 FHallway by R18's room temperature -83.1 FHallway by R22's room temperature -82.0 [NAME] 7/1/2025, at 1:50 PM, V6, Assistant Maintenance Director, came to rescan temperatures. V6 stated, The other maintenance guy did the temperatures this morning; his name is (V9, maintenance staff). V9 accompanied surveyor and V6 to take temperatures on areas already recorded this morning. V9, maintenance staff, stated, When I did the temperatures this morning, I just put the whole number. I just rounded up so if it read 75.5, I just put 75. V9, maintenance staff, used temperature gun directed at air conditioner units to get temperatures. Temperature gun noted to be not reading humidity levels.On 7/1/2025 at 2:20 PM, V1, Administrator, was asked if the temperature guns being used were relativity humidity thermometers. Administrator stated, Those are the temperature guns we always used with life safety and public health. I am not sure if they are relative humidity thermometers. I can't imagine we have been using the wrong one all this time and no one has said anything. V1 was asked to show what the humidity level is reading in the conference room. V1 stated, I do not know what the humidity is.On 7/1/2025, at 2:38 PM, V1, Administrator, was shown policy that V1 provided to Page 1 of 3 145850 145850 07/03/2025 City View Multicare Center 5825 West Cermak Road Cicero, IL 60804

F 0921 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Many surveyor that facility follows that is from IDPH (Illinois Department of Public Health). When asked what the humidity is, so we can figure the heat index V1 stated, I am going to go find a relative humidity thermometer and buy one, so we know. I do not know what the humidity is by that gun readings. V1, Administrator, was asked if maintenance staff scanning temperatures aiming at air conditioners was the correct practice. V1, Administrator, stated, I am not sure. I can find out.On 7/1/2025 at 3:10 PM, V1, Administrator, stated, The (brand) thermometer I found today can't be reading right, as it is saying this room is 64.5 F. It can't be, but the 77 Wb (wet bulb) looks right, and the humidity level is reading 49%. I am just going to send the maintenance guy to buy a new one that reads both, as he did calibrate this gun and it is still reading 64.5 F, and I know it is not that cold in here. I looked up on the internet and everything I read stated that scanning for temperatures of the rooms should be aimed directly through the room, or aiming at window/wall across room in the middle to get correct temperatures. If you aim at the air conditioner or floor, you will get a cooler reading as cool air falls and heat rises.On 7/3/2025 at 8:54 AM, V1, Administrator, stated, I now have new thermometers that read both the humidity and the temperatures. I read the manual and know how to work the thermometer. We have to make sure the tip is open and turn it on and it reads both humidity and temperature. Temperatures have been reading fine. The east side of the building where the sun rises reads a little high, but that is because that is where the sun comes up. My nurses took temperatures on all residents. I will scan you those documents.On 7/3/2025, at 9:45 AM, V1, Administrator, stated, I told the Maintenance Director and (V6, Assistant Maintenance Director) and had them educate their team on how to calibrate, read, and scan for room temperatures. I ensured that they know to scan directly across the middle of the room to get accurate temperatures. I did this on Tuesday (7/1/2025) this week.On 7/3/2025 at 9:52 AM, Surveyor accompanied V6 to take temperatures in the building. V6 stated, (V1, Administrator) told us how to scan for temperatures, and I also in serviced all of my staff on Tuesday (7/1/2025) as well. We are to scan directly across the room in the middle for correct temperatures. Two areas noted to be above 81 degrees F when using Section 300. Table D heat index table/apparent temperature in administrative code. These areas were (room#) and the hallway outside of (room #). Temperature in (room #) read 84.0 degrees F with humidity of 53.7% which indicates about 89 degrees F. The hallway outside of (room#) read 83.8 degrees F with humidity of 53.3%, which indicates on table about 88 degrees F.On 7/3/2025, at 10:48 AM, V1, stated, Regarding (room#) being above temperature; one resident that resides in that room, (R4), keeps turning off the air conditioner. I have (R4) care planned for this. I have a total of 9 residents that are turning the air off for a myriad of reasons. One is just to play his game boy. For these residents, we are doing checks on them every 2-3 hours checking the room making sure air is on, plugged in, reeducating residents and this on top of the 3 daily temperature checks from maintenance staff. I spoke to both other roommates in (room #) and they do not want to move out of this room. If I am being honest, (R4) is going to keep doing it, but she cries a lot and does better with roommates, so I don't want to put her in a private room either. We will continuously monitor (R4) and her room for temperature. Both of her roommates have passes to go out, and go out all the time. (R4) does not have a pass. For the hallway that reads above temperature, the large swamp cooler is in that hallway already, but I will put another one on that hallway, as I have an extra one. V1, Administrator, stated she will provide surveyor with a copy of care plan for R4 regarding turning off air conditioner, and rescan temperatures taken 7/1/2025 and 7/3/2025 with surveyor present, with the added apparent temperatures added by surveyor figured by heat index table. I will also personally ensure that everyone in maintenance department has an in-service by me personally showing them how to use the relative humidity thermometers I 145850 Page 2 of 3 145850 07/03/2025 City View Multicare Center 5825 West Cermak Road Cicero, IL 60804

F 0921 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Many just bought. (room#) has a brand new PTAC (packaged terminal air conditioner) that was just installed on 6/30/2025, and she has a portable chiller in the room as well, as she keeps turning off the air conditioner.Extreme Heat Policy, with effective date of 2/4/2022 and last reviewed date of 2/4/2024, documents:Policy: Should the temperatures in the facility rise above the upper limits for relative humidity and the temperature set forth in the Administrative Cod, the following measures will be carried out.Maintenance Department FunctionsMonitor air temperature in various locations of the facility to determine cooler rooms within the facility.Monitor all exhaust/ventilation systems and assure their working conditions.Maintain all air conditioning systems/Clean all air conditioning filters.Assure that water lines to the facility are working appropriately.Check emergency equipment and assure that they are in working condition.Administration functionsAssure that adequate equipment and supplies are on hand. 145850 Page 3 of 3