Health inspection·November 5, 2023

F 0575 Level of Harm - Potential for minimal harm Residents Affected - Many Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview and record review, the facility failed to post, in a form and manner accessible and understandable to residents, resident representatives including a list of names, addresses (mailing and email), and telephone numbers of all pertinent State agencies and advocacy groups including [NAME] Consent Decree program initiatives. This failure has the potential to affect all 60 residents currently residing in the facility. Findings include: On 11/3/23 at 9:45 AM, V1 (Administrator) informed surveyor of the current facility census which totaled 60 residents. On 11/3/23 at 10:30 AM, Z1 (Program Director for [NAME] Consent Decree Transition Program) stated, I have tried multiple times to call, email, and fax both the Administrator (V1) and Social Service Director (V6) at the facility and in every instance I would get a voicemail and/or I would leave a message directly with the receptionist and would never get a call back from either the administrator or social service director. I tried on June 6th, 7th, 9th, 27th; July 7th; August 3, and 20th. On 10/20 after my visit to the facility I finally obtained the information that we required. Having to wait almost 4 months is unacceptable. The last time, I had to pay the facility a visit and when I was there, both the administrator and social worker were not available to meet with me. I was informed that both were in meetings, and so I left the information that I needed and that is why I reached out to your department to get the facility to send this information once and for all. Observations conducted on 11/3/23 showed no [NAME] Decree information that was posted in any common areas where residents could view information. On 11/3/23 at 12:30 PM, V1 (Administrator) stated that V6 (Social Service Director) no longer was employed with the facility and that V6's last day was in the last week of October and a new social service director was expected to start on Monday 11/6/23. Asked if he received any calls, emails, or faxes from the program director for the [NAME] Program. V1 stated, Yes I did all the way back in June. Asked if waiting close to 4 months to follow through with the request for information was too long. V1 indicated that he did but did not intend to take the amount of time that it should have taken. On 11/3/23 at 12:40 PM, surveyor and V1 (Administrator) walked on the first-floor common area near the elevators where various framed resident information could be viewed. Surveyor asked if there is any posting he can see, or a resident could see pertaining to [NAME] Consent decree. V1 stated, No I do not have any posted [NAME] Decree anywhere here, but I will check and see where I can obtain Page 1 of 2 145907 145907 11/05/2023 Alden Estates of Evanston 2520 Gross Point Road Evanston, IL 60201

F 0575 Level of Harm - Potential for minimal harm that. V1 returned several minutes later and showed surveyor a small placard with small writing showing the [NAME] Decree in the front lobby for visitors to see when signing in. Surveyor asked if residents came to the front lobby where the receptionist sat. V1 stated, Mostly visitors and when we have tours but not the residents themselves. I will go ahead and post this information in the other areas now, so it is visible to residents. Residents Affected - Many V1 showed surveyor records of an email dated 9/18/23 from the Program Director of the [NAME] Transition Program requesting for information. Another record provided to surveyor showed the facility sent a fax to said director on 10/19/23. 145907 Page 2 of 2