Inspection·February 9, 2026

F 0558 Reasonably accommodate the needs and preferences of each resident. Level of Harm - Minimal harm or potential for actual harm Based on observation, interview, and record review, the facility failed to ensure call light devices were placed within residents' reach. This failure affected two (R6 and R7) residents reviewed for call light devices in the total sample of seven residents.Findings include:R6's admission Record documented that R6's diagnoses (include but not limited to) pulmonary embolism, Type 2 Diabetes Mellitus, and COPD (Chronic Obstructive Pulmonary Disease). R6's (12/09/2025) Minimum Data Set documented, in part Section C. Cognitive Patterns. C0500. BIMS (Brief Interview for Mental Status) Summary Score: 11. Indicating R6's mental status as moderately impaired. Section GG0130. C. Toileting hygiene, E. Shower/bathe self, F. Upper body dressing. G. Lower body dressing, H. putting on/taking off footwear: 2 - Substantial / maximal assistance. R6's (12/16/2025) care plan documented, in part Focus: I am at risk for falls and injury related to falls Risk factors: Requires assistance with ADL's, possible medication side effects, incontinence, Neuropathy, H/O (history of) Falls. Goal: I will have interventions in place and reviewed as needed to address risk for falls and injury related to falls. Interventions: Ensure a safe environment with even floors free from spills and/or clutter; adequate, glare-free light; a working and reachable call light. Ensure The resident's call light is within reach and encourage the resident to use it for assistance as needed.R7's admission Record documented that R7's diagnoses (include but not limited to) hypertension, Type 2 Diabetes Mellitus, and osteoarthritis. R7's (12/02/2025) Minimum Data Set documented, in part Section C. Cognitive Patterns. C0500. BIMS (Brief Interview for Mental Status) Summary Score: 09. Indicating R7's mental status as moderately impaired. Section GG. 0130. Toileting hygiene and shower/bathe self: 03 Partial/moderate assistance. R7's (12/09/2025) care plan documented, in part Focus: I am at risk for falls and injury related to falls. Risk factors: Requires assistance with ADL's, possible medication side effects, Dementia, CVA, OA (osteoarthritis). Goals: I will have interventions in place and reviewed as needed to address risk for falls and injury related to falls. Interventions: Ensure a safe environment with even floors free from spills and/or clutter; adequate, glare-free light; a working and reachable call light and personal items within reach. Ensure The resident's call light is within reach and encourage the resident to use it for assistance as needed.On 02/04/2026 at 11:01am, surveyor requested a copy of floor's list of residents on high risk for falls. Review of the list indicated R6's was on falling leaf program with intervention to educate on calling for assistance prior to transfer.On 02/04/2026 at 11:05am, this surveyor and V17 (Certified Nursing Assistant) went inside R6's and R7's room. Both R6 and R7 were lying on bed. Inquiring about his call device, (R6) stated he did not know where his call device was. V17 (Certified Nursing Assistant) checked for R6 call light and stated both (R6 and R7) call lights were on the floor, not within their reach. V17 stated their call lights should be within their reach so they could call for assistance when they needed assistance. On 02/04/2026 at 3:42pm, V2 (Director of Nursing) stated call device should be within reach of a resident, in case the resident needed to call the attention of staff. The purpose of ensuring the call light is within reach is to prevent falls. It Residents Affected - Few (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 3 Event ID: 145969 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 145969 B. Wing A. Building (X3) DATE SURVEY COMPLETED 02/09/2026 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Aperion Care Forest Park 8200 West Roosevelt Road Forest Park, IL 60130 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)