Health inspection·January 27, 2025

F 0583 Keep residents' personal and medical records private and confidential. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview and record review, the facility failed to follow the facility policy and provide two (R12 and R13) residents confidentiality of medical records. This failure has the potential to affect 23 residents residing on the second floor and 23 residents residing on the third floor. Residents Affected - Some Finding include: R12 is a [AGE] year-old male, admitted to the facility on [DATE] with diagnoses not limited to: Essential (Primary) Hypertension, Syncope and Collapse, Acute Respiratory Failure with Hypoxia, Hypothyroidism, Unspecified, Anemia, Unspecified, Malignant Neoplasm of Parotid Gland R13 is a [AGE] year-old female, admitted to the facility on [DATE] with diagnoses not limited to: Type 2 Diabetes Mellitus Without Complications, Hyperglycemia, Unspecified, Chronic Obstructive Pulmonary Disease, Unspecified, Acute Kidney Failure, Unspecified, Cognitive Communication Deficit On 1/24/2025 at 1:56pm surveyor rounding on second floor in hall observed V10's (LPN) computer on cart three unattended with R12's MAR (Medication Administration Record) open and in view of anyone walking past cart and in vicinity of cart. Surveyor stood at computer and waited for V10 to returned. Upon V10's return, Surveyor asked V10 if computer on medication cart three was her cart. V10 stated, yes. Surveyor asked V10 if computer should be open with resident information visible. V10 stated, no. Surveyor asked why. V10 stated, resident information is private, and computer should not be left open. On 1/25/2025 at 11:55am surveyor rounding on third floor observed, V6's RN (Registered Nurse) medication cart computer open, with R13's patient information visible to public. V6 was not at cart nor in vicinity of open computer. On 1/25/2025 at 11:56am surveyor asked V5 (LPN) if cart with open computer was her computer. V5 stated, No. Surveyor asked if computer with resident information should be open without nurse present. V5 stated, no, because of privacy and HIPAA (Health Insurance Portability and Accountability Act) we are supposed to log out and lock computer. On 1/25/2025 at 11:58am V6 (RN) asked by surveyor if she was responsible for team three cart and if computer information with resident information should be open. V6 stated, I thought I logged out. If I am not in front of the computer, supposed to be down. It (referring to computer) should never be left up because of resident privacy and personal information and anyone can look at it. V6 stated, this computer and medication cart is team 3. Page 1 of 2 146001 146001 01/27/2025 Aperion Care International 4815 South Western Ave Chicago, IL 60609

F 0583 Level of Harm - Minimal harm or potential for actual harm On 1/25/2025 at 12:02pm asked V2 DON (Director of Nursing) if a computer with resident information should be open without nurse at computer. V2 stated, the nurse should not walk away from computer and if they walk away from the computer, they should shrink or log off the computer. Surveyor asked why should nurse log off computer. V2 stated, because you can see resident information, diagnosis, medication, date of birth and is a privacy concern. Residents Affected - Some Review of nursing facility assignment sheets for 1/24/25 and 1/25/25 shows V10 was the nurse for residents that received medication from second floor cart three and V6 was the nurse for residents that received medication from third floor cart three. Facility Policy Residents' Rights (undated) shows (in part): J. Residents have the right to the following: 6) Be afforded confidentiality of treatment. X. Residents have the right to confidentiality of all personal and clinical records. Y. residents have the right to be treated as individuals with consideration and respect for their privacy. 146001 Page 2 of 2