Health inspection·February 17, 2023

F 0550 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Based on observation, interview and record review the facility failed to maintain dignity during dinner, by staff standing over a dependent resident while providing feeding assistance for 1 of 3 residents (R103) reviewed for dignity in a sample of 29. Findings include: On 2/14/2023 at 12:50pm V6(Restorative Nurse) was observed standing over R103 in the dining room providing spoon feeding assistance. On 2/14/2023 at 12:51pm V6 was asked should she be standing over a resident while providing spoon feeding assistance. V6 said I'd rather stand up. On 2/15/2023 at 12:30pm V2(Director of Nursing-DON) said I expect all staff to sit down at eye level and assist residents with feeding, R103 was sleepy and V6 assisted R103 whom usually can feed herself and does not need assistance. A care-plan that indicated a diagnosis of Dementia in other Diseases classified elsewhere, unspecified severity, with other behavioral disturbance. An intervention dated 1/30/2020 for eating: The resident requires (supervision) by (x1) staff to eat. A hospice care-plan intervention check food and fluid intake. Do not force food if the resident does not desire to eat. Facility Policy: Reviewed on 10/8/2022- Resident rights, respect and Dignity Policy It is the policy of the Greek American Rehabilitation and care Centre that all residents have the right to a dignified existence, self-determination, and communication with and access to people and services inside and outside the facility. Providing feeding assistance while seated, not standing over the resident and not engaging in other activities (example: talking to fellow staff) while assisting the resident. 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 7 Event ID: 146031 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 146031 B. Wing A. Building (X3) DATE SURVEY COMPLETED 02/17/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Greek American Rehab Care Ctr 220 N First Street Wheeling, IL 60090 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)