Inspection·April 3, 2025

F 0679 Provide activities to meet all resident's needs. Level of Harm - Minimal harm or potential for actual harm Based on observation, interview, and record review the facility failed to provide an activity program to meet the individual interests of the residents for 5 or 5 residents (R4, R5,R6,R8,R9) reviewed for activities in the sample of 9. Residents Affected - Some The findings include: On 03/31/2025 at 9:09AM, R4 way lying in bed and R5 was sitting in a reclining chair. R4 and R5 did not have an activity calendar in their room. At 9:18AM, R6 was in an isolation room, alone, sitting in a reclining chair. R6 did not have an activity calendar in her room. At 9:40AM, R8 was lying in bed. R8 did not have an activity calendar in her room. At 9:55AM, R9 was sitting in a wheelchair in her room. R9 did not have an activity calendar in her room. On 03/31/2025 at 9:09AM, R4 said, There are not too many activities except for therapy. On 03/31/2025 at 9:13AM, R5 said, There are no activities. There is nothing to do on the weekends, we do not have therapy on Saturday or Sunday. On 03/31/2025 at 9:18AM, R6 said, I was here last year, they were going to start BINGO. For this stay I have been on isolation for most of the time. No activities for me this visit. On 03/31/2025 at 9:40AM, R8 said, We did play BINGO once last month, otherwise it's just therapy once a day for about 20 minutes. Therapy is Monday through Friday, if you miss a day during the week they will give it to you on Saturday. On 03/31/2025 at 9:55AM, R9 said, I get bored here. There are no activities. I have been here a long time. On 03/31/2025 at 11:25AM, V1 Administrator said, We have a very limited activity program. We do not have an Activity Director. On 03/31/2025 at 2:00PM, V2 DON-Director of Nursing said, We do not have an activity calendar for March (2025). R4, R5, R6, R8, and R9's current Care Plan on 03/31/2025 all showed, 'Resident is a new admission to the facility for short term rehab. Resident will engage in meaningful activities of choice and express satisfaction with leisure time pursuits by next review date. Assist resident with calling family/friends while they are in the facility to maintain relationships (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: 146069 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 146069 B. Wing A. Building (X3) DATE SURVEY COMPLETED 04/03/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE East Bank Center, LLC 6131 Park Ridge Road Loves Park, IL 61111 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)