Inspection·June 18, 2025

F 0677 Provide care and assistance to perform activities of daily living for any resident who is unable. Level of Harm - Minimal harm or potential for actual harm Based on observation, interview and record review the facility failed to provide bathing assistance to residents dependent for assistance. Residents Affected - Few This applies to 2 of 4 (R2, R3) residents reviewed for bathing in a sample of 4 residents. Findings include: On 6/17/25 at 11:25 AM, R3 stated she had missed getting showers. R3 stated she was supposed to be switched to evening shift for baths. Last week no one could tell her who the shower aid was. R3 stated was then told she was not on the list for her Tuesday showers. During the interview R3 was noted with an unpleasant odor. On 6/17/25 at 11:36 AM, R2 stated she had not gotten her bed bath on Wednesday the prior week. R2 stated she prefers bed baths to showers. R2 stated there is a regular occurrence that she misses her bed bath. She brought the issue up in the last resident council meeting and had spoken to the social worker about her missed bed baths. R2 stated she never refuses a bed baths because she only gets them twice per week and she wants them done. During the interview R2 was noted with an unpleasant body odor. On 6/17/25 at 11:47 AM, V3 CNA (Certified Nursing Assistant) stated residents receive two showers per week and they are documented on the shower sheet and in the electronic medical record. If residents refuse their showers, they must sign the shower sheet to documents the refusal. On 6/17/25 at 02:04 PM, V5 RN (Registered Nurse) stated there is a shower aid that completes residents' showers and shower sheets. Nurses sign the shower sheets to note any skin issues and verify the shower was completed. On 6/17/25 at 02:17 PM, V8 Social Services Director stated both R2 and R3 have brought concerns of missed showers to her attention. V8 stated R3's shower had been switched to the evening shift On 6/17/25 at 02:29 PM, V6 RN stated R3 is compliant with her care and was not aware of R3 declining to be showered. On 6/17/25 at 02:43 PM, V1 Administrator stated residents are showered twice per week. The showers are documented on shower sheets and in the electronic medical record. If a resident misses their bed bath or shower it is made up the next day. If a resident refuses a shower social service should intervene and do education. (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 2 Event ID: 146112 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 146112 B. Wing A. Building (X3) DATE SURVEY COMPLETED 06/18/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Arc at Bradley 650 North Kinzie Ave Bradley, IL 60915 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)