Inspection·May 1, 2025

F 0602 Protect each resident from the wrongful use of the resident's belongings or money. Level of Harm - Minimal harm or potential for actual harm Based on observation, interview, and record review the facility failed to ensure a resident was free from misappropriation of funds. This applies to 1 of 3 residents (R1) reviewed for misappropriation of funds in the sample of 13. Residents Affected - Few The findings include: The facility's reported incident: Misappropriation of Funds report dated March 7, 2025, shows, On 3/3/2025, R1 reported to the night nurse, during early morning rounds, that his (name of card) credit card was stolen The same report shows, both R1 and V24 (R1's son) were interviewed. The son (V24) stated that his father texted him early Saturday morning (3/1/25) to inform him that the credit card was missing. Resident (R1) told the son that he could not sleep so he was checking his accounts. The resident noticed that there was a charge on his (name of card) for $57.28. He immediately canceled the credit card and called (name of card) to inquire about the charge. The credit card company told him that the card was used for a purchase at a local liquor store in northern Illinois on 2/28/25. (Name of card) was unable to give a time the card was used. The resident told the son that he called the police to file a report. Police came to the facility early in the morning, around 7:00 AM R1 stated, The resident stated the same information that the son communicated earlier When asked if he had the card with him upon admission, the resident said that he did not. His son brought it to him on Saturday, February 22nd, 2025. The resident described the missing card being with a several other miscellaneous cards, including another credit card that were all wrapped in a rubber band. He put the bundle of cards in his night stand next to the bed. The other credit card was still in the stack and was not taken. He stated he was on isolation for influenza and did not leave his room until 2/25/2025. He stated while in his room, he did not see anyone go to the nightstand. On March 12, 2025, at 10:18 AM, V24 (R1's son) stated, R1 was not able to be interviewed because he was currently in the hospital on a ventilator. However, he stated the exact story the facility reported on 3/7/2025. He brought his dad his credit cards after he was admitted to the facility. His dad called him on 3/1/2025 saying his credit card was stolen. They reported it to the police department and the facility. The facility's reported incident: Misappropriation of Funds report dated March 7, 2025, shows, Addendum, submitted 4/25/25: On 3/12/25, (state surveying agency) surveyor conducted an FRI (facility reported incident) survey regarding the misappropriation of funds. Due to not having enough information, she closed the survey with no findings. On 04/25/2025, V25 (R7's wife) alerted V29 (Assistant Administrator) that during her visit the day before, on 4/24/25 during the timeframe of 3:10-3:50pm, she had money missing from her purse. She had left the purse on the recliner while her and her husband (R7) went outside. V11 (Certified Nursing Assistant/CNA) who was assigned to this wife's husband (R7) on 4/24/25 and was upstairs working. V29 (Assistant Administrator) identified that V11 (CNA) (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: 146136 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 146136 B. Wing A. Building (X3) DATE SURVEY COMPLETED 05/01/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Radford Green 960 Audubon Way Lincolnshire, IL 60069 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)