Ahva Care of Stickney

In the surveyor’s words

From the most serious findings on record at Ahva Care of Stickney, in the surveyor’s own words.

• Actual harm, isolatedF684Mar 25, 2026

  Based on interviews and record review, the facility failed to ensure physician and/or nurse practitioner orders were accurately transcribed and timely implemented for a resident experiencing altered mental status. Specifically, the facility failed to hold prescribed pain medications as ordered and failed to initiate increased monitoring for a resident exhibiting signs and symptoms of central nervous system (CNS) depression. This affected one of three residents (R44) reviewed for change in condition. […]

• Actual harm, isolatedF689Jan 16, 2025

  Based on interviews and record reviews, the facility failed to follow the plan of care intervention to ensure that the resident's environment was free of clutter, which is necessary to promote a safe environment. This deficiency affected one of three residents (R4). As a result, R4 rolled from the bed and struck her head on the garbage can, causing facial lacerations that required 8 sutures. Findings include: R4 face sheet shows R4 has diagnoses of unspecified dementia, muscle wasting and atrophy, other abnormalities of gait and mobility, lack of coordination, insomnia. Facility final investigation to the department dated 1/9/25 denotes in-part, fall, R4, alert x/times one. [AGE] year-old, BIMS/Brief Interview for Mental Status) of zero. […]

• Actual harm, isolatedF684May 26, 2022

  Based on observations, interviews, and records reviewed, the facility failed to notify physician of an acute change in condition of noted swelling, redness, and discharge of bilateral lower extremities. This failure resulted in delayed treatment orders for one of three residents (R2) reviewed for assessment, notification and treatment. Findings include: On 5/24/22 at 10:52 AM, R2 observed sitting in wheelchair with sheet across her head. R2 was wearing long, stained, yellow socks. Swelling and redness in legs could be seen above the sock. R2 stated, My legs are bad, and they don't do anything for them. They don't wrap them. They just put [MEDICATION(S)] on them. On 5/24/2022 at 10:54 AM V5 (LPN) removed R2's socks. […]

• Actual harm, isolatedF689Apr 20, 2022

  Based on interview and record review, the facility failed to monitor and supervise a high fall risk resident with myoclonic movements and failed to implement appropriate interventions for these myoclonic movements for one resident (R1) out of three residents reviewed for falls in a total sample of five. This failure resulted in R1 falling over the side of the medically reclining chair and sustaining five facial fractures to the right side of the face. Findings Include: R1 is an [AGE] year-old with the following diagnosis: gastrostomy status, repeated falls, fracture of nasal bones, fracture of [NAME] of skull, right sided malar fracture, and right sided medial and lateral fracture of the orbital wall. R1 admitted to the facility on [DATE]. […]

• Actual harm, isolatedF693Apr 20, 2022

  Based on interview and record review, the facility failed to develop and implement interventions for a resident's behaviors of fidgeting with equipment, myoclonic jerking movements, and high movement level while in bed for one resident (R1) out of three reviewed for gastrostomy tubes (G tube) in a total sample of five. This failure resulted in R1 removing R1's G tube and the site scabbed closed requiring R1 to have surgical replacement. Findings Include: R1 is an [AGE] year-old with the following Diagnosis: [MEDICAL RECORD OR PHYSICIAN ORDER] . R1 admitted to the facility on [DATE]. A Nursing note dated 3/22/22 at 8:49 AM documents R1 was noted with the G-tube completely out. The nurse is unable to administer bolus feeding at this time and the doctor was notified. […]