Aperion Care Chicago Heights

In the surveyor’s words

From the most serious findings on record at Aperion Care Chicago Heights, in the surveyor’s own words.

• Immediate jeopardy, patternF689Jul 7, 2021

  Based on interview and record review, the facility failed to supervise smoking breaks to ensure residents properly dispose of smoking material and failed to ensure residents identified as supervised smokers are not in the procession of smoking contraband. These facility failures apply to 5 of 5 (R6, R10, R11, R12 and R13) residents reviewed for unsafe smoking in a sample size of sixteen. As a result, on 6/14/2021 R6 who is assessed as an unsafe smoker could possess smoking materials and smoked in an unauthorized smoking area (resident room) and started a fire in the room with his roommate (R2). This was identified as immediate jeopardy situation that began on 6/14/21 and was removed on 7/1/21. V1 (administrator) was informed of the immediate jeopardy on 6/25/21. […]

• Immediate jeopardy, patternF926Jul 7, 2021

  Based on observation, interview and record review the facility failed to follow the smoking policy by not prohibiting residents from keeping smoking material, properly disposing of smoking material and smoking unsupervised in non-designated areas. This failure affected 8 of 8 (R1, R6, R10, R11, R12, R13, R15, and R17, R15) residents reviewed for unsafe smoking in a sample size of twenty-one. This was identified as Immediate Jeopardy situation that began on 6/14/21 and was removed on 7/1/21. V1 (administrator) was informed of the immediate jeopardy on 6/25/21. […]

• Immediate jeopardy, isolatedF626May 10, 2023

  Based on interview and record review, the facility failed to allow a resident to return to the facility after being out on a facility provided pass. The facility did not properly discharge the resident and did not have documentation of efforts to provide the resident with proper notice of discharge. This failure resulted in R1 being in the community unsupervised and without therapeutic medication. R1 was subsequently admitted to the hospital for aggression and presented with exacerbation of mood and psychotic symptoms. The Immediate Jeopardy began on [DATE] when the facility failed to allow a resident to return after being out on a facility provided pass. V1 (Administrator) was notified of the Immediate Jeopardy on [DATE] at 11:54AM. […]

• Immediate jeopardy, isolatedF689May 10, 2023

  There are multiple deficiencies identified. 1.) Based on interview and record review, the facility failed to properly supervise a resident with a known history of elopement who was assessed as requiring staff supervision for ambulation on and off unit; failed to supervise the resident while smoking; failed to have a physician order for unsupervised outside pass privileges; failed to follow their policy for missing resident/elopement; and failed to follow their behavior management level program agreement. These failures affected one of one (R1) resident reviewed for supervision and resulted in R1 leaving the facility on 3/28/23 while on an unsupervised smoke break. […]

• Immediate jeopardy, isolatedF600Mar 1, 2023

  There are multiple deficient practice statements. I of II. Based on interview and record review, the facility failed follow their abuse policy and prevent a vulnerable resident from being taking advantage of sexually by other residents. This affected 3 of 3 residents R15, R16 and R17 reviewed for manipulation and sexual abuse. This failure resulted in R16 and R17 manipulating R15 into performing sexual acts for a trade of money and food. The Immediate Jeopardy began on 2/1/23 when V35 (Emergency Medical Technician/EMT) witnessed R15 having a sexual encounter with R17 at the facility. V6 (Administrator) was informed of the Immediate Jeopardy on 2/21/23 at 12:18 pm. The surveyor confirmed by observation, record review, and interview that the Immediate Jeopardy was removed on 2/23/23. […]