Avantara Chicago Ridge

In the surveyor’s words

From the most serious findings on record at Avantara Chicago Ridge, in the surveyor’s own words.

• Actual harm, isolatedF689Aug 18, 2025

  Based on interviews and record reviews, the facility failed to implement interventions per resident's care plans and care assessment in preventing falls; and failed to follow policy related to fall investigation for two (R1 and R5) of five residents reviewed for accidents and falls. These deficiencies resulted in R1 sustaining a fall that resulted in bruising to the left side of the head and R1 being transferred to the local hospital for treatment after being found sitting on the floor with left arm hanging on the left bedrail with head slouched over to the left side. […]

• Actual harm, isolatedF686Jan 10, 2025

  Based on observation, interview, and record review the facility failed to ensure preventive measures are in place to prevent developing of new skin impairment and deteriorating of current pressure ulcer to resident who is at high risk. This deficiency affects one (R139) of three resident in the sample of 32 reviewed for Pressure Ulcer Prevention management. This failure resulted in R139 developing a new moisture associated skin disorder (MASD) to bilateral buttocks and deteriorating pressure ulcer on sacrum area to unstageable. Findings include: On 1/7/25 at 11:30AM, R139 lying in bed with her V13 Family member/daughter and V14 Caregiver at bedside. V13 stated that she has concern regarding poor nursing services provided to her mother. […]

• Actual harm, isolatedF689May 25, 2024

  Based on observations, interviews, and record reviews the facility failed to follow their policy and procedures for fall prevention by not providing toileting assistance as needed in a timely manner and by not ensuring fall risk assessments were completed quarterly and annually. This failure applied to one of three residents (R2) reviewed for falls and resulted in R2 sustaining a left foot fracture. Findings include: R2 is a [AGE] year-old female with a diagnoses history of Partial Paralysis following a Brain Injury, history of falling, Chronic Heart Failure, Peripheral Vascular Disease, Presence of Cardiac Pacemaker, Major Depressive Disorder, and Anxiety Disorder who was admitted to the facility 01/12/2023. On 05/24/2024 at 2:48 PM R2 observed with a stability shoe on her left foot. […]

• Actual harm, isolatedF698May 3, 2024

  Based on interview and record review the facility failed to ensure dialysis services were provided in a manner consistent with professional standards for 1 of 3 residents (R1) reviewed for dialysis in the sample of 3. This failure resulted in R1 being transferred to the acute care hospital on 3/17/24, treated for peritonitis, sepsis, and R1's abdominal dialysis catheter had to be removed requiring R1's mode of dialysis to change. The findings include: R1's face sheet showed she was admitted to the facility on [DATE] with diagnoses to include spontaneous bacterial peritonitis, anemia, elevated white blood cell count, hyperlipidemia, hypertension, pressure ulcer of sacral region, pressure-induced deep tissue damage of right ankle, right heel, and left heel, end stage renal disease, and… […]

• Actual harm, isolatedF684May 27, 2023

  Based on interview and record review, the facility failed to immediately assess and obtain medical treatment following a fall with injury for one of three residents (R2) reviewed for falls with injuries in the sample of four. These failures resulted in (R2) lying in bed with a fractured right leg (tibia) without medical treatment for over 24 hours. Findings include: R2's Admission Record documents R2 was admitted to the facility on [DATE] and discharged from the facility on 4-29-23. […]