Elevate Care Palos Heights

In the surveyor’s words

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

• Actual harm, isolatedF600Sep 23, 2025

  Based on interview and record review the facility failed to ensure staff obtained the resident permission prior to checking for incontinence, and inappropriately touched a resident in her vaginal area. This affected one of three residents reviewed for abuse. This failure resulted under the reasonable person concept, in R1 expressing she felt angry, violated, she felt like V1 took something from her emotionally, she wanted to fight. R1 BIMs completed on 9/15/25 denotes in-part R1 was able to report correct year, R1 was able to report correct day of the week, R1 was able to repeat three words after first attempt. […]

• Actual harm, isolatedF600Sep 22, 2024

  Based on interview and record review, the facility failed to prevent one resident (R1) from mental abuse caused by a staff member and failed to ensure the staff member had limited access to R1. This failure applied to one (R1) of three residents reviewed for abuse and resulted in R1 feeling on guard, untrusting and unsafe while living in the facility. Findings include: R1 is a [AGE] year old female who admitted to the facility 2/16/24. R1 has diagnoses that include Conversion disorder (functional neurological system disorder) and Generalized Anxiety Disorder for which she is receiving treatment in the facility. […]

• Actual harm, isolatedF689Jun 10, 2024

  Based on interview and record review, the facility failed to safely transfer a resident with a mechanic lift. This failure resulted in staff transferring R2 to bed from wheelchair via mechanical lift, during the transfer R2's left foot bumped the footboard which resulted in fracture to the left distal tibia. This failure affected 1 resident (R2) in a sample of 5 reviewed for accidents. Findings include, Facility's reportable to state agency (4/29/24) documents in part: R2 was observed by floor nurse exhibiting s/s (signs and symptoms) of pain. PRN (as needed) pain medication given and effective. MD (doctor) made aware and gave an order for x-ray. The X-ray showed a fracture to the left distal tibia. […]

• Actual harm, isolatedF600Mar 9, 2023

  Based on observations, interviews and record review, the facility failed to protect a cognitively impaired resident from physical and emotional abuse by a staff member who forcefully pushed the resident in her wheelchair and shouted at the resident out of frustration which caused the resident to be fearful of the staff member, emotionally distraught and intimidated; and facility failed to follow their policy on abuse prevention. This failure affected one (R81) of 5 residents reviewed for abuse from a sample of 37 residents. Findings include: R81 is a [AGE] year-old female with birth date of [DATE]. […]

• No harm, potential for more than minimal, widespreadF921Jul 15, 2025

  Based on observation, interview, and record review, the facility failed to maintain a working kitchen exhaust fan and failed to replace the broken tiles. This applies to all 92 residents consuming food from dietary services.On 7/10/25 at 11:25 AM, observed kitchen with broken floor tiles (ceramic) throughout the kitchen. Observed that the exhaust fan above the stove is not working and the temperature around the stove area was unusually hot. On 7/10/25 at 11:32 AM, V6 (Dietary Aide) stated, I have been working in this kitchen for one and a half years. The kitchen floor tiles have been broken since I started here. On 7/10/25 at 11:35 AM, V7 (Cook) stated, Our exhaust fan was not working yesterday either. Air is working with two window units. […]