Elmhurst Healthcare (The)

In the surveyor’s words

From the most serious findings on record at Elmhurst Healthcare (The), in the surveyor’s own words.

• Actual harm, isolatedF658Aug 31, 2022

  Based on records reviewed and interviews for one of three sampled residents (Resident #1), who complained of right hip pain, the Facility failed to ensure care and treatment by nursing met professional standards of practice. On 08/03/22 Nurse #2 notified a covering Nurse Practitioner (NP) that Resident #1 complained of right hip pain and a verbal telephone order was obtained for an x-ray of his/her right hip. Nurse #2 did not transcribe the order onto Resident #1's physician's orders [MEDICAL RECORD OR PHYSICIAN ORDER] #2 decided Resident #1 did not require the x-ray. […]

• Actual harm, isolatedF684Aug 31, 2022

  Based on records reviewed and interviews for one of three sampled residents (Resident #1) who complained of right hip pain, the Facility failed to ensure Nurse Practitioner's (NP) orders were followed in accordance with professional standards of practice in order to prevent a delay in treatment. On 08/03/22 Resident #1 complained of right hip pain, the covering NP was notified and an order was given for a right hip x-ray but not obtained. Resident #1 was noted to again complain of right hip pain on 08/07/22 and was assessed to have a swollen right hip and his/her Physician was not notified. […]

• No harm, potential for more than minimal, patternF759Jun 27, 2022

  Based on observation, interview and record review, the facility failed to ensure that it was free of a medication error rate of 5 percent or greater. One of two licensed nurses (Licensed Practical Nurse (LPN) #1)) observed, made errors while administering medications on 1 of 2 units. Five medication errors were observed out of 29 opportunities, resulting in a medication error rate of 17.24%. This affected three Residents (#6, #7 and #324) out of a total of five residents observed. Findings include: Review of the facility policy titled Administering Medications last revised ,d+[DATE] included the following: * Medications are administered in accordance with prescriber orders, including any required time frame. […]

• No harm, potential for more than minimal, isolatedF561Jul 10, 2024

  Based on observations, interviews, policy review, and record review the facility failed to promote and facilitate resident self-determination through support of resident choice for one Resident (#18) out of 12 total sampled residents. Specifically, the facility failed to allow Resident #18 to use a urinary catheter drainage bag instead of a urinary catheter leg bag. Findings include: Review of the facility policy titled 'Resident Rights', revised 1/2024, indicated: - Federal and state laws guarantee certain basic rights to all residents of this facility. These rights include the resident's right to self-determination. Resident #18 was admitted to the facility in June 2024 with diagnoses including multiple fractures of pelvis. […]

• No harm, potential for more than minimal, isolatedF690Jul 10, 2024

  Based on observations, interviews, policy review, and record review, the facility failed maintain professional standards in the managing and caring for urinary catheter devices for one Resident (#18), out of a total sample of 12 residents. Specifically, the facility failed to ensure the urinary catheter drainage bag was maintained below level of bladder, failed to ensure the urinary catheter drainage bag was not placed directly touching the floor, and failed to ensure urinary catheter care was provided every shift as ordered by the physician. […]