Irving Park Living & Rehab CTR

In the surveyor’s words

From the most serious findings on record at Irving Park Living & Rehab CTR, in the surveyor’s own words.

• Actual harm, isolatedF689Jul 18, 2025

  Based on interviews and record reviews, the facility failed to provide adequate supervision for one cognitive impaired resident (R2) who is a high fall risk with a history of falls with injury out of a sample of four [R1, R3, R4] residents reviewed for falls. This failure resulted in R2 falling, transferred to the emergency department, and sustained a left eye orbital fracture.Findings Include, R2 ‘s clinical record indicates the following in part: R2 was admitted with hemiplegia and hemiparesis following cerebral infarction affecting left dominant side, essential hypertension, vitamin D deficiency, restlessness, history of falling, type II diabetes, anxiety disorder, depression, and fracture of upper end of left humerus. […]

• Actual harm, isolatedF689Apr 13, 2025

  Based on observations, interviews and records review, the facility failed to safely transfer one (R1) of three residents reviewed for mechanical lift transfer. The failure cause R1 to sustain injury to his right fifth toe requiring three sutures. Findings include: R1 is [AGE] year-old individual whose current face sheet documents R1 medical diagnosis to include but not limited to: Unspecified Sequelae of Cerebral Infarction, Pressure Ulcer of Sacral Region, unspecified stage, Neuroleptic Induced Parkinsonism, Schizophrenia, unspecified. MDS (Minimum Data Set) section C-Cognitive abilities dated 3/17/2025, documents R1's BIMS (Brief Interview for Mental Status) as 7/15 indicating R1 has severe cognitive impairment. […]

• Actual harm, isolatedF600May 30, 2024

  Based on interview and record review, the facility failed to ensure that a resident was free from sexual abuse. This failure affected 1 resident (R1) in the sample of 8. This failure resulted in R1 experiencing psychosocial harm by feeling violated and victimized by R2 due to R2's unwanted touching. Findings include: On 5/29/24 at 2:00 pm, R1 stated that R1 was a resident in the facility for about 2 years. R1 stated, I (R1) did not get out of bed because the electric wheelchair didn't work. I would stay in my bed. R1 stated, (R2) was staring at me (R1). I couldn't sleep. (R2) would try to go under my blanket. Tried to get under my covers. Tried to touch my body. (R2) tried to go and put hands near my privates. I would yell at (R2) to stop. […]

• Actual harm, isolatedF689Jun 16, 2023

  Based upon observation, interview and record review the facility failed to provide fall prevention interventions on two of three residents (R1, R8) care plans, failed to ensure staff were aware of (R1, R5, R8) fall prevention interventions and failed to implement fall prevention interventions for two of three residents (R1, R8) reviewed for falls. These failures resulted in R1 sustaining acute rib fractures on the left from a fall on 2/12/23. Findings include: 1.R1's diagnoses include absence of right leg below knee. R1's (2/9/23) fall evaluation determined a score of 60 (high risk). R1's (2/24/23) Physical Therapy Evaluation & Plan of Treatment states patient requiring SUP (Supination) for slide board transfers. Chair/bed to chair transfer = Dependent. […]

• Actual harm, isolatedF760Jun 16, 2023

  Based upon record review and interview the facility failed to ensure that three of three residents (R1, R5, R8) reviewed for medication administration were free from significant medication errors. This failure resulted in R1 and R5 sustaining critical high (above 300) blood sugars. Findings include: R5's diagnoses include type II diabetes mellitus with hyperglycemia. R5's (3/20/23) BIMS (Brief Interview Mental Status) determined a score of 15 (cognitively intact). On 4/10/23 at 2:26pm, R5 stated, About a week ago Saturday we had no Nurse on the floor (2nd floor) for all 3 shifts. They (Nurse) did my blood sugar the following day and it was 500 because I didn't get my medication. On (4/7/23) R1's blood sugar was 551 (critical high) at 7:30am. […]