Little Sisters of the Poor of Palatine

In the surveyor’s words

From the most serious findings on record at Little Sisters of the Poor of Palatine, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF756Nov 15, 2024

  Based on interview and record review, the facility failed to follow up with the physician for a response related to pharmacy recommendations for four residents (R5, R8, R16, and R21) reviewed for unnecessary medications in a sample of 12 residents. Findings include: During record review on 11/14/24 at 11:30am, R5's Consultant Pharmacist Recommendation to Physician dated 11/6/24, reads Please consider changing the dosing time of this resident's Donepezil 5mg from every morning to at bedtime as the medication may cause GI upset and dizziness/fainting which may put residents at risk of fall. During record review on 11/14/24 at 11:30am, R8's Consultant Pharmacist Recommendation to Physician dated 10/6/24 reads; . […]

• No harm, potential for more than minimal, isolatedF684Nov 15, 2024

  Based on observation, interview and record review, the facility failed to follow physician's order to apply compression wrap for one of three residents (R25) reviewed for edema management in a sample of 14. Findings include: On 11/13/2024 at 10:16AM during observation, R25 was observed with swelling (edema) on both lower extremities. R25's right leg was observed to not have anything on it and R25's left leg was observed with a stocking on it. On 11/13/2024 at 12:15AM during observation with V11 (Licensed Practical Nurse), R25 was again observed with swelling (edema) on both lower extremities, R25's right leg was again observed to not have anything on it and R25's left leg was again observed with a stocking on it. There were no reusable compression wraps observed at bedside. […]

• No harm, potential for more than minimal, isolatedF761Nov 15, 2024

  Based on observation, interview and record review, the facility failed to ensure all medications are labeled accurately for one of twelve residents (R5) reviewed for medication storage and labeling in a sample of 14. Findings include: On 11/12/2024 at 11:21 AM during observation with V6 Licensed Practical Nurse (LPN), the second-floor medication cart was observed with the following: 1. R5's Spironolactone 25mg (milligram) tab medication bottle with discard after date of 06/10/2024 2. […]

• No harm, potential for more than minimal, isolatedF812Nov 15, 2024

  Based on observation, interview and record review, the facility failed to air dry the blender after using it to puree pork and before pureeing vegetables. This deficient practice has the potential to affect two residents (R11 and R18) receiving a pureed diet in a sample of 12 residents. Findings include: On 11/13/24 at 11:00am, during puree preparation of pork and vegetables, V4 (Dietary Manager) pureed pork, washed the blender, rinsed it out and proceeded to puree vegetables while the blender still contained about 5 units of sanitizer solution in it. V4 did not allow the blender to air dry. […]

• No harm, potential for more than minimal, isolatedF880Nov 15, 2024

  Based on observation, interview and record review, the facility failed to perform appropriate infection control practices for a resident on Enhanced Barrier Precautions for one of three residents (R21) reviewed for infection control in a total sample of 12. Findings include: On 11/13/2024 at 12:35PM during observation, V12 (Certified Nursing Assistant) was observed putting on gloves and grabbing a pack of disposable gown before going into R21's room. R21's room door was observed with a sign that reads Enhanced Barrier Precaution. On 11/13/2024 at 12:40PM during interview with V12 together with V2 (Director of Nursing), V12 stated that she put on the disposable gown inside R21's room. […]