Logan Square Rehabilitation and Healthcare Center

In the surveyor’s words

From the most serious findings on record at Logan Square Rehabilitation and Healthcare Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Jan 24, 2024

  Based on review of facility documentation, review of policy and procedures, review of clinical records, review of hospital records, observation and interviews with staff, it was determined that the facility failed to provide adequate supervision to a resident with a history of over-the-counter medication usage. The facility failed to conduct a thorough assessment of the resident's environment to ensure that the resident was not in possession of over-the-counter medication for one of seven residents reviewed (Resident R31), which resulted in an Immediate Jeopardy situation. […]

• No harm, potential for more than minimal, widespreadF812Jan 14, 2026

  Based on observations, policy and interviews with staff, it was determined that the facility failed to ensure sanitary food handling practices were followed by dietary staff. Findings include:Observations during food preparation and service, conducted on January 11, 2026, at approximately 9:30 a.m. with the Food Service Director (FSD), Employee E13, revealed the following staff were observed not adhering to required personal protective equipment and hygiene practices: Dietary aid, Employee E14, was observed handling ready-to-eat food without wearing gloves.Dietary aid, Employee E15 and Cook, Employee E16 was observed preparing food without a hair net.Dietary aide, Employee E17, was observed wearing a hair net that did not fully cover all hair. […]

• No harm, potential for more than minimal, patternF574Jan 14, 2026

  Based on review of facility policy, observations, and staff interviews, it was determined that the facility did not ensure posting of required State Survey Agency contact information was readily accessible on two of two nursing floors. (Second-Floor and Third-Floor Nursing Units) Findings Include: Review of facility policy titled, Resident Rights with a revised date of February 2011 states, Policy Statement- Employees shall treat residents with kindness, respect, and dignity. Further review of the policy states, Policy Interpretation and Implementation- 1. Federal and state laws guarantee basic rights to all residents of this facility. These rights include the resident's right to:.u. […]

• No harm, potential for more than minimal, patternF880Jan 14, 2026

  Based on a review of facility policies, medical records, observations, and interviews with residents and staff, it was determined that the facility failed to ensure proper infection prevention and control practices for three of five residents observed (Residents R31, R20, and R95). Specifically, the facility failed to implement Enhanced Barrier Precautions (EBPs) during wound care, medication administration via feeding tube, and personal care, placing residents at risk for transmission of multidrug-resistant organisms (MDROs).Findings include:The facility policy titled Enhanced Barrier Precautions (revised December 2024) states that EBPs are implemented to prevent the transmission of MDROs. […]

• No harm, potential for more than minimal, patternF684Aug 28, 2025

  Based on observations, review of facility policies, review of facility grievances, clinical record reviews and interviews with residents and staff, it was determined that the facility failed to administer medications in a timely manner for five of five residents reviewed (Residents R1, R2, R3, R4 and R5). Findings include:Review of facility policy, Guideline for Administration of Medications undated, revealed, This guidance is to assist in the timely administration of medications based on time critical and non-time critical scheduled medications. Non-time critical medications will be scheduled for administration in AM, Afternoon, Evening and HS [bedtime] utilizing extended administration times to accommodate the resident's customary routines. […]