Mather Evanston, The

In the surveyor’s words

From the most serious findings on record at Mather Evanston, The, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF727Mar 20, 2025

  Based on interview and record review the facility failed to designate a registered nurse to serve as the director of nursing on a full-time basis. This failure applies to all 22 residents within the skilled nursing unit of the facility. Findings include: On 03/17/25 at 10:45 AM V2 (Assistant Director of Nursing) reported the facility does not currently have a Director of Nursing. On 03/19/25 at 10:38 AM V1 (Administrator) stated the skilled nursing team responsible for recruiting staff, and they have placed ads, and gone to schools but has been unsuccessful and hiring a Director of Nursing. , V1 stated the skilled nursing unit has had applicants without enough experience, and people filled the position but have not stayed. […]

• No harm, potential for more than minimal, widespreadF812May 5, 2023

  Based on observation, interview and record review, the facility failed to follow their policy on dating opened food Items and discarding expired foods in the refrigerator for 23 of 24 residents that receive meals from the dining room. Findings include: On [DATE] at 10:30am during a tour of the dietary department V14 (Culinary Director/Executive Chef) observed with the surveyor in the refrigerator, Dill sauce with a use by date of [DATE], Vitamin D milk with a use by date of [DATE], Mozzarella Cheese with a use by date of [DATE]. Salad dressing open no date, Parmesan Cheese open no date, sliced meat open no date, liquid eggs open no date. On [DATE] at 11:00am, V14 said all expired foods should be discarded, and all open foods should have a date. […]

• No harm, potential for more than minimal, widespreadF812Jun 9, 2022

  Based on observation, interview, and record review, the facility failed to follow the policy related to hand washing and use of gloves during food preparation and handling of ready to eat foods. This deficiency has the potential to affect the 23 residents residing in the facility receiving meals from the kitchen. Finding include: Resident Census and Conditions of Residents, dated 6/07/2022, documents 26 residents are currently residing in the facility. Out of the 26 residents, three residents are on pureed diet. […]

• No harm, potential for more than minimal, patternF883Mar 20, 2025

  Based on interview and record review, the facility failed to ensure that all residents were offered the pneumococcal booster vaccine. This failure applied to four (R9, R11, R12, and R19) of five residents reviewed for vaccines on the total sample of 20. Findings include: R9 is a [AGE] year-old female with multiple diagnoses including but not limited to the following: COPD (Chronic Obstructive Pulmonary Disease), anxiety, dysphagia, and need for assistance with personal care. R11 is a [AGE] year-old male with multiple diagnoses including but not limited to the following: CVD (CardioVascular Disease), dementia, and dysphagia. R12 is a [AGE] year-old female with multiple diagnoses including but not limited to the following: CVD, dementia, and macular degeneration. […]

• No harm, potential for more than minimal, isolatedF655Mar 20, 2025

  Based on observations, interviews, and record reviews the facility failed to follow their care planning policies by not ensuring a residents baseline care plan included safety/fall interventions. This failure applies to one (R1) of four residents reviewed for accidents on the total sample of 20. Findings include: R1 is a [AGE] year-old female with a diagnoses history of Prosthetic Heart Valve, Chronic Diastolic Congestive Heart Failure, Presence of Artificial Hip Joint, Primary Osteoarthritis of Hip, Dizziness, and Lack of Coordination who was readmitted to the skilled nursing unit on 02/25/2025. On 03/17/25 at 10:57 AM R1 stated she fell a couple of weeks ago and fractured her pelvis. […]