Northbrook Center for Rehabilitation and Healing

In the surveyor’s words

From the most serious findings on record at Northbrook Center for Rehabilitation and Healing, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600Apr 13, 2022

  Based on record review and interview, the facility failed to ensure the residents were free from medical neglect by not initiating Cardiopulmonary Resuscitation (CPR) subject to the resident's advance directives for 1 of 45 residents with full code status, Resident #1, when Staff A, RN, found the resident with no pulse and no respiration. Resident #1 expired. This deficient practice put 45 residents with full code status out of 98 residents at likelihood of serious harm, serious injury or death due to physical abuse or medical neglect. Findings include: Review of Resident #1' admission records revealed the resident was admitted on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• Immediate jeopardy, isolatedF678Apr 13, 2022

  Based on record review and interview, the facility failed to ensure the residents received basic life support including Cardiopulmonary Resuscitation (CPR) subject to the resident's advance directives for 1 of 45 residents with full code status, Resident #1, by not initiating CPR when Staff A, RN, found the resident with no pulse and no respiration. Resident #1 expired. This deficient practice put 45 residents with full code status out of 98 residents at likelihood of serious harm, serious injury or death due to physical abuse or medical neglect. Findings include: Review of Resident #1' admission records revealed the resident was admitted on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• No harm, potential for more than minimal, widespreadF812Jun 30, 2022

  Based on observation, interview, and record review, the facility failed to ensure food was properly and safely stored, covered, labeled, and discarded in the areas of the kitchen coolers and freezers, failed to ensure food was properly served on the tray line, and failed to ensure the equipment were cleaned as per the policy guidelines. Findings include: A walk-through tour of the kitchen on 6/27/2022 at 9:16 AM with the Certified Dietary Manager (CDM) showed an opened large container of macaroni salad with no open date in the walk-in cooler. […]

• No harm, potential for more than minimal, widespreadF812Jan 22, 2021

  Based on observation, interview, and record review the facility failed to ensure food was stored in a safe and sanitary manner in the facility main kitchen and in 1 of 2 nourishment rooms, A Wing, and failed to ensure food was served in a safe and sanitary manner on 1 of 2 resident hallways, the 100 Hallway. (Photographic Evidence Obtained.) Findings: A tour of the main facility kitchen was conducted on 01/19/2021 with the Certified Dietary Manager beginning at 9:02 AM. A dietary staff member was mixing a food item on one of the food preparations counters. The ceiling above the food preparation area was flaking in two areas. An observation of the larger flaking area showed there is ceiling material gaping from this large flaked area. […]

• No harm, potential for more than minimal, patternF656Aug 6, 2026

  Based on interview and record review the facility failed to implement care plan interventions for 1 resident, Resident #10, of 2 residents reviewed for nutrition and failed to develop care plan interventions for 1 resident, Resident #2, of 1 resident reviewed for pressure ulcer/injury. Findings include: Review of Resident #10's care plan revealed Resident #10 had a potential nutritional problem with risks for weight fluctuations, dehydration and skin breakdown related to a need for a therapeutic diet and variable appetite. […]