Palatine Nursing Home

In the surveyor’s words

From the most serious findings on record at Palatine Nursing Home, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF921Jan 22, 2026

  Based on observation and interviews conducted during the recertification survey, the facility did not provide a safe, functional, sanitary, and comfortable environment for residents, staff, and the public. Specifically, there was an unidentified unpleasant odor of varying levels throughout survey.This is evidenced by:During an observation on 01/22/2026 at 10:55 AM, an odor (pungent, sewer) was noted in the hallway leading to the [NAME] Unit from the Administrator's office to the Nurse's station in front of several resident rooms.During an observation on 01/22/2026 at 1:10 PM, the same odor was noted in the hallway leading to the [NAME] Unit from the Administrator's office to the Nurse's station in front of several resident rooms as it was at 10:55 AMDuring an interview on 01/22/2026 at… […]

• No harm, potential for more than minimal, patternF609Jan 22, 2026

  Based on record review and interviews conducted during a recertification and abbreviated survey (Case #s777608, 777666, and 777668), the facility did not ensure that alleged violations involving abuse, were reported immediately, but not later than two (2) hours after the allegation was made, if the events that caused the allegation involved abuse or resulted in serious bodily injury, to officials (including to the State Agency). Additionally, the facility did not ensure a report of the results of all investigations were submitted to the State Agency, within five (5) working days of the incident, in accordance with State law for four (4) (Residents # 58, 76, 78. and 80) of five (5) residents reviewed for abuse. […]

• No harm, potential for more than minimal, patternF759Jan 22, 2026

  Based on observation, record review, and interviews conducted during a recertification survey, the facility did not ensure that its medication error rate did not exceed 5% for four (4) (Resident #s 36, 49, 56 and #62) of 14 residents observed during a medication pass for a total of 25 observations. This resulted in a medication error rate of 32.0%.This is evidenced by:The facility's Policy and Procedure titled, Medication Error Policy reviewed 1/2026 documented the facility shall maintain systems to ensure medications are administered accurately, safely, and in accordance with physician orders, professional standards of practice.Medication Error: Any preventable event that may cause or lead to inappropriate medication use or resident harm, including: Wrong resident Wrong medication Wrong… […]

• No harm, potential for more than minimal, patternF583Jun 6, 2023

  Based on observation, record review and interviews during the recertification survey, the facility did not ensure the personal privacy and confidentiality of personal and medical records for 1 (East Unit) of 2 units reviewed for privacy and confidentiality. Specifically, the facility did not ensure resident rights to personal privacy and confidentiality of their personal and medical records were maintained on 5/31/2023, 6/2/2023, and 6/6/2023, when facility staff left computer screens unattended on the East Nursing Unit Nursing Station. […]

• No harm, potential for more than minimal, patternF656May 10, 2021

  Based on observation, record review and interview during a recertification survey and an abbreviated survey (Case #NY 487), the facility did not ensure comprehensive person-centered care plans were developed and implemented for each resident that included measurable observations and time frames to meet a resident's medical, nursing, mental and psychosocial needs for five (5) (Resident #'s 3, #14, #86, #87, and #285) of nineteen (19) residents reviewed. Specifically for Resident #3, the facility did not ensure the comprehensive care plan (CCP) for swallowing was implemented, for Resident #14, that a CCP was developed and implemented for at risk for pressure ulcers, for Resident #86, the facility did not ensure a CCP was developed for cast care, for Resident #87, the facility did not ensure… […]