Parc Joliet

In the surveyor’s words

From the most serious findings on record at Parc Joliet, in the surveyor’s own words.

• Immediate jeopardy, patternF600Sep 23, 2021

  Based on observation, interview, and record review, the facility failed to ensure that residents were free from neglect when it failed to provide structures and processes to care for residents with pressure ulcers. The facility neglected to follow their assessment policy for pressure ulcers. Multiple failures based on the policy were identified including failing to do an individual wound assessment when a pressure ulcer was identified by the wound nurse or licensed nurse, failing to stage and measure pressure ulcers and document in the medical record. […]

• Immediate jeopardy, patternF686Sep 23, 2021

  Based on observation, interview, and record review, the facility failed to identify pressure ulcers in a resident, initiate and follow physician orders [MEDICAL RECORD OR PHYSICIAN ORDER] . The facility also failed to ensure residents received pressure ulcer treatment as ordered by the physician. These failures resulted in an Immediate Jeopardy. The Immediate Jeopardy was noted to begin on July 30, 2021 when R1 was admitted to the facility and facility staff failed to ensure pressure ulcer wound care orders from the local hospital were continued at the facility. V7 (Assistant Director of Nursing/ADON) and V7 (Nurse Consultant) were notified of the Immediate Jeopardy on September 15, 2021 at 10:37 AM. […]

• Immediate jeopardy, isolatedF600May 11, 2022

  Based on interview and record review, the facility failed to ensure a resident was free from neglect when it did not have the structures and processes in place to ensure a newly admitted resident was assigned to the care of a nurse. This failure resulted in R1 residing at the facility for 18 hours without receiving glucose monitoring and scheduled insulin, sustaining a blood sugar reading greater than 600 mg/dL (milligram per deciliter), not receiving scheduled medications, including antihypertensives, diuretic medication, cardiac medications, and scheduled nursing staff denying responsibility for the care of the resident. […]

• Actual harm, isolatedF600Jun 24, 2026

  Based on observations, interviews and record reviews, the facility failed to protect a resident's right to be free from abuse. This failure applies to 1 of 3 residents (R1) reviewed for abuse. This failure resulted in R1 experiencing inappropriate physical assault when a visitor entered her room, unzipped his pants, and placed an item into her mouth and resulted in R1 experiencing inappropriate physical contact and assault. The findings include: R1's electronic medical records show she is a [AGE] year-old female with diagnoses and conditions including early onset Alzheimer's disease, anxiety disorder and impaired communication who was admitted to the facility May 11, 2024.On June 23, 2026, at 11:00 AM, R1 was lying in her bed in her room unable to speak, with her upper and lower… […]

• Actual harm, isolatedF689Feb 13, 2026

  Based on interview and record review, the facility failed to transfer a resident safely with a mechanical lift. This failure resulted in a resident sustaining an 8 cm (centimeter) laceration, requiring 11 sutures.This applies to 1 of 3 residents (R1) reviewed for mechanical lift transfers in a sample of 3.The findings include:On 2/11/26 at 10:21, V4 (CNA/Certified Nurse Assistant) said she transferred R1 from his wheelchair to his bed with mechanical lift by herself on 1/15/26 when he sustained a skin tear. V4 said R1 has always had extreme anxiety with patient care and he freaks out when he is transferred with mechanical lift. V4 said, I am thinking maybe when I transferred him, from him freaking out and shaking, he might have bumped his leg on the bed at that point. […]