Thrive of Lisle

In the surveyor’s words

From the most serious findings on record at Thrive of Lisle, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Mar 27, 2024

  Based on observation, interview, and record review, the facility failed to fully submerge a plate and tray in the three-compartment sink for at least 30 seconds. This failure has the potential to effect all residents residing in the facility. The findings include: The Centers for Medicare and Medicaid form 671, dated 3/25/24, shows there are 65 residents residing in the facility. On 3/25/24 at 10:54 AM, V20 (Dietary Aide) washed her hands and went to the clean and sanitized outfeed side of the dish machine. […]

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

  Based on observation, interview, and record review, the facility failed to follow proper sanitation and remove expired food items. This applies to all residents receiving oral nutrition and foods prepared in the facility kitchen. Findings include: Facility Resident Census and Condition of Residents (Form CMS--Centers for Medicare and Medicaid Services--672), dated [DATE], documents the total census was 48 residents. It also documents there were 2 residents on gastrostomy tube feedings. On [DATE] at 10:50 AM, surveyor entered the kitchen. At 10:54 AM, V1 (Administrator) stated the previous Dietary Manager left on [DATE] without giving any notice. V1 stated she is a Certified Dietary Manager, and is temporarily covering until the facility hires a new Dietary Manager. […]

• No harm, potential for more than minimal, patternF883Jan 30, 2025

  Based on interview and record review, the facility failed to offer an influenza and/or pneumonia vaccines for 4 of 5 residents (R2, R56, R228, and R230) reviewed for immunizations in the sample of 20. The findings include: On 1/30/25, five selected residents from the sample were reviewed for immunizations. The review showed: R2's Admission Record, printed by the facility on 1/30/25, showed she had diagnoses including, but not limited to, chronic kidney disease-stage 3, atherosclerotic heart disease, chronic diastolic (congestive) heart failure, urinary tract infection, metabolic encephalopathy, atrial fibrillation, and presence of a prosthetic heart valve. The record showed R2 was admitted to the facility on [DATE]. […]

• No harm, potential for more than minimal, patternF684Mar 27, 2024

  Based on interview and record review, the facility failed to do daily weights for residents with congestive heart failure (CHF) and failed to notify the physician of a weight gain for residents with CHF for 5 of 16 residents (R42, R32, R21, R39, and R36) reviewed for quality of care in the sample of 16 . The findings include: 1. On 03/26/24 at 12:30 PM, V18 (Registered Nurse) said residents with CHF are normally weighed daily. V18 added daily weights are done to see if the resident is retaining fluid and if medication/treatment changes are needed. […]

• No harm, potential for more than minimal, patternF803Mar 27, 2024

  Based on observation, interview, and record review, the facility failed to serve residents the required 8 ounce (oz) portion of chicken pot pie for lunch. This applies to 4 of 16 (R32, R39, R54, R31) residents reviewed for portion sizes in the sample of 16. The findings include: On 3/25/24 at 12:33 PM, V22 (Cook) began plating the noon meal. The noon meal consisted of chicken pot pie, green beans, a dinner roll, and pumpkin mousse. Facility Diet Spreadsheet shows the portion size for chicken pot pie is 8 oz. V22 was using a #8 scoop for service, which provides 4 oz. V22 was serving each plate with two scoops of chicken pot pie. On 3/25/24 at 12:42 PM, the food service pan holding the chicken pot pie looked like it was getting low and might run out before service was ending. […]