VI at the Glen

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF607Jun 13, 2024

  Based on interview and record review, the facility failed to follow its policy in conducting background checks for 10 (R8, R17, R27, R28, R33, R39, R40, R44, R93 and R94) of 10 residents reviewed for admission screening. This deficiency also has the potential to affect the 42 residents currently residing in the facility. Findings include: Per census report, there are 42 residents currently residing in the facility. On 06/11/24 at 2:45 PM during review of documentation pertaining to background checks, the following were presented by facility: R8 is a [AGE] year-old, female admitted in the facility on 03/26/24 with diagnosis of Urinary Tract Infection, Site not Specified and Type 1 Diabetes Mellitus with Hyperglycemia. […]

• No harm, potential for more than minimal, widespreadF880May 7, 2021

  Based on observation, interview and record review, the facility failed to follow its' policy of the COVID 19 screening process for visitors by staff not taking the visitor's temperature and disinfecting thermometer use, after touching the body of the visitor during the screening process. The deficiency has potential to affect the entire census of 36 residents and staff/employees in the facility. Findings include: On 5/4/21 at 8:55am, V4 Receptionist requested both surveyors take their own temperature and complete the questionnaire. Two private caregivers came in, V5 Caregiver and V6 Care giver. V4 Receptionist also asked them to take their body temp and complete the questionnaire. Both surveyors let both caregivers take their temperature first using a thermometer scanner. […]

• No harm, potential for more than minimal, patternF657Aug 25, 2023

  Based on interview and record review the facility failed to update fall care plan interventions after each fall incidents on resident who are at risk for fall. The facility also failed to update resident care plan who is on prophylaxis antibiotic indefinitely. These deficiencies affect four (R11, R21, R26 and R39) of eight residents in the sample of 16 reviewed for care plan revision and updates. Findings include: On 8/23/2023 at 12:20pm V4 (Care Plan Coordinator) observed an unwitnessed fall incident report dated 11/28/2022 resulting in R11 complaining of right hip pain and an unwitnessed fall incident report on 1/25/2023. […]

• No harm, potential for more than minimal, isolatedF585Jun 13, 2024

  Based on observation, interview and record review, the facility failed to implement their grievance policy by not documenting a complaint and applicable resolution as made by a resident. This failure affected 1 (R24) of 27 residents reviewed for grievances. Findings include: R24 is [AGE] years old and admitted to the facility 4/18/23. R24 has diagnoses that include anxiety disorder, weakness, history of falling and difficulty walking. On 6/10/24 at 12:20PM, R24 was observed sitting in an armchair in their bedroom and expressed a complaint that they and their family member made regarding the carpet in R24's room. R24 pointed to a particular area of the carpet in the immediate walkway into the room that was stained. […]

• No harm, potential for more than minimal, isolatedF689Aug 25, 2023

  Based on observation, interview and record review the facility failed to follow its fall prevention protocol by failure to notify the State Agency Illinois Department of Public Health (IDPH) in a timely manner of a resident fall incident that required hospitalization . The facility also failed to ensure effective intervention were in place to reduce the risk of falls. This deficiency affects two (R11 and R39) residents in the sample of 16 reviewed for Resident safety. Findings include: On 8/22/23 at 10:38AM, Observed R39 lying in bed with V8 Private Caregiver at bedside. V8 said that R39 had fall incident last month and was admitted to hospital due to fractured hip. On 8/23/23 at 10:10AM, Review R39's medical records with V2 Nursing Supervisor. […]