Warren Park Health & Living CTR

In the surveyor’s words

From the most serious findings on record at Warren Park Health & Living CTR, in the surveyor’s own words.

• Actual harm, isolatedF600Nov 15, 2023

  Based on interview and record review, the facility failed to ensure that a resident was free from physical abuse which affected one (R70) in the sample of 58 residents reviewed for abuse. This failure caused harm to R70 who was physically struck, fell , and suffered a laceration to R70's left forehead which required 4 sutures as treatment in the hospital. Findings include: On 11/12/23 at 11:14 am, R70 observed in wheelchair propelling self out of R70's room using R70's right arm to move the wheelchair wheel and right foot to move on floor. R70's left arm laying on R70's lap. This surveyor noted a healed, pink laceration, approximately 3 centimeters (cm) in length. When asked about the laceration, R70 stated, I (R70) fell and hit my head. […]

• Actual harm, isolatedF600Jan 20, 2023

  Based on interview and record review, facility failed to follow their abuse policy to ensure residents are free from physical abuse by providing necessary care in services thus resulting in a male resident (R80) physically assaulting a female resident (108) for two (R80 and R108) out of 24 residents reviewed for physical abuse. The failure resulted in R108 hitting her head and having swelling to the right part of her (R108) head. Findings include: On 01/18/2023 at 12:42 PM, V8 (Social Worker) stated that she (V8) came in on Monday (1/9/23) and found out the incident happened Sunday night (1/8/23). V8 stated, When I (V8) spoke to R80, he (R80) stated he (R80) was trying to get (R108) out of the way. He (R80) stated that he (R80) picked her (R108) up and pushed her (R108) out of the way. […]

• Actual harm, isolatedF689Aug 27, 2021

  Based on observations, interviews and records review the facility failed to maintain safety measures to prevent falls or accidents, to follow the fall policy on interventions to help prevent falls for 1 (R2) out of 4 residents (R1, R2, R3 and R4) reviewed for fall prevention in the total sample of 4 residents. These failures resulted in R2 falling multiple times and sustaining multiple injuries. R2's 8/1/21 fall injuries included an anterior frontal lobe subdural brain hemorrhage (or subdural hematoma, or bleeding) a right forehead laceration closed with 11 stitches, right eye bruising and a left leg abrasion. Findings include: R2 is [AGE] years old, originally admitted to the facility on [DATE]. […]

• No harm, potential for more than minimal, widespreadF609Dec 12, 2025

  Based on interview and record review the facility failed to ensure their IDPH (Illinois Department of Public Health) Reportable initial and final Incident Report Form was transmitted correctly for 7 (R20, R28, R45, R50,R82, R86, R121) of 7 residents identified on four (4) Facility Reportable documents reviewed. This failure has the potential to affect 123 residents residing in the facility.Findings Include:On 12/10/25 during review of the facility Reportable Fax Transmittal Form document, it was observed that the facility transmittal sheet document in part: Result: No answer . […]

• No harm, potential for more than minimal, widespreadF925Dec 12, 2025

  Based on observations, interviews, and record reviews, the facility failed to maintain an effective pest control program. This has the potential to affect all 123 residents residing in the facility.Findings include: On 12/09/2025 at 10:55 AM, R7 was lying in bed. There was a black flying insect flying around in R7's room during the interview. On 12/09/2025 at 11:20 AM, R113 was lying in bed. During interview, there was a black, flying insect flying in the room. R113 stated seeing flies at least once a week. R113 has also seen roaches and spiders in the bedroom. On 12/09/2025 at 12:09 PM, V9 (Ombudsman) stated residents complained about cockroaches in the past and is an ongoing issue. […]