West Suburban Nursing & Rehab Center

In the surveyor’s words

From the most serious findings on record at West Suburban Nursing & Rehab Center, in the surveyor’s own words.

• Immediate jeopardy, widespreadF600Mar 4, 2021

  Based on observation, interview and record review, the facility failed to protect residents from mental, physical, and sexual abuse. This failure resulted in an Immediate Jeopardy (IJ) and has the potential to affect all 191 residents residing at the facility. As a result of this failure, R9 and R10 were exposed to abusive behaviors from R2 and R13 was physically attacked by R12. The IJ began on 1/7/21 at 8:24 PM when R2 was originally admitted to the facility and ended on 3/1/21 at 5:00 PM when the facility's removal plan was accepted. V2 (Acting Director of Nursing/Nurse Consultant) and V24 (Regional Director of Nursing) were notified of the IJ on 2/24/21 at 9:30 AM. […]

• Immediate jeopardy, widespreadF610Mar 4, 2021

  Based on observation, interview and record review, the facility failed to thoroughly investigate, prevent further potential abuse while investigating, and report the results of investigations to the State Survey Agency within five working days of the incident. As a result of this failure R9 and R10 were exposed to abusive behaviors from R2. This failure resulted in an Immediate Jeopardy (IJ) and has the potential to affect all 191 residents residing at the facility. The Immediate Jeopardy was noted to begin on January 19, 2021 when R2 was discharged from the facility for abusive and aggressive behavior after hitting R9 and ended on 3/1/21 when the facility removal plan was accepted. […]

• Immediate jeopardy, isolatedF603Jul 21, 2022

  Based on interview and record review, the facility failed to ensure a resident was free from abuse/involuntary seclusion in his room. This failure resulted in R2 being involuntarily secluded in his room when an unidentified person tied a plastic bag from R2's door handle to the hallway hand rail, preventing R2 from being able to exit his room. This failure resulted in Immediate Jeopardy. The Immediate Jeopardy was noted to begin on July 3, 2022, when the facility failed to ensure a resident was free from abuse/involuntary seclusion when an unidentified person tied a plastic bag from R2's door handle to the hallway hand rail, preventing R2 from being able to exit his room. The Immediate Jeopardy was identified on July 14, 2022. […]

• Immediate jeopardy, isolatedF610Jul 21, 2022

  Based on interviews and record reviews the facility in response to allegations of abuse and mistreatment failed to have evidence that all alleged abuse allegations are investigated, prevent further potential abuse during the investigation, and take corrective action because of the investigation. This failure resulted in the facility failing to validate abuse and act when R2 was noted secluded in his room by having a plastic bag tied from the door handle to hallway handrail. The facility failed to take action to prevent further incidents regarding seclusion during the investigation. […]

• Immediate jeopardy, isolatedF698Jan 25, 2021

  Based on interview and record review the facility failed to have a system in place to ensure a newly admitted resident received [MEDICAL TREATMENT] treatments and failed to follow their policy to initiate and provide [MEDICAL TREATMENT] services for a resident. As a result of this failure, R4 required emergency room admission at the local hospital due to not receiving four [MEDICAL TREATMENT] treatments between 12/23/2020 and 12/31/2020. This failure resulted in Immediate Jeopardy. The Immediate Jeopardy was noted to begin on December 22, 2020 when the facility failed to ensure R4 received [MEDICAL TREATMENT] when the resident was admitted to the facility. This applies to 1 of 5 residents (R4) reviewed for [MEDICAL TREATMENT] services in a sample of 14. […]