Nexus At Berwyn
Nexus at Berwyn in BERWYN, IL — inspection on December 30, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
jeopardy to resident health or safety
To ensure compliance, the results of the audit will be reviewed daily during the meeting which is attended by the leadership which includes but is not limited to the: DON, ADON, Maintenance director and the Administrator/Designee. (This immediate action was initiated on 12/24/2025 daily for 4 weeks then weekly for 8 weeks) I.
The Maintenance/Designee will conduct random staff interviews for at least 5 employees to gauge knowledge for retention and determine if additional training is required. (This immediate action was initiated on 12/24/2025 weekly for 12 weeks) J.
Any identified concern will be addressed immediately and will also be discussed during the weekly Adhoc QAPI.
The facility will reinforce the following process. K.
All results of the audits and unit rounds will be reported to the QAPI committee. An Ad-hoc QAPI meeting will be held weekly to review results of the audits and rounds to determine if additional interventions are necessary to ensure compliance. (This immediate action was initiated on 12/24/2025, then weekly for 8 weeks) L.
The Administrator, Maintenance director and Designee will monitor completion of this plan of removal.
Date Facility Asserts Likelihood for Serious Harm No Longer Exists: Completion Date: December 24, 2025
Facility ID: