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
During the weekends and holidays, the Maintenance director/Designee will conduct the daily audits, ensuring beds are away from the heating units.
Any identified concern will be addressed immediately. (This immediate action was initiated on 12/24/2025 daily for 4 weeks then weekly for 8 weeks) H. 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,
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.