Avantara Chicago Ridge
AVANTARA CHICAGO RIDGE in CHICAGO RIDGE, IL — inspection on August 18, 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
kept closing his eyes. I noticed mild swelling on the left side of his face, by the eyes.
There was no
that is why I called emergency. I saw him on the floor and my first thing is to call paramedics because
lying in bed, alert to painful stimuli only.
Nursing staff stated that they were in the room, left for about 5-10 minutes and when they came back, they found patient (R1) half on the floor with his arm wrapped around the side rail of bed.
Staff stated the patient (R1) normally alert, oriented to self, time, place and situation and able to hold conversations.
Patient (R1) was spitting up mucous and bruising was noted to the left side of his face and his left eye pupil was in a slit and rotated. No other injuries were noted.Emergency department attending physician notes dated [DATE] recorded R1 has bruising to the left side of head; and left eye is irregularly shaped, not circular, linear, not reactive.On [DATE] at 12:19 PM, V2 was asked on what was the cause of R1's fall. V2 verbalized, Based on what I received there was no injury related to the fall. He had a fall; he was observed on the floor by the CNA who reported to the nurse.
And upon the nurse entering the room, she noted him not be responding. I did his fall investigation I have witness statements only, but there was no injury noted upon assessment prior to sending out to the hospital.
The nurse said she did not know any swelling, nothing pretty much.
Facility presented two witness statements related to R1's fall on [DATE], as follows:V5 was asked about representative notification; any bruising; hospital endorsement; last time R1 was seen and how long R1 was transferred to the hospital. V4 was asked when was the last time R1 was seen and his condition; and if she (V4) was the staff who observed R1 on the floor.There was no specific investigation related to the cause of his (R1) fall and how he fell. On [DATE] at 10:38 AM, V10 (Physician) was interviewed regarding R1 and R5. V10 stated, R5 has dementia, had traumatic subdural hematoma and has history of syncope and collapse. On [DATE], I was informed that she had a fall.
She was sent to the hospital. R1 has multiple significant medical issues.
Alert, he has cancer of the head and neck and was getting treatment from the hospital. He has cancer of the prostate, chronic kidney disease and multiple several medical issues: chronic or acute. He is getting blood thinners. On [DATE], I was notified that he had a change of condition, so he was sent out to the hospital, and he had a fall.
The assumption was he had a fall, and he needs to go to emergency room.
Staff should make all efforts to prevent falls.
The goal is to prevent falls.
Fall interventions should be patient centered.
Facility's policy titled Fall Occurrence dated [DATE] stated in part but not limited to the following:Policy Statement: It is the policy of the facility to ensure that residents are assessed for risk for falls, that interventions are put in place, and interventions are reevaluated and revised as necessary.
Procedure:5.
The Falls Coordinator will review the incident report and may conduct his/her own fall investigation to determine the reasonable cause of fall.
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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.