Alta Rehab At Fairmont
ALTA REHAB AT FAIRMONT in CHICAGO, IL — inspection on September 4, 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
discharge paper for (R5).
That she looked at the scan box and there is no document to upload. V15
Assessment on the ?Assessment' tab in EHR system.
The nurse, who will discharge the resident, is
the resident is responsible for completing the Medications Section of the Discharge Assessment.
The nurse, who is discharging the resident, should print the completed Discharge Assessment because there is a section on the Discharge Assessment where the resident has to sign.
Signing the Discharge Assessment is an acknowledgment that the resident or the POA receives the medication and the discharge instruction.
Each section of the Discharge Assessment will turn green once completed. If it did not turn green, it means that section is not completed or answered yet.
Discharge Assessment should be completed prior to discharge. A complete Discharge Assessment gives instruction to the resident or family how they will take the medication and the purpose of the medication. It also explains the follow up appointments that are scheduled. If not completed and not given to the resident, the resident may miss the appointments and or may not take the medications appropriately.
R5's admission Record documented that R5's diagnoses (include but not limited to) hemiplegia and hemiparesis, sequelae of cerebral infarction, and morbid obesity due to excess calorie. R5's Census list documented that R5 was readmitted on [DATE] and was discharged on 8/14/2025. R5's (06/30/2025) care plan documented, in part I wish to be discharged home w/family.
Will verbalize/communicate an understanding of the discharge plan and describe the desired outcome by the review date.
The resident needs written instructions, as required, to ensure care continuity post-discharge. R5's (08/10/2025) Discharge Instruction documented, in part discharge date and time: 08/14/2025 11:00(am). Of note, Sections A and B were completed by V7 (Social Services Director).
Sections C.
Medications, Section D.
Diet/Nutrition - Dietary, Section E. ADL/Bowel & Bladder/Restorative Nursing, Section F.
Education/Appointments, Section G.
Skin Condition on Discharge & Treatments - Nursing were not completed.
Space provided for Name of Person Completing the Sections and Resident/Responsible Party Signature, as applicable, has no entry.The (09/04/2025) email correspondence with V28 (Regional Nurse Consultant) documented, in part Referring to the Discharge Instruction on the ?Assessment' tab in EHR system.
What is the expectation? The expectation is for staff to complete prior to discharge and provide a copy upon discharge.
The (undated) Discharge/Transfer of Resident documented, in part Purpose: To provide safe departure from the facility. To provide for continuity of care and treatment.
Equipment: Discharge Notice.
Procedure: 1.
Explain discharge procedure to resident and family.
Provide additional health education or medication instruction information for resident or family as indicated in lay(man) terms.
- Complete Transfer Form Accurately and completely.
Rationale/Amplification.
Ensure that resident's current physical and psychosocial assessment, medications and current treatment is completely describe. 11.
Document discharge summary.
Include notes on specific instruction given (medications) to resident and responsible party in lay(man)'s terminology.
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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.