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Complaint Investigation

Astoria Place Living & Rehab

February 26, 2026 · Chicago, IL · 6300 North California Avenue
Citations 2
CMS Rating 4/5
Beds 164
Provider ID 145634
Healthcare Facility
Astoria Place Living & Rehab
Chicago, IL  ·  View full profile →
Inspection Summary

ASTORIA PLACE LIVING & REHAB in CHICAGO, IL — inspection on February 26, 2026.

Found 2 citations. 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.

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Inspection Findings

FF0686
Quality of Life and Care Deficiencies

and gloves when performing direct patient care. V11 stated that the facility does not have to place a

was sent out to the hospital for abnormal vital signs and was informed that R3's hospital diagnosis

V11 stated that if she was informed that R3 wound showed signs of infection, she would have reached out to the Infectious Disease Nurse Practitioner (ID NP) to possibly start R3 on antibiotics empirically.

On 02/25/26 at 2:27pm V13 (Infectious Disease Nurse Practitioner) stated that she has not seen R3 since 11/19/25. V13 stated usually if wounds are getting worse, the wound care team calls her. V13 stated that she was never informed of R3's wounds worsening or showing signs of infection.

On 02/25/26 at 3:21pm V2 (Director of Nursing/DON) stated that air mattresses are placed for residents that have been identified to have wounds or if a resident is at risk for skin breakdown. V2 stated that refusal of care should be care planned.

Facility's care plan titled Enhanced Barrier Precaution revised 09/16/25 documents in part, Policy: The facility will use Enhanced Barrier Precautions (EBP) to reduced transmission of multi-drug-resistant organisms in the nursing homes. EBP involves the use of gowns and gloves to reduce transmission of resistant organisms during high-contact resident care activities for residents known to be colonized or infected with MDROs (multidrug resistant organisms) as well as residents with wounds and/or indwelling medical devices.

Procedure: 1. EBP will be used for any resident in the facility: With open wounds whose drainage can be contained by dressing.

Has indwelling medical devices.

Facility's policy titled Braden Scale revised 06/30/25 documents in part, Policy Statement: It is the policy of this facility to complete the Braden Risk Assessment for all its residents for the following objectives: 1. To be able to assess the resident's potential or risk factors to develop pressure ulcers.

  • To be able to identify each risk factors unique to the resident that can potentially cause for the
  • development of pressure ulcer and properly address them in the resident's care plan interventions.

Procedures:. 3.

Each risk factor and potential cause should be reviewed individually and addressed in the resident's care plan. 4.

Implement interventions per the resident's Braden Score and/or individual risk factors identified as reflected in the care plan.

Facility's policy titled Skin Care Regiment and Treatment Formulary revised 07/03/25 documents in part, Policy Statement: It is the policy of this facility to ensure prompt identification, documentation and to obtain appropriate treatment for residents with skin breakdown.

Procedures:. 10.

Prevention: c.

Use of pressure redistribution mattress. 11.

Treatment Protocol: Deep Tissue Injury: Blood-filled blister (intact) keep blister intact.

Foam dressing.

Relieve pressure.

145634 02/26/2026

Astoria Place Living & Rehab 6300 North California Avenue Chicago, IL 60659

residents reviewed for wound care.

Findings include:On 2/24/2026 at 10:45 am, V3 (Wound Care

sanitizing measures and opening/touching the treatment cart drawers; opened the surgical drape touching with her (V3's) bare hands; touched her glasses and with same hand and began typing on her laptop reading the wound care order; opened another drawer and removed a stack of gauze with her bare hands; and V3 used hand sanitizer and removed other supplies from the cart.On 2/24/2025 at 10:48 am, V3 stated she (V3) should practice handwashing and infection control practices before, between, and after wound care. V3 verified using hand sanitizer after opening the surgical drape and preparing other wound care supplies. V3 stated the purpose of infection control practices such as hand washing/sanitizing is to prevent infection to the wound. On 2/25/2026 at 12:45 pm, V11 (Infection Preventionist) stated for a clean procedure, the nurse should wash his/her hands; gather your equipment; wash your hands again; put on your Protective Personal Equipment; and complete the wound care. V11 stated the outside of the wound care treatment cart is considered dirty; hand hygiene should be done when touching the outside the cart and then opening wound care dressing supplies; and hand hygiene should be performed whether sterile or clean when handling wound care supplies.

Facility Policy titled infection control 7/5/2016 revised 6/30/2025 documents, in part, 17: Hand hygiene will be performed by staff and contracted workers before and after direct patient contact and after each situation that necessitates hand hygiene.

Alcohol-based hand rubs or hand washing x 20 seconds will be used.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in CHICAGO, IL, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from ASTORIA PLACE LIVING & REHAB or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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