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Complaint Investigation

Atrium Health Care Center

October 23, 2025 · Chicago, IL · 1425 West Estes Avenue
Citations 1
CMS Rating 3/5
Beds 160
Provider ID 145479
Healthcare Facility
Atrium Health Care Center
Chicago, IL  ·  View full profile →
Inspection Summary

ATRIUM HEALTH CARE CENTER in CHICAGO, IL — inspection on October 23, 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.

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Inspection Findings

FF0600
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Potential for More Than Minimal Harm

Summary Score: 15.

Indicating R2's mental status as cognitively intact. R2's (10/14/2025) Progress Notes documented, in part Resident was in his room when another resident came to his room to ask for his roommate, resident stated i told him my roommate was not in the room but he still came in and went to his bedside and on his way out he called me a B***H, This aggravated the resident which led him to follow him on his way out the room and punched him, which made the both of them start to fight. NOD (nurse on duty) immediately went there to separate the fight and social services was called.

Authored by: V3 (Licensed Practice Nurse) R2's (10/14/2025) Progress note documented, in part resident was petitioned to the hospital for psychiatric evaluation due to physical altercation with another resident. R2's (10/14/2025) Notice of Involuntary Transfer or Discharge and opportunity for hearing for Nursing Home Residents documented, in part Federal Proceeding.

This facility seeks to transfer or discharge you pursuant to the regulations of the health care financing administrations for States and long term care facilities. As recorded in your clinic Importance with Section 4 eight 3.15 (c) of the federal regulations, the reason for this proposed transfer or discharge is: the safety of individuals in this facility is endangered.R1's (10/14/2025) Statement documented, in part Resident Name: (R1).

Statement: (R1) stated he went into room to see (R3). On the way out, (R2) attacked him in the hallway. R2's (10/14/2025) Statement documented, in part Resident Name: (R2).

Statement: (R2) stated (R1) came to his room looking for (R3). On his way out of the room, (R2) stated (R1) called him B***H so he attacked him in the hallway. He (R2) stated he hit him (R1) in jaw. R8's (10/14/2025) Statement documented, in part Resident Name: (R8).

Statement: (R8) heard (R1) yelling for the nurse.

She opened her curtain and saw (R1) on the floor and (R2) standing above (R1) and (R2) was punching (R1). V3's (10/14/2025) Statement documented, in part Saw (R2) and (R1) holding each other fighting. At this point, (R1) was on the floor and (R2) stood up over him. V10's (10/14/2025) Statement documented, in part Heard someone yelling for the nurse.

When I (V10) got there with the nurse, (R2) was over (R1) hitting him (R1).

The (undated) Residents' Rights for People in Long-Term Care Facilities documented, in part As a long-term care resident in the State, you are guaranteed certain rights, protections and privileges according to State and Federal laws.

Your rights to safety.

You must not be abused.

Your facility must be safe.

The (10/24/2022) Abuse Prevention Policy documented, in part This facility affirms the right of our residents to be free from abuse.

This facility therefore prohibits abuse of residents.

Definitions.

Physical Abuse is the infliction of injury on a resident that occurs other than by accidental means and that requires medical attention (77 Ill.

Adm.

Code 300.330).

Physical abuse includes hitting, slapping, pinching, kicking, and controlling behavior through corporal punishment (42 CFR 483.12 Interpretive Guidelines).

Facility ID:

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 ATRIUM HEALTH CARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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