Avantara Lincoln Park
AVANTARA LINCOLN PARK in CHICAGO, IL — inspection on December 31, 2025.
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.
Inspection Findings
guests.
The RN provides supervision of staff and will safeguard the health, safety and welfare of all
procedures.
Essential Functions: 9.
Responsible for all nursing care of assigned Guest while on duty.
transfer to hospital. 10.
Ensure that Guest care plans are being followed and assess each Guest's status in accord with their care plan.
Facility's undated job description titled Certified Nursing Assistant documents in part, Job Summary: The primary purpose of your job position is to provide residents of this facility in you nursing unit with nursing and personal care under the supervision of a Charge Nurse, and to safeguard the health, safety , and welfare of all resident of the facility, in accordance with the facility's established policies and procedures and applicable laws and regulation, and the directions your supervisors, who include the Administrator, Director of Nursing, Assistant Director of Nursing, House Supervisor, Charge Nurse, Rehabilitation Director, and other members of the facility's management to whom such persons report, in order to assure that the highest degree of quality care is maintained at all times.
Main Duties: P.
Detect and report situations that have a high probability of causing accidents or injuries to residents and/or staff. U.
Report all equipment malfunctions and breakdowns to the charge nurse as soon as possible and keep his/her informed of supply needs and equipment needing replacement.
Facility's policy titled Fall Prevention Program Guidelines revised date [DATE] documents in part, Policy Statement: Fall prevention program guidelines shall be implemented to promote safety of all residents in the facility.
This program shall include measures to determine the individual needs of each resident by assessing the risks for fall and the implementation of evidence-based prevention interventions.
Procedure. 2.
Safety interventions shall be initiated and implemented for each resident identified at risk for fall. 3.
All assigned nursing personnel and facility staff shall be responsible for ensuring ongoing precautions are put into place and consistently maintained. 7. An individualized evidence-based plan of care shall be created to reflect fall prevention interventions which could be but not limited to h.
Residents shall be observed to ensure the resident is safely positioned in bed or chair.
Provide care as assigned in accordance with the plan of care. k.
May utilize personal alarms when appropriate such as bed alarms, chair alarms and motion sensor alarm and floor mat alarms.p.
Ensure equipment is properly functioning and maintained. If malfunctioning, equipment must be removed immediately and reported to maintenance department for repair or replacement.
145510 12/31/2025
Avantara Lincoln Park 1366 West Fullerton Avenue Chicago, IL 60614
administration or declination of covid 19 vaccine for the same resident.
This failure affected one
to facility on 11/17/2025 with diagnosis that documents in part; Cerebral infarction, hyperlipidemia, essential hypertension, chronic atrial fibrillation, insomnia, protein calorie malnutrition, covid 19 (12/1/25).On 12/29/25 at 3:15pm, V2 (Director of Nursing) stated that she expects the infection control nurse to obtain consents for resident vaccinations and schedule a vaccine clinic to ensure that vaccinations are administered and recorded in the immunization tab in chart.On 12/30/25 at 1:05 pm, V19 (family member of R5) stated that he did give consent for R5 to receive the covid 19 vaccine on 11/18/2025 and that he wanted R5 to have the covid vaccine administered.On 12/30/25 at 09:45 am, V30 (Infection Control Nurse/LPN) stated the covid outbreak started 11/23/25 which was a Sunday and we started testing based on contact tracing with guidance from Chicago Department of Public Health (CDPH), it was one case on 2nd floor and one case on the 5th floor. By 11/26/25 we had so many cases around 18 that CDPH stated to begin unit base testing.
One of our staff aides tested positive who worked directly with R5 on 11/28/25, this was discovered thru contact tracing. V30 stated the purpose of consents and declination forms is to ensure that residents and staff are educated on benefits and risk of vaccines. I feel it is important for residents and staff to sign the consent and declination forms and also receive their vaccine if they consent to be vaccinated.
Currently we have two residents that are on isolation for covid 19 in the facility.Review of facility contact tracing log for residents displays that R5 tested positive for Covid 19 on 12/1/25 and is no longer a resident in the facility.Review of facility policy titled Infection prevention control with revision date of 6/30/25 documents in part: Policy statement; the facility has established a policy to Identify, Record, Investigate, Control, Test, and Prevent infections in the facility.
The facility will also maintain a record of incidents and corrective actions implemented for the identified infection.;29.) The facility shall comply with infection control recommendations provided by the IDPH or certified local health department, including, but not limited to, testing plans, infection control assessments, training or other measures designed to reduce infection rates and disease outbreaks.
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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.