Complete Care At The Boulevard
Complete Care at the Boulevard in CHICAGO, IL — inspection on September 25, 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
Review of wound care provider notes 8/8/25 and 8/13/25 do not identify R1 refusing care.R1's hospital record dated 08/18/25 documents in part, Patient presented to ED (Emergency Department) after being found to be febrile to 100.7, as well as hypotensive in her SNF (Skilled Nursing Facility).
Upon arrival she was found to be afebrile, normotensive, although with leukocytosis to 33 and hyperglycemia to 388.
Labs also significant for venous lactate to 2.2.
Infectious workup showing sacral ulcer with underlying destruction of coccyx concerning for osteomyelitis with gas tracking into the R (right) gluteal musculature, R gluteal cleft, and perineum c/f (concern for) active infection. CT abdomen and pelvis: 1.
Sacral ulcer with underlying destruction of the coccyx concerning for osteomyelitis.
Additionally, there is gas tracking into the right gluteal musculature, right gluteal cleft, and perineum concerning for active infection.
Given the extent of gas tracking along the subcutaneous tissues and into the right gluteal musculature there is concerning for developing necrotizing fasciitis. No drainable abscess. R1's hospital surgical report dated 08/18/25 documents in part, Findings: Stage 4 sacral decubitus ulcer with frankly necrotic surrounding tissue and malodorous murky grey output liquid output, probed to coccyx.
Wide excision and debridement of wound to underlying healthy tissue.
Anterior tracking along the R medial gluteal fold along anorectal junction.
Wound base 14cm (centimeters) wide x 18.5 long x 3.5cm deep. R1's hospital records dated 08/19/25 documents in part, Patient intubated and sedated s/p (status post) emergent wound debridement on 8/18/25, unable to participate in interview.Facility's policy titled Turning and Repositioning dated 09/01/24 documents in part, Policy: It is our policy to implement turning and repositioning as part of our systematic approach to pressure injury prevention and management.Facility's policy titled Wound Treatment Management dated 09/01/24 documents in part, Policy: To promote wound healing of various types of wounds, it is the policy of this facility to provide evidence-based treatments in accordance with current standards of practice and physician orders.Policy Explanation and Compliance Guidelines: 1.
Wound treatments will be provided in accordance with physician orders, including the cleansing method, type of dressing, and frequency of dressing change.7.
Treatments will be documented on the Treatment Administration Record or in the electronic health record.8.
The effectiveness of treatments will be monitored through ongoing assessment of the wound.
Considerations for needed modifications include: a.
Lack of progression towards healing.
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