Continental Nursing & Rehab Center
CONTINENTAL NURSING & REHAB CENTER in CHICAGO, IL — inspection on January 2, 2026.
Found 4 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
authorities.
review of records and interviews the facility failed to follow reporting procedures of injury of unknown
resident to be free from all forms of abuse.
These failures are not in accordance with facility's abuse policy applicable to 1 resident (R8) who sustained injuries of unknown origin or source.
Finding includes: R8 is [AGE] years old, initially admitted in the facility on 04/10/2018 medical diagnosis dated 07/13/2025, includes metabolic encephalopathy, displaced fracture of anterior wall of right acetabulum, wedge compression fracture of first lumbar vertebra. R8 has impaired cognition unable to perform brief interview of mental status assessment (BIMS) dated 07/28/2025. V28 (Registered Nurse) nursing notes dated 07/08/2025, documents that R8 was transferred to hospital due to weak, pale, difficult to arouse and minimal respond to call.
Facility submitted initial transmittal report to State Agency dated 07/15/2025. On that report it documents that R8 returned from the hospital to facility on 07/13/2025.
The hospital records include an imaging (CT scan) fracture of the right acetabulum (near hip/pelvis) and compression fracture to vertebral bodies (support of the spine).
Facility submitted final report of investigation dated 07/21/2025, without definite conclusion as to how R8 sustained those fractures.
Per Minimum Data Set (MDS) assessment dated [DATE], R8 does not walk, uses wheelchair for locomotion and dependent for functional abilities including bed mobility.
R8 was care planned as substantial assist on bed mobility, dependent on transfers that needs mechanical (Hoyer) lift, non-weight bearing on right lower extremity and non-ambulatory. On 12/31/2025, at 10:23 AM, V6 (Assistant Director of Nursing) stated R8 went to the hospital because he was difficult to arouse. At that time there was no concern with fall or trauma. R8 went back to the facility on [DATE], that was when facility knew about the fracture based on hospital records. V6 stated that R8's fracture was reported on 07/15/2025, per facility's procedure on timely reporting of resident's injury is within 24-hours when facility knew about the fracture. V6 stated that it should have been reported on 07/14/2025.
After checking the calendar, 07/14/2025 falls on Monday. V6 stated there was no determination on how exactly R8 sustained fracture.
Abuse Prevention Policy dated 01/2019: Injuries of unknown origin procedure on reporting requires facility as follows: Report shall be made immediately, but no later than two hours after allegation is made. If the event that cause the allegation involve abuse or resulted to serious injury, or not less than 24-hours if the event that cause the allegation do not involve abuse and did not result in serious bodily injury.
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE
145730 01/02/2026
Continental Nursing & Rehab Center 5336 North Western Avenue Chicago, IL 60625
treatment and intervention will be added on residents' care plan.
Skin assessments will identify other
regulation.
Ensure all assessments are timely and accurate.
145730 01/02/2026
Continental Nursing & Rehab Center 5336 North Western Avenue Chicago, IL 60625
documents, The resident was brought back into the facility by 2 paramedics on a stretcher, the
made aware.
Guidelines for Mechanical Lift Transfer/Usage Policy (dated 07/08/2024) states in part:
The type of transfer must be the safest method based on the resident's assessed ability to safely assist in their own transfer.
Two staff members are required when a mechanical lift is used.
Position the lift around the resident's bed/chair/surface.
Base legs are usually more stable in full open position.
The mechanical lift legs open and close to accommodate wheelchairs.
145730 01/02/2026
Continental Nursing & Rehab Center 5336 North Western Avenue Chicago, IL 60625
Survey observed inside R1's refrigerator, it was clean and organized and there were no odors noted.
There was no refrigerator temperature recorded on the daily refrigerator temperature log. On 12/31/2025 at 10:19 AM, V25 (Housekeeping) stated she is responsible for making sure residents' personal refrigerator is kept clean. V25 stated she makes sure to monitor the temperature, and document it on the refrigerator temperature logs every day. V25 stated the temperature should be set to approximately 39- 40 degrees Fahrenheit.
Surveyor asked V25 what can potentially happen to the food if the temperature is not being recorded daily. V25 stated the food will get contaminated causing the resident to get sick.
Policy titled Unit (Resident Room) Refrigerators with no review date documents in part It is the policy of the facility to assure that perishable food requiring refrigeration is stored at the proper temperature.
Each refrigerator will be provided with a thermometer to ensure that the refrigerator is maintained between 35 degrees and 40 degrees Fahrenheit.
Refrigerator temps will be checked and documented daily.
Policy titled Food Brought into the Facility by Friends/Family/Others (Outside Sources)For Residents Policy with review date 11/28/2016 documents in part Facility staff will monitor resident rooms, resident personal refrigerators, unit pantries as well as facility refrigerators and freezers for food and beverage disposal needs for safety.