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Complaint Investigation

Elevate Care Windsor Park

March 29, 2026 · Chicago, IL · 2649 East 75th St
Citations 3
CMS Rating 1/5
Beds 240
Provider ID 145970
Healthcare Facility
Elevate Care Windsor Park
Chicago, IL  ·  View full profile →
Inspection Summary

ELEVATE CARE WINDSOR PARK in CHICAGO, IL — inspection on March 29, 2026.

Found 3 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

FF0725
Nursing and Physician Services Deficiencies

potential problem of not having enough CNAs working on the unit is that it puts the residents at

not be done so any altered skin condition may not get reported. V55 stated the staffing ratio is very

residents will try to get up on their own if no one is responding to them or coming to their assistance and this could lead to a fall/injury for the residents. V55 stated the potential problem with lack of nurses is that when you have that many residents, they cannot pass medications as ordered and the medication administration will be late. V55 stated some medications are time sensitive such as insulin so it needs to be given when it is ordered. V55 stated if the medication is given late then the other risk is that medications might be given back-to-back and that could cause an increased risk for hypotension, hypoglycemia which could lead to potential falls.On 03/27/26 at 7:50 AM, V57 (CNA) stated she has been working at the facility for five years as a CNA.

She works the 11-7 shift on the 3rd floor. V57 stated they should have four CNAs working on the 3-11 shift on the 3rd floor, but they usually only have three CNAs. V57 stated she was working on 03/22/26 on the 11-7 shift on the 3rd floor and there were only three CNA who worked that shift. V57 stated she had to take care of 24-25 residents, which is too many. V57 stated the 3rd floor is the dementia unit and there are a lot of residents who wander around during the night and are at risk for falling. V57 stated it is a safety risk because we cannot watch everyone. V57 stated she and the other CNAs try to make it work but it is hard. V57 stated there are usually two nurses working the night shift with V57, but they do not help the CNAs with giving care to the residents. V57 stated the consequence of not having enough staff besides the safety risk to the residents is that the residents have to wait a longer time to receive care. V57 stated, for example, that a resident may have a wait a longer time to get changed if they are wet or soiled.

Facility provided copy of daily assignment dated 03/21/26 for the 1st floor 7AM-3PM which indicates V31 was assigned as team 2 nurse with a census of 48 residents.Facility provided copy of daily assignment dated 03/21/26 for the 2nd floor 7AM-3PM which indicates four CNAs were assigned with a census of 81 residents.Facility provided copy of daily assignment dated 03/21/26 for the 3rd floor 3PM - 11 PM which indicates two nurses were assigned with a census of 74 residents.Facility provided copy of daily assignment dated 03/22/26 for the 3rd floor 11PM-7AM which indicates three CNAs were assigned with a census of 74 residents.Facility provided V31's Time Card dated 03/21/26 which documents in part, V31 punched in at 10:14 AM.Facility provided V46's Time Card which documents in part, V46 punched in at 9:35 AM.Facility provided census data for 03/21/26, 03/22/26 and 03/26/26.Per V1 (Administrator) the facility does not have a policy on staffing.

145970 03/29/2026

Elevate Care Windsor Park 2649 East 75th St Chicago, IL 60649

part:Levetiracetam Oral Tablet 750 MG (Levetiracetam) Give 1 tablet by mouth two times a day for

Give 1 tablet by mouth two times a day for seizures ordered time at 9AM was administered at

Medication audit report dated 3/14/26 reviewed and shows in part:Levetiracetam Oral Tablet 750 MG (Levetiracetam) Give 1 tablet by mouth two times a day for seizures ordered time at 9AM was administered at 10:25AM.

Levetiracetam ordered time at 6PM was administered at 7:41PM.R11's POS, MAR and Medication audit report dated 3/15/26 reviewed and shows in part:Levetiracetam Oral Tablet 750 MG (Levetiracetam) Give 1 tablet by mouth two times a day for seizures ordered time at 6PM was administered on 3/16/26 at 2:20AM. R11's POS, MAR and Medication audit report dated 3/21/26 reviewed and shows in part:Levetiracetam Oral Tablet 750 MG (Levetiracetam) Give 1 tablet by mouth two times a day for seizures ordered time at 9AM was administered at 11:33AM. R11's POS, MAR and Medication audit report dated 3/22/26 reviewed and shows in part:Levetiracetam Oral Tablet 750 MG (Levetiracetam) Give 1 tablet by mouth two times a day for seizures ordered time at 9AM was administered at 10:34AM.

Facility's administration procedures for all medications policy dated 10/25/14 shows in part: to administer medications in a safe and effective manner.

Review 5 rights 3 times.

Check MAR for order

145970 03/29/2026

Elevate Care Windsor Park 2649 East 75th St Chicago, IL 60649

considered late and not following doctor's order.

She said if Pain medication is not given as ordered,

could be a risk that resident's blood pressure or blood sugar will not be controlled.

She said it is very

antibiotic could not be effective.

Facility's administration procedures for all medications policy dated 10/25/14 shows in part: to administer medications in a safe and effective manner.

Review 5 rights 3 times.

Check MAR for order.

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 ELEVATE CARE WINDSOR PARK or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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