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Complaint Investigation

Foster Health & Rehab Center

December 26, 2025 · Chicago, IL · 2840 West Foster Avenue
Citations 2
CMS Rating 2/5
Beds 46
Provider ID 146167
Healthcare Facility
Foster Health & Rehab Center
Chicago, IL  ·  View full profile →
Inspection Summary

FOSTER HEALTH & REHAB CENTER in CHICAGO, IL — inspection on December 26, 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.

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Inspection Findings

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

day his wheelchair broke. I was at the desk with R2 and two other ladies. I was trying to get R2 seen by the physician while we were there, because it took a long time waiting to receive an appointment. I did not curse at R2.

While I was speaking, R2 did cut me off, but I did not curse at R2.On 12/23/25 at 2:00 PM V5 [Office Manger], stated, I received a phone call from V9 [Medical Clinic Manager] and asked when R2's transportation will be there for pick up.

Also, V9 said that V6 was rude to R2.

That's all V9 said to me, she did not say how or what V6 did to R2. I did not believe V9, because I never heard V6 curse.Surveyor asked V5, why did she say she never heard V6 curse, did V5 say V6 cursed at R2?V5 stated, Oh yeah, I just told on myself, okay. V9 did say she heard V6 curse at R2 saying ‘shut the f_ _k up'. I did not tell V3 [Director of Nursing], but I told V1 [Administrator] immediately.

But V1 and I knew V6 did not curse at R2, because she is a good person, and we never heard V6 curse before, V1 and I did not believe V9.On 12/23/25 at 3:00 PM, V1 [Administrator] stated, V5 kept me informed about R2's broken wheelchair and transportation issues. V5 did not report R2 was verbally abused by V6 at his medical appointment, but I take full responsibility leave V5 and V3 out of this. I am the human resource director. I cannot locate V6's abuse training during orientation. I must have misplaced the abuse training. If I was made aware of the allegation, V6 would have been suspended immediately, reported to IDPH, and investigation would have occurred.On 12/24/25 at 10:10 AM, V1 stated [during telephone conversation], I called the hospital and spoke with R2. I asked R2 if V6 cursed at him, R2 said he did not know who V6 was. R2 was admitted to the hospital for altered mental status.

Also, V5 told me she was confused during the interview, and she mistakenly said she told me V6 cursed at R2.On 12/26/25 at 11:30 AM, V1 stated, The abuse training orientation was verbal, I do not have any documentation that V6 received abuse training. I take full responsibility.Policy in part:Abuse and Prevention dated 1/3/25This affirms the right of our residents to be free from abuse.

The facility is committed to protecting our residents from abuse by anyone including, but not limited to facility staff, and other residents.

Abuse means any physical, mental, sexual, verbal inflicted upon a resident.

Verbal abuse is the use of oral, written, gestured language that willfully includes disparaging and derogatory terms to the resident within in their hearing distance regardless of their age, ability to comprehend or disability.

Employees: Orientation and training employees: Resident rights, resident needs, to prevent and report abuse.

All employees will sign an Abuse Policy Employee Acknowledgement form.

Employees are required to immediately report any occurrences of potential mistreatment they observed, hear about, or suspect to supervisor and or administrator.

Reporting: Initial reporting of allegations shall be completed immediately upon notification of the allegation.

The written report shall be sent to the Department of Public Health.

Investigating: The administrator or designee will investigate the allegations and obtain a copy of any documentation related to the incident.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

12/26/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Foster Health & Rehab Center

2840 West Foster Avenue Chicago, IL 60625

SUMMARY STATEMENT OF DEFICIENCIES

Based on the results of the investigation, the resident care plan is revised as necessary to prevent or minimize further accidents/incidents when possible. 15. A complete investigation tool and other written information will be maintained with the incident report.

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


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