Kenwood Vlge Nrsg And Rhb Ctr
KENWOOD VLGE NRSG AND RHB CTR in CHICAGO, IL — inspection on October 18, 2025.
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.
Inspection Findings
5/1/25 with included diagnoses but not limited to unspecified convulsion, major depressive disorder,
Interview for Mental Status) score of 13 which means R1 is cognitively intact. R1 uses a wheelchair
documented by V13 reads in part: Writer assessed resident: resident stated he's been coming pass my room all the time calling me white boy, but I just brush it off, but today after I mumbled as***le he told me he would punch me in the face or kill me.
Writer notified social services.
The resident is being closely monitored and is being kept separated from each other. No physical harm was done.R1's progress notes dated 9/29/25 at 12:55 PM documented by V7 reads in part: ALLEDGED ALIGATION OF ABUSE BY PEER: DAY 1/3 CO-PEER MADE INAPPROPRIATE/THREATENING STAEMENTS TO HER [R1]: Writer met with the resident [R1] due to report that a co-peer made negative statements to her.
She [R1] was asked what happened and stated that she was sitting by her room door and the other resident rolled by and he called her [R1] boy and when she responded back, he [R2] told her that if she said anything else to him that he would kill her [R1].
She [R1] stated that this is not the first time he said something to her.
Writer asked her why she did not say anything to staff before now, and she said she just didn't.
Writer encouraged her to make staff aware any time someone is making her feel uncomfortable due to negative statement or actions toward her She [R1] was asked if she feels safe and she stated that she did not.
Writer informed her that the appropriate parties will be notified and will follow up on her concerns.R1's progress notes dated 10/2/25 at 1:29 PM documented by V7 reads in part: Writer followed up with resident [R1] regarding an incident that happened between her and her peer.
Writer went to the residents' [R1] room, and she told resident that she continues to have problems with co-peer.
Resident [R1] stated that he continues to make comments to her and to call her [NAME] Boy.
Resident [R1] stated she is getting tired of the situation, and something has to be done.
Writer informed her that she would talk to someone in Administration to make them aware of the continuing issues between her and her peer.
Social services will continue to follow up.R2's clinical records show an admission date of 1/10/25 with included diagnoses but not limited to hypertensive heart and chronic kidney disease with heart failure and stage 5 chronic kidney disease, acquired absence of left leg below knee, and acquired absence of right leg below knee. R2's MDS dated [DATE] shows a BIMS score of 15 which means R2 is cognitively intact. R2 uses a wheelchair and able to wheel himself with supervision. R2's comprehensive care plan dated 3/17/25 documents in part: R2 has verbal behavioral symptoms directed toward others (e.g., threatening others, screaming at others, cursing at others). [R2] displayed verbal aggression towards staff on 2/4/2025. On 4/6/25 resident exhibited verbally abusive behavior toward others. R2's progress notes dated 9/29/25 at 10:35 AM, documented by V10 documents in part: Resident [R2] stated that his peer called him an as***le and he stated that he will punch her in the face and kill her. R2's progress notes dated 10/10/25 at 3:17 PM documented by V7 revealed R2's room was changed but remained on the same floor as R1.
The facility's Abuse Prevention Program policy and procedures (no date) documents in part: The facility will take steps to prevent potential abuse while the investigation is underway.
Consumers who allegedly abused another consumer will be removed from the immediate area and a determination made as to contact, if any, with other consumers during the course of the investigation.
The accused consumer's condition shall be immediately evaluated to determine the most suitable therapy, care approaches, and placement, considering his or her safety, as well as the safety of other consumers and employees of the facility.The facility's Resident Rights Guideline (no date) documents in part: Our residents have certain rights and protections under Federal law that help ensure appropriate care and services are provided.
The right to a safe, clean, and comfortable, and home-like environment that allows independence as possible.
145828 10/18/2025
Kenwood Vlge Nrsg and Rhb Ctr 4505 South Drexel Chicago, IL 60653
documented, whether or not abuse, neglect, exploitation, mistreatment or misappropriation of
investigation.
The investigator will report the conclusions of the investigation in writing to the
be informed that an occurrence of potential abuse, neglect, exploitation, mistreatment or misappropriation of consumer property has been reported and is being investigated.
Within five working days after the report of the occurrence, a complete written report of the conclusion of the investigation, including steps the facility has taken in response to the allegation, will be sent to the Department of Public Health.
145828 10/18/2025
Kenwood Vlge Nrsg and Rhb Ctr 4505 South Drexel Chicago, IL 60653
CO-PEER MADE INAPPROPRIATE/THREATENING STAEMENTS TO HER [R1]: Writer met with the
what happened and stated that she was sitting by her room door and the other resident rolled by and
to him that he would kill her [R1].
She [R1] stated that this is not the first time he said something to her.
Writer asked her why she did not say anything to staff before now, and she said she just didn't.
Writer encouraged her to make staff aware any time someone is making her feel uncomfortable due to negative statement or actions toward her She [R1] was asked if she feels safe and she stated that she did not.
Writer informed her that the appropriate parties will be notified and will follow up on her concerns.R1's progress notes dated 10/2/25 at 1:29 PM documented by V7 reads in part: Writer followed up with resident [R1] regarding an incident that happen between her and her peer.
Writer went to the residents' [R1] room, and she told resident that she continues to have problems with co-peer.
Resident [R1] stated that he continues to make comments to her and to call her [NAME] Boy.
Resident [R1] stated she is getting tired of the situation, and something has to be done.
Writer informed her that she would talk to someone in Administration to make them aware of the continuing issues between her and her peer.
Social services will continue to follow up.R2's clinical records show an admission date of 1/10/25 with included diagnoses but not limited to hypertensive heart and chronic kidney disease with heart failure and stage 5 chronic kidney disease, acquired absence of left leg below knee, and acquired absence of right leg below knee. R2's MDS dated [DATE] shows a BIMS score of 15 which means R2 is cognitively intact. R2 uses a wheelchair and able to wheel himself with supervision. R2's comprehensive care plan dated 3/17/25 documents in part: R2 has verbal behavioral symptoms directed toward others (e.g., threatening others, screaming at others, cursing at others). [R2] displayed verbal aggression towards staff on 2/4/2025. On 4/6/25 resident exhibited verbally abusive behavior toward others. R2's progress notes dated 9/29/25 at 10:35 AM, documented by V10 documents in part: Resident [R2] stated that his peer called him an as***le and he stated that he will punch her in the face and kill her. R2's progress notes dated 10/10/25 at 3:17 PM documented by V7 revealed R2's room was changed but remained on the same floor as R1. V4 provided a copy of the initial investigation and reporting sent to IDPH dated 10/17/25 at 1:37 PM.
The facility's Abuse Prevention Program policy and procedures (no date) documents in part: The facility will take steps to prevent potential abuse while the investigation is underway.
Consumers who allegedly abused another consumer will be removed from the immediate area and a determination made as to contact, if any, with other consumers during the course of the investigation.
The accused consumer's condition shall be immediately evaluated to determine the most suitable therapy, care approaches, and placement, considering his or her safety, as well as the safety of other consumers and employees of the facility.
All incidents will be documented, whether or not abuse, neglect, exploitation, mistreatment or misappropriation of consumer property occurred, was alleged or suspected.
Any incident or allegation involving abuse, neglect, exploitation, mistreatment or misappropriation of consumer property will result in an investigation.
The investigator will report the conclusions of the investigation in writing to the Executive Director or designee within five working days of the reported incident.
Within five working days after the report of the occurrence, a complete written report of the conclusion of the investigation, including steps the facility has taken in response to the allegation, will be sent to the Department of Public Health.
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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.