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Complaint Investigation

Kenwood Vlge Nrsg And Rhb Ctr

December 29, 2025 · Chicago, IL · 4505 South Drexel
Citations 1
CMS Rating 1/5
Beds 155
Provider ID 145828
Healthcare Facility
Kenwood Vlge Nrsg And Rhb Ctr
Chicago, IL  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

KENWOOD VLGE NRSG AND RHB CTR in CHICAGO, IL — inspection on December 29, 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

FF0600
Freedom from Abuse, Neglect, and Exploitation Deficiencies

noted.R1's progress note dated 12/26/2025 at 01:31pm by V6 X-ray tech from medical diagnostics

Statement dated 12/26/2025 documents, in part, R2 stated the nurse was seen and heard loudly

me.Witness statement dated 12/25/2025 documents, in part, I (V12-LPN) observed nurse in hallway restraining R1 with physical touch being aggressive. V8 (LPN) was also seen putting her hand on the R1's face. V8 then rolled R1 down the hall by chair then grabbed R1 by the collar of her shirt. On 12/27/2025 at 3:16pm by V9 (LPN) Stated R1 was brought upstairs right before lunch at about 10:30am. V9 stated I could see that R1 was a little upset by her facial expression, but she never told me what happened or how she felt about the situation. On 12/27/2025 at 4:57pm V11 (Receptionist) stated he was able to see a bit from his office, but he heard commotion (loud yelling) in the hallway from V8. V11 stated he saw V8 putting her finger in R1's face and V8 was saying to R1 to stop.

When I came out of the office V8 was taking R1 to the other end of the hallway. V11 stated he called the administrator, who is the abuse coordinator, to report the verbal abuse. V11 stated V10 (Certified Nursing Assistant-CNA) approached him to contact the administrator, but he (V11) had already contacted the administrator and reported what he heard.On 12/27/2025 at 2:57pm V2 (Director of Nursing) stated during a nurse's orientation they get all policies and procedures which include abuse training and in-service on abuse. V2 stated, Yes, from what we saw yes in the video footage this was abuse and it was inappropriate contact. On 12/27/2025 at 3:08pm V1 (Assistant Administrator) stated in the absence of the administrator I serve in the role as abuse coordinator, and I was made aware of the incident at about 9:48am-9:50am on 12/25/2025. V11 contacted the administrator, and she contacted me. V1 stated based on what was seen in the video, yes, physical abuse was committed against R1. On 12/28/2025 at 7:25am V10 (CNA) stated while she was doing patient care in room [ROOM NUMBER], (cleaning off R2's table) she saw V8 grab R1 by the back of her shirt and slam R1 into the chair. V10 stated she heard R1 tell the nurse to stop putting her hands on her and V8 said, I will knock you out if I wanted to. I told the receptionist to get the abuse coordinator on the line. V10 stated she could tell R1 was afraid, and you could tell that she did not understand why that was happening to her by R1's facial expression. R1's facial expression was sad and afraid. R1 asked her (V10) to stay with her so I worked a double shift so that I could be with her to make sure she was safe.Abuse Policy with a reviewed date of 5/19/2025 documents, in part, this facility affirms the right of our residents to be free from abuse by staff or mistreatment, and this facility is committed to protecting our residents from abuse and mistreatment by anyone including but not limited to facility staff.Undated Job Description titled LPN documents, in part, 1.

Provide licensed care to assigned residents as ordered by physician and in accordance with facility, federal, state and local standards, guidelines and regulations.

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 KENWOOD VLGE NRSG AND RHB CTR or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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About This Inspection Report

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.