Landmark Of Hyde Park Rehabilitation And Nursing C
Landmark of Hyde Park Rehabilitation and Nursing C in CHICAGO, IL — inspection on May 29, 2026.
Found 5 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
document, this surveyor noted the documents stated R6 is actively registered to vote in the state of
on being able to vote, as she originally had stated that R6 did not have a voters registration card when
never registered to vote and due to that reason, she was not able to replace R6's voters registration card.
This surveyor provided the Registration Look up Results form.
After V8 read the form, she confirmed that R6 is already registered to vote in the state of Illinois. V8 angrily approached this surveyor and stated she does not know how to get R6 a replacement voters registration form.Reviewed R8's progress notes. No documentation about notifying V32 (R8's physician), regarding revoking R8's right to go out on pass.
Plus, no documentation on the reason for revoking R8's independent community pass.R8's progress note on 04/24/2026 documents in part: Resident out on pass with family.
Scheduled to return 04/26/26 by 7:00 PM.R8's progress note on 04/26/2026 at 6:55 PM documents in part: R8 returned from pass in good condition.R8's community skills assessment on 04/27/2026 documents in part: R8 is approved for green pass and able to navigate the community independently.R8's care plan documents in part: The resident requires the support, care and services of a long-term care facility and has been determined by community access assessment to be able to access the community without supervision.Facility's Outside Community Pass Privilege Policy (06/2024) documents in part: The Interdisciplinary team (IDT) will meet on a daily basis to review resident incident reports, behavior forms, nursing notes social services notes, concern forms etc. and place residents on 72-hour restriction, red pass status, yellow pass status or green pass status.Policy and procedure titled, resident rights with no review date, documents in part as a resident of this facility, you have the right to a dignified existence and to communicate with individual and representatives of choice.
The facility will protect and promote your rights as designated below.
You may voice grievances concerning your care without fear of discrimination or reprisal.
You may expect prompt efforts for the resolution of grievances.
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Landmark of Hyde Park Rehabilitation and Nursing C 6125 South Kenwood Chicago, IL 60637
who will notify the Administrator/DON immediately.
Complete an Incident Report immediately. Do not
an abuse investigation.
Any incident that involves crimes or a significant injury to a resident will be
recognizing abuse, the following definitions shall pertain: Physical Abuse: Hitting, slapping, pinching, kicking, etc. It also includes controlling behavior through corporal punishment.
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Landmark of Hyde Park Rehabilitation and Nursing C 6125 South Kenwood Chicago, IL 60637
belongings or money without the resident's consent.
When an alleged or suspected case of abuse,
persons or agencies of such incident immediately.
Any incident that involves crimes or a significant
resident death will be called to the Illinois Department of Public Health immediately.
145938 05/29/2026
Landmark of Hyde Park Rehabilitation and Nursing C 6125 South Kenwood Chicago, IL 60637
injury, were completed for one (R11) out of three residents reviewed for falls in a sample of
infarction, muscle wasting and atrophy, weakness, end stage renal disease, anemia, vitamin D deficiency, hypothyroidism, non-st elevation nstemi) myocardial infarction, atherosclerotic heart disease, systolic (congestive) and diastolic (congestive) heart failure, osteoarthritis of knee, thromboembolism.R11's progress note by physician on 03/28/2026 documents in part: Presents for evaluation post fall. R11 fell at approx. 22:15.
Fall was not witnessed. R11 was lying on the bed.
The CNA was completing rounds and found R11 on the floor.
Per RN, the right leg was caught in the bed rails.
The rest of his body was on the floor.
Per RN the bed was in a low position.
Patient reports hitting his head. R11 is not ambulatory at baseline.R11's progress note on 3/27/2026 documents in part: Patient was observed on the floor by the CNA. R11 was seen to have fell off from the bed with right leg hanging on bed and the upper body on the floor. R11 stated R11 hit his head.
Nursing manager on duty was notified.
Other staff on floor was called for help to put the patient back to bed using a full mechanical lift.
Patient is alerted and oriented at baseline, PERRLA, denies pain, Upper extremities and lower extremities range of motion at baseline.
Medical doctor was informed.
She recommends following the facility fall precautions and Neuro check per facility guidelines.
Family member was informed via phone.
Will endorse to night on coming nurse.R11's physician order sheet documents in part: R11 has an order for anticoagulant.On 05/27/2026 at 12:29 PM, V2 (Director of Nursing) stated that she is in charge of investigating all the falls in the facility. V2 stated that she starts the investigation, has statements from staff and put in interventions. V2 stated that restorative help put in interventions. V2 stated that unwitnessed falls, hit the head, injury are reasons to send the resident out to the hospital after a fall. V2 stated that she is somewhat familiar with R11. V2 stated that R11 fell sometime in April. V2 stated that R11 had an unwitnessed fall. V2 stated that the CNA came in and found R11 on the floor. V2 stated that R11 was not sent out to the hospital after the fall. V2 stated that no x-rays or CT scans were ordered. V2 stated that R11 fell on a Friday 3/27/2026 and she only found out on Monday. V2 stated that R11 was placed on neuro checks and 72-hour monitoring. V21 stated that she doesn't think R11 had any injury after his fall.On 05/28/2026 at 10:30 AM, V32 (Medical Doctor) stated that after a fall, it is important to take the residents vitals and do an assessment. V32 stated that it can be an emergency situation if the resident who has fallen, is on anticoagulants and blood thinners. V32 stated that it is very important to send the resident out immediately for a CT scan to rule out bleeding as well monitor for any embolism or clots that may develop. V32 stated that Eliquis is an anticoagulant.Reviewed R11's physician order sheet. No order to be sent out to the hospital and no order for stat x-ray.Facility's Accidents/Fall policy (undated) documents in part: If the incident/accident is significant and requires outside emergency intervention/treatment, the Administrator and DON will be notified immediately that emergency services were called and what the circumstance were that required that intervention.
Other required notifications will occur as well.
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Landmark of Hyde Park Rehabilitation and Nursing C 6125 South Kenwood Chicago, IL 60637
and staff after education, and properly document each resident and staff member's vaccination
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on
readmission to the facility for one (R6) resident in a sample of 20 residents reviewed.Findings include:R6's MDS (minimum data set) with review date of May 6th, 2026, documents a BIMS (brief interview of mental status) has a score of 13 indicating R6's cognition is moderate.On 05/26/2026 at 11:34 AM, this surveyor observed R6 in a wheelchair. R6 was alert and oriented to person, place and time. R6 appears calm and collected, free from pain. R6 stated he has been in the facility since March
- R6 stated when he first arrived in the facility 6 months ago, the facility did not offer the
COVID-19 vaccination. R6 stated he requested the vaccine, and V2 (Director of Nursing) told him the vaccine had to be requested from the lab. R6 stated he has not received the vaccine but is still interested in receiving the vaccine.On 05/27/2026 at 10:37 AM, V25 (Infectious Disease Nurse) stated she has been working as an infectious disease nurse since December 1st, 2025. V25 stated her job is to prevent and maintain the spread of infection. V25 stated she is responsible for offering vaccinations and providing education to the residents. V25 stated when she initially took the role she arranged a COVID-19 clinic. V25 stated she attempt to get the number of staff and residents who were interested in the vaccine. V25 stated if there are no vaccines available in the facility, she will order the vaccines from the pharmacy and wait for them to arrive. V25 stated all resident are offered the vaccinations upon admission, readmission, every 6 months after receiving the initial COVID-19 vaccination, or per request. V25 stated R6 was re admitted in early March of this year, but prior to discharging she had offered R6 the COVID-19 vaccination and R6 refused. V25 stated the refusal form was signed and uploaded in the electronic medical record. V25 stated she did not offer the vaccination upon readmission, because since he had refused it on February, she will not ask again if it's within the same season. V25 stated R6 did request the COVID-19 vaccination, but there were no vaccines available at that time. V25 stated she ordered the vaccine for R6.
This surveyor asked V25 for a document verifying she had ordered the vaccine for R6.On 05/27/2026, reviewed R6's provider order sheet, a new order for the COVID-19 vaccination was entered on this day.On 05/27/2026 at 11:15 AM, V25 stated R6 confirmed he is interested in receiving the COVID- 19 vaccination, and she has just placed an order for the vaccine through the pharmacy. V25 stated R6 has signed his consent form and will wait for the vaccine to arrive. V25 stated prior to this there were no order or documentation on the electronic medical records because she had not offered the vaccine upon re admission.On 05/28/2026 at 11:21 AM, V2 (Director of Nursing) stated residents are to be offered during admission, readmission and if the resident inquires in receiving the COVID-19 vaccine. V2 stated they are educated on its benefits, it prevents the spread of COVID-19 and keeps the individual as healthy as possible. V2 stated there is a consent form that the resident must sign whether they want to receive or refuse the vaccine. V2 stated if the resident refuses the vaccine the risks and benefits are explained, the provider, family or power of attorney are notified and documented on the electronic medical records.
Policy and procedure titled fact sheet for recipients and caregiver about moderna COVID-19 vaccine (2024-2025 formula) which has emergency use authorization (EUA)to prevent coronavirus disease 2019 (COVID-19) in individuals 6 months through [AGE] years of age with no review date.
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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.