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Complaint Investigation

Little Village Nrsg & Rhb Ctr

August 22, 2025 · Chicago, IL · 2320 South Lawndale
Citations 1
CMS Rating 1/5
Beds 106
Provider ID 146018
Healthcare Facility
Little Village Nrsg & 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

LITTLE VILLAGE NRSG & RHB CTR in CHICAGO, IL — inspection on August 22, 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

FF0550
Resident Rights Deficiencies
Potential for More Than Minimal Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record reviews, the facility failed to protect the rights of the resident and allow one (R2) resident to go out on a community pass after a ninety-day restriction without performing a reassessment. R2's Minimum Data Set (MDS) dated [DATE] shows R2 is cognitively intact.R2's was admitted to the facility on [DATE] with diagnoses including but not limited to other bipolar, major depressive disorder recurrent, severe with psychotic symptoms, generalized anxiety disorder, and other psychoactive substance abuse. On 8/19/25 at 10:58 AM, R2 received in room, stated he has been in the facility since October 2023. He went out to the community on independent pass on 2/28/25, he came back to the facility intoxicated with drug-marijuana, and he was given a ninety-day community pass restriction on 3/3/25.

His ninety-day community restriction officially ended in June 2025, but he is still not being allowed to leave the facility despite multiple requests voiced to the facility V7 (Social Service Director), and the facility is violating his rights.On 8/19/25 at 3:10 PM, V7 (Social Service Director) stated that he has been in the facility for one year, the residents have the right to go out on pass based on safety community assessment.

The resident could go out for two hours, four hours, or eight hours, when the resident violates the contract, the resident will be restricted as ordered and complete a new community access observation assessment to determine if the resident is qualified to go out to the community independently or with supervision. R2 had repeated violations of constant alcohol/drug overdose whenever he goes out independently, on 2/28/25 he overdosed with some drug, and the physician placed him on ninety-day community restriction until 6/1/25. V7 stated that, R2 should have been reassessed since 6/1/25 to determine if he is qualified to go out to the community independently or with supervision, but he was not reassessed until surveyor walked into the facility on 8/19/25.On 8/21/25 at 12:20 PM, V1 (Administrator) stated that she has been in the facility for twenty years, the residents have the right to go out to the community. R2 should have been reassessed after the end of the ninety-day community pass restriction on 6/1/25 because that is his right.

She will ensure V5 takes care of this situation right away.R2's physician order dated 3/3/25 documents in part; Restricted community pass for 90 days until 6/1/25.R2's community access observation assessment dated [DATE].

Residents Rights dated 10/2027 documents in part: residents are entitled to exercise their rights and privileges to the fullest extent possible.

Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.

For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE

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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 LITTLE VILLAGE NRSG & 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.