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Health Inspection

Pearl Of Montclare, The

March 14, 2025 · Chicago, IL · 2833 North Nordica Avenue
Citations 2
CMS Rating 2/5
Beds 96
Provider ID 145844
Healthcare Facility
Pearl Of Montclare, The
Chicago, IL  ·  View full profile →
Inspection Summary

PEARL OF MONTCLARE, THE in CHICAGO, IL — inspection on March 14, 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

FF700

F-F700 CITATION FOR DETAILS.

145844

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 145844 B.

Wing 03/14/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Pearl of Montclare, The 2833 North Nordica Avenue Chicago, IL 60634

During a Resident Council meeting on 3/12/2025 at 1:24 PM, R67 and R88 stated that the facility does not follow the menus. R88 stated the menu will say one thing but the facility will serve a different food item instead.

Facility's undated Accuracy of Quality of Tray Line Service policy documents in part: The director of food and nutrition services or designee will be responsible for assuring that all foods needed for meal assembly are present at the appropriate time.

Tray line and/or meal service positions for breakfast, lunch and dinner will be planned and determined: according to the menu.

The meal will be checked against the therapeutic diet spread sheet to assure that foods are served as listed on the menu.

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On 3/12/2025 at 10:01 AM, V14 (Cook) started the pureed mashed potatoes.

Surveyor asked how many portions V14 was going to make. V14 asked V11 (Dietary Manager) how many residents were on pureed diet. V11 answered about 15 residents. V14 grabbed a deep pan and filled it halfway with regular water.

Surveyor asked how much water was in the pan. V14 did not know.

Surveyor asked the capacity of the pan and V14 did not know. V11 stated it was a 6-inch pan. V11 stated the facility uses powdered mashed potatoes and V14 only needs to reconstitute it. V14 opened the lid of the mashed potato granules and started pouring unmeasured amounts of it into the water. V14 stirred it with a whisk and then added more granules until V14 got a pureed consistency. V14 did not add salt.

145844

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 145844 B.

Wing 03/14/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Pearl of Montclare, The 2833 North Nordica Avenue Chicago, IL 60634

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 PEARL OF MONTCLARE, THE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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