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Complaint Investigation

Ryze On The Avenue

Inspection Date: August 14, 2025
Total Violations 1
Facility ID 145337
Location CHICAGO, IL
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Inspection Findings

F-Tag F0761

Pharmacy Service Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0761 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on

observation, interview, and record review, the facility failed to ensure that medications are securely stored for one of one resident (Resident R4) reviewed for medication storage in the sample of 20.Findings include:Resident R4's face sheet documents resident is [AGE] year-old admitted to the facility on [DATE REDACTED] with diagnoses including but to limited to: Chronic Obstructive Pulmonary Disease, Type 2 Diabetes Mellitus, Chronic Pancreatitis, Chronic Kidney Disease, Essential Hypertension, and Atherosclerotic Heart Disease.Resident R4's MDS (Minimum Data Set of 7/16/2025) documents a BIMS (Brief Interview for Mental Status) of 14 denoting Resident R4 is cognitively intact.On 8/7/25 at 12:15 PM, Resident R4 was observed ambulating with rollator down the hallway. Resident R4 was holding souffle cup with seven tablets/capsules noted (one large white oval pill, three brown/clear capsules, one round white tablet, one oval light-yellow pill noted, one orange oval). Resident R4 said, the nurse gave me these medications over an hour ago. Surveyor asked what they were. Surveyor wanted the names of

the pills. Resident R4 couldn't tell me. Resident R4 left the pills with the surveyor, then left. 8/7/25 at 12:30 PM, V2 (Director of Nursing) said, staff should not leave medications at the bedside. Staff should explain what the medications are for and what the names of the medications are.8/8/25 at 11:27 AM, V3 (Registered Nurse) said, I prepared Resident R4's medications and brought them to him. He asked what they were for. I had an emergency (a resident fell), and I ran out of Resident R4's room to tend to the other resident. It slipped my mind that I needed to go back to Resident R4. I never should leave medications at the bedside. I have to see the resident take the medication.

Another resident could come along and take Resident R4's medication.Medication Administration policy (Reviewed 1.2024) documents in part, 21. Remain with the resident to ensure that the resident swallows the medication.

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

TITLE

(X6) DATE

FORM CMS-2567 (02/99) Previous Versions Obsolete

Facility ID:

If continuation sheet

Event ID:

📋 Inspection Summary

RYZE ON THE AVENUE in CHICAGO, IL inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

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 RYZE ON THE AVENUE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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