Southpoint Nursing & Rehab Center
SOUTHPOINT NURSING & REHAB CENTER in CHICAGO, IL — inspection on January 30, 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
According to V15, parts needed were new motherboard and new bearings.
The new washing machine has sixty (60) pounds capacity, two (2) that need to be repaired at 60 pounds and 80 pounds capacity.
Middle washer that needs to be repaired still have linens visible inside the washer. V15 stated that it cannot be taken out because the door cannot be opened.
Currently, facility has sixty (60) pounds capacity per wash instead of 200 pounds if all three washing machines are working. V15 stated that facility's washing machines that were replaced and need repair were too old and that it was there when he started working in the facility.
And does not have manufacturer's information, the only maintenance he does is to grease it. If we cannot repair it, that is the time we replace it.
There are three (3) dryers with one (1) dryer that has a paper tape with out of order written. V15 stated that plastic wheel needs to be replaced.
All shelves that were in the laundry area were seen, there are five (5) gowns noted. V11 stated that these gowns are extra. V11 went to her office, and on her office were linens wrapped with plastic were seen on the shelves without any gowns included.
Both V11 and V15 were made aware that there were only five (5) gowns were seen available.
On 01/30/2026 at 09:29 AM, R2 stated that he has irritable bowel syndrome with diarrhea almost every day.
A lot of times you ask CNA (Certified Nursing Assistant) for linen they say they don't have it because the washers have broken down. R2 stated that he has been in the facility for a month and half washers are already broken. R2 stated that he must go to laundry services and spend 30 dollars because he has dirty clothes back up. R2 stated he came back to the facility yesterday 01/29/2026 his clothes are still dirty. I keep putting on dirty clothes. I just wish I had money to go to laundry. R2 is [AGE] year-old initially admitted [DATE]. R2 medical diagnosis includes disease of digestive system and gastroparesis.
Per clinical notes dated 01/24/2026, R2 went and was admitted to the hospital due to diarrhea and vomiting. R2 has an order for Loperamide 2 MG for diarrhea.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
01/30/2026
STREET ADDRESS, CITY, STATE, ZIP CODE
Southpoint Nursing & Rehab Center
1010 West 95th Street Chicago, IL 60643
SUMMARY STATEMENT OF DEFICIENCIES
Prevention Program documents in part, All personnel must promptly report any incident or suspected incident of resident abuse, mistreatment or neglect, including injuries of unknown origin. (An injury should be classified as an injury of unknown origin when the source of the injury was not observed or known by any person, and the initial Risk Management investigation could not determine the causeof the injury.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
01/30/2026
STREET ADDRESS, CITY, STATE, ZIP CODE
Southpoint Nursing & Rehab Center
1010 West 95th Street Chicago, IL 60643
SUMMARY STATEMENT OF DEFICIENCIES
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to implement a portion of an existing plan related to pressure ulcer care, such as not following treatment/dressing changes as ordered for one (R3) resident out of four reviewed for pressure ulcers in a total sample of 17 residents.
However, there has been no evidence of decline or failure to heal.
This failure places the resident at risk for more than minimal harm.
Findings include:On 01/27/26 at 11:07 AM, R3 stated there have been several days when the wound care treatment was not done. R3 stated I am just wondering why the nurses don't change the wounds. R3 stated my wounds are stage 4 and they are super big and drain a lot, and they are supposed to be changed every day. R3 stated that he didn't call to remind the nurse on duty because R3 stated they can come anytime of the day and I just kept waiting. I am on medications, and I may fall asleep and the day went by.On 01/27/2026 at 12:38 PM, V7 (Wound care coordinator/LPN) stated that R3 has a right Ischium, right trochanter and sacrum pressure ulcer wounds. V7 stated that R3's pressure injuries are documented in R3's comprehensive care plan. V7 stated that when wound care is administered or completed it is documented in the patient's treatment administration record (TAR).
Staff nurses are responsible for completing the wound care treatment orders when there is no wound care nurse working. V7 stated that it is important for wound care orders to be followed as ordered to ensure that the wound heals, to follow how the wound is progressing, prevention of decline, no introduction of bacteria or anything to the wound. R3's face sheet documents R3 is a [AGE] year-old individual with diagnoses not limited to: paraplegia, pressure ulcer of sacral region, unspecified stage, pressure ulcer of right hip, stage 4.R3's Minimum Data Set (MDS), dated [DATE], documents R3 has a Brief Interview for Mental Status (BIMS) of 15 out of 15, indicating R3 has intact cognitive response.R3's care plan documents in part a pressure ulcer to right trochanter, right ischium, sacrum.
Date Initiated: 12/12/2025 Revision on: 12/15/2025.
Interventions documents in part Treatment per physician orders Date Initiated: 12/12/2025.R3's treatment administration record for January 2026 documents that R3's wound care treatment was not administered for the following dates 01/05/2026, 01/07/2026, 01/11/2026, 01/12/2026, 01/19/2026, 01/21/2026, 01/22/2026, 01/25/2026.R3's current care plan documents in part, I have a pressure ulcer to right trochanter, right ischium, sacrum. My pressure ulcer will remain free of s/sx (signs and symptoms) of infection and wound will continue to heal without complications daily through next review.
Treatment per physician orders.R3's current care plan documents in part, I am at increased risk for impaired skin integrity related to wounds. I will not develop any skin integrity issues thru next review,unless the disease process causes unavoidable deterioration.
Administer Wound Care (Treatments) per MD orders (See POS/TAR (physician order set/treatment administration order) for current orders)Facility document not dated titled Guidelines for Prevention/Treatment of Pressure Injuries documents in part it is the intent of the facility to recognize the following and to act on it in such a way as to practice evidence-based recommendations for the prevention/treatment of pressure injuries to the residents who reside in the facility. In accordance with Federal Regulations- and based on resident assessment, the facility will ensure: A resident with pressure ulcers receives necessary treatment and services, consistent with professional standards of practice, to promote healing, prevent infection and prevent new ulcers from developing.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
01/30/2026
STREET ADDRESS, CITY, STATE, ZIP CODE
Southpoint Nursing & Rehab Center
1010 West 95th Street Chicago, IL 60643
SUMMARY STATEMENT OF DEFICIENCIES
light touch, pain with movement rated at about a 6, reported to MD. MD gave orders to send resident to hospital for evaluation.
Family (left voicemail for daughter) and DON notified of transfer.
Report given to hospital nurse.R7's progress note dated 12/16/2025 at 6:35PM by V4 (LPN) documents in part Spoke with hospital admitting diagnosis of left femur fracture, due for surgery tomorrow.
Nurse practitioner and don made aware.
Attempted to reach family again, no response at this time.On 01/28/2026 at 12:40PM, V13 (Social Services Director) states he is familiar with R7 and R7 did not go out into the community independently. V13 states that sometimes R7's daughter would take him out on pass into the community.
V13 states when a resident goes out on community pass, he always documents a progress note that the resident went out on pass. V13 states if it is not documented that the resident went out on community pass, then the resident did not go out on pass.R7's progress notes were reviewed from 11/28/2025 to 12/16/2025 and does not document that R7 went out on community pass.
Review of the facility's document titled Resident Community Access Tracking Tool was performed for the month of December 2025 and does not show that R7 went out on community pass for the month of December 2025.Facility policy undated, titled Standard Supervision and Monitoring documents in part, The facility recognizes supervision and guidance to the resident is an essential part of nursing care in which standard approaches are successful in meeting the resident's physical and psychosocial needs.Facility policy undated, titled INCIDENTS/ACCIDENTS/FALLS documents in part, Based on the results of the incident/accident/fall, the resident's care plan will be addressed to ensure that any needed points of focus have measurable goals with appropriate interventions in place.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
01/30/2026
STREET ADDRESS, CITY, STATE, ZIP CODE
Southpoint Nursing & Rehab Center
1010 West 95th Street Chicago, IL 60643
SUMMARY STATEMENT OF DEFICIENCIES
is down, or it was down. R3 said his fitted sheet has not been changed yet because he is still going to finish washing himself up. R3 stated I need to have clean linen because of my bed sores. R3 stated that R3 went to V1 (Administrator) and told her I (R3) don't have any linen, and I have bed sores. R3 stated that V1 said we have some linen coming from another company.
And then no linen came. At 12:46PM, R11 states she was recently admitted to the facility but has been hearing about concerns related to the lack of linen in the facility and must wait for linen to be provided. At 12:53PM, R10 is observed with a clean body towel folded on her chest while lying in bed. R10 states she is keeping her towel close to her because if she doesn't, then she will not have a towel to use for her care. R10 states there is not enough linen for residents to use in the facility.
On 01/30/2026 at 09:29 AM, R2 stated that he has diarrhea almost every day. A lot of times you ask CNA (Certified Nursing Assistant) for linen they say they don't have it because the washers have broken down.
R2 needs to spend money and service his clothes to outside service company.
Per sales invoice new washer was shipped on 01/05/2026.
Invoice for washer parts are as follows: A blower wheel order dated 11/20/2025 Washer bad computer door lock board part order dated 12/24/2025.
Per V15 the old washer that was replaced broke three (3) months ago after installation of the new washer, the two (2) washers broke.
Washer parts for current repair were ordered prior to shipment of new washer that shows two (2) dryers that need repair were already not functioning prior to installation of the new washer.
Actual installation of new washer receipt was requested but was not provided.
Laundry Policies and Procedure not dated: The laundry room equipment and environment will be inspected and serviced by the Maintenance Department following the policies and procedures in the Preventive Maintenance Manual.
Laundry daily inspection (document not dated), Environmental Supervisor will follow manufacturer's guidelines on setting of water temperature.
Facility ID: