Ascension Nazarethville Place
ASCENSION NAZARETHVILLE PLACE in DES PLAINES, IL — inspection on December 31, 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.
Inspection Findings
impaired.
Diagnosis of dementia, psychosis, depression, and anxiety.
Prefers to be in her room, social
abuse assessment was done after abuse allegation incident in October and December 2025.On
nurse on the day of incident (12/24/25 3-11 shift) .
Around 4pm, V7 CNA reported of observing bruise on R1's right wrist and forearm. V6 RN assessed R1's right wrist bruise measuring 4cm x 3cm and right forearm bruise measuring 2cm x 2cm. R1 denied pain upon assessment. V6 notified primary care physician and ordered x-ray of right hand.
She notified V3 Family member, who is a resident in another unit and visited R1.
Around 9pm, V3 informed V6 that she called police officer because she believed that the bruises are from abusing R1.
Around 10pm, the police officer came and conducted investigation. V6 updated V1 and V2 of the incident. V6 said that R1 is prone to bruising due to anticoagulant medication side effects and her behavioral issues of agitations.
She may swing her arms when agitated and may hit hard objects. V6 said that they used to apply Geri sleeves to protect her upper arms, but she refused. V6 did not remember if she documented it. V6 said that they used Broda chair/padded chair to R1. V6 said that they did not use padded side rails, but they use pillow to each side of the bed for protections.
Informed V6 that R1 was observed today, using high back wheelchair not padded. R1's room was observed with 2 pillows only in her room. V5 CNA said that she used 2 pillows on her head and does not use pillows on bilateral side rails as protection when in bed.
V6 said that they can use devices such as Geri sleeves and padded side rails or pillows as protection for R1 from injury.On 12/31/25 at 12:04PM, V2 SSD said that he did not complete abuse/neglect assessment.
The last time he attempted to complete annual assessment for 8/15/25, but V3 Family member refused. V2 said that he did not document R1 or V3 refusal of abuse assessment. No abuse assessment was done in Oct and [DATE] after allegation of abuse or incident of bruising on unknown injury.
There was no abuse assessment was done on MDS significant change of condition dated 11/3/25. No abuse assessment done for 2025. V1 Administrator said that they should document any refusal of assessment of abuse.
Abuse assessment should be completed after each allegation of abuse and assessment corresponding to MDS/Resident assessment review.On 12/31/25 at 1:30PM, V1 Administrator said that they don't have policy on Resident safety /Prevention of injury.
Facility's policy on Abuse Prevention revised 8/2025 indicated: Our residents have the right to be free from abuse, neglect, misappropriation of resident property, and exploitation.
This includes, but is it not limited to, freedom from corporal punishment, involuntary seclusion, verbal, mental, sexual or physical abuse and physical or chemical restraint to required to treat the resident's symptoms.
The objective of the abuse policy is to comply with the seven-step approach to abuse and neglect detection and prevention.
Prevention: A.
The community will develop and implement policies and procedures to aid our community in prevention and prohibiting all types of abuse, neglect or mistreatment of our residents. C.
Implement preventive measures to address factors that may lead to abusive situations for example: 5.
Involve the resident/family group council in developing, monitoring and evaluating the community's abuse prevention program. 8.
Monitor associates on all shifts to identify inappropriate behaviors towards residents9.
Identification, ongoing assessment, care planning and appropriate interventions and monitoring of residents with needs and behaviors that may lead to conflict or neglect.
146180 12/31/2025
Ascension Nazarethville Place 300 North River Road Des Plaines, IL 60016
12/31/25 at 1:30PM, V1 Administrator said that they don't have policy on Resident safety /Prevention
comprehensive, person-centered care plan that includes measurable objectives and timetables to
and assessment, is developed and implemented for each resident.
Policy interpretation and implementation: N.
Assessment of residents are ongoing, and care plans are revised as information about the residents and the residents' conditions change.Facility's policy on Abuse Prevention revised 8/2025 indicated: Our residents have the right to be free from abuse, neglect, misappropriation of resident property, and exploitation.
This includes, but is it not limited to, freedom from corporal punishment, involuntary seclusion, verbal, mental, sexual or physical abuse and physical or chemical restraint to require treating the resident's symptoms.
The objective of the abuse policy is to comply with the seven-step approach to abuse and neglect detection and prevention.
Prevention: A.
The community will develop and implement policies and procedures to aid our community in prevention and prohibiting all types of abuse, neglect or mistreatment of our residents.
C.
Implement preventive measures to address factors that may lead to abusive situations for example:
- Involve the resident/family group council in developing, monitoring and evaluating the community's
abuse prevention program. 8.
Monitor associates on all shifts to identify inappropriate behaviors towards residents9.
Identification, ongoing assessment, care planning and appropriate interventions and monitoring of residents with needs and behaviors that may lead to conflict or neglect.
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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.