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Complaint Investigation

Pearl Of Hillside,the

September 25, 2025 · Hillside, IL · 4600 North Frontage Road
Citations 3
CMS Rating 1/5
Beds 198
Provider ID 145946
Healthcare Facility
Pearl Of Hillside,the
Hillside, 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

PEARL OF HILLSIDE,THE in HILLSIDE, IL — inspection on September 25, 2025.

Found 3 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

FF0677
Quality of Life and Care Deficiencies

for toileting.

This affected one of three residents (R3) reviewed for incontinence care.

This failure

was diagnosed with Hemiplegia and Hemiparesis following other Nontraumatic Intracranial Hemorrhage affecting left dominant side. R3's care plan dated 3/28/24 documents: provide incontinence care after each incontinent episode.

Section C (cognitive patterns) dated 6/20/25 documents a score of twelve which indicated moderate cognitive impairment.

Section GG (functional abilities) documents dependent with toileting hygiene.

Section H (bladder and bowel) documents: urinary continence always incontinent.On 9/23/25 at 12:53pm, R3 said, he needed changed. V3 (unit supervisor), checked R3's adult brief. R3's entire brief was saturated with urine. V3 asked, R3 when was he changed last. R3 replied at 7:30am or 8:00am. V3 said, residents should be provided incontinence care every two hours and as needed. V5 (certified nursing assistant/cna) said, she was R3's assigned cna. V5 said, she last provided care for R3 at 9:00am. R3 was observed with a brief full of yellow urine, with a large yellow irregular ring on his bed pad and a smaller irregular shaped ring on his fitted sheet. V5 said, R3's bed pad is wet with urine. R3's sheet has a dried urine stain. V5 said, residents should be changed every two hours. V5 said, R3 is a heavy wetter.Urinary Continence and Incontinence-Assessment and Management dated 2/13/25 documents: Staff will ensure that incontinence care needs are met.

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 TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE

145946 09/25/2025

Pearl of Hillside,the 4600 North Frontage Road Hillside, IL 60162

said, when a resident does not have a fall care plan staff follows the facilities fall focus system.

Fall

rounds.

Staff will attend to needs as they are identified.Hospital paperwork dated documents: CT

representing intraparenchymal contusion with hemorrhagic conversion. It also shows extensive edema involving left parieto-occipital region and left temporal region with associated internal hemorrhage. MRI of the brain shows subacute infarct with hemorrhage and associated surrounding edema involving left basal ganglia, temporal lobe and parietal occipital lobes.Fall Prevention and Management dated 10/29/21 documents: The facility is committed to its duty of care to residents and patients in reducing risk, the number and consequences of falls including those resulting in harm and ensuring that a safe patient environment is maintained.

145946 09/25/2025

Pearl of Hillside,the 4600 North Frontage Road Hillside, IL 60162

potential to affect all 154-resident having their meals prepared in the kitchen.

This failure resulted in

Include:On 9.23.25 there were currently 154 residents residing in the facility that utilize the kitchen to have their meals prepared. On 9/23/25 at 12:15pm, R5's room was observed with two trash cans with lids near his entry way.

Multiple gnats were observed flying around the two trash cans when surveyor entered R5's room.

More than ten gnats were crawling on the outside of R5's white trash can. R5 was observed in bed asleep with a few gnats on his bed sheet resting above R5's head.On 9/23/25 at 12:18pm, R6 was observed resting in bed. R6 was assessed to be alert and orient to person place and time.

Three gnats were observed flying around R6's bed and bedside table. R6 said, she has been having a problem with gnats. R6 said, it's nasty to have gnats flying around.On 9/23/25 at 12:19pm, V4 (maintenance director) said, there are gnat in R5's entry way surrounding the trash cans and in R5's trash can. R5's white trash can was observed full with trash. V4 said, the gnats are in the trash due to the certified nursing assistance (CNA) not emptying R5's trash. On 9/23/25 at 12:48pm, R5 was observed awoke in bed and eating lunch. R5 said, he has had a problem with gnats. On 9/23/25 at 12:51pm, V3 (unit manager) said, she saw one gnat around R5's bed. V3 said, R5 cannot swat the gnats away. On 9/23/25 at 1:06pm, during the tour of the kitchen, three to four gnats and one large mosquito were observed flying in the corner near the handwashing sink. V6 (dietary manager) identified the insect flying around as gnats and a mosquito. V6 said, this is the dish washing area. V6 said, she has not seen any gnats prior to today.Service Inspection Report dated 9/24/25 documents: Main Kitchen Area: Comments: Fruit flies were present during the time of service.

Kitchen floor needs to be regrouped to prevent fruit flies from breeding.On 9/23/25 at 3:43pm, R5 was observed with a partially open bag of restaurant food on his bedside table with seven or more gnats crawling around top, inside and on the outside of his food bag.

Three gnats were resting on R5's wall near his bedside table. V4 said, there are gnats in and around R5's food bag. V4 said, there are gnats on the wall.

Pest control Policy dated 3/22/21 documents: Provide a healthy environment for residents.

Mosquitoes-they not only bite patient and cause allergic reaction at times but also carry disease like [NAME] Nile virus.

Often, elderly patient is more susceptible to this infection when compared to younger population and have more difficulty recovering.

Keep trach cans lined and empty them regularly.

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


More Reports

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.