Aliya Of Homewood
ALIYA OF HOMEWOOD in HOMEWOOD, IL — inspection on March 26, 2026.
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
accurate for one of four residents (R4) reviewed for falls.
Findings include:R4's (1/2/26) post fall risk
answered (the responses were blank) therefore incomplete.
History of falls and/or fracture in the past 6 months? include the current fall incident (was not selected).
The assessment was conducted post fall therefore this response should have been selected.
This selection adds 10 additional points to the score [Scoring a 10 or higher makes resident High Risk for falls]. On 3/25/26 at 12:51pm, surveyor inquired about concerns with R4's (1/2/26) post fall risk assessment. V2 (Director of Nursing) stated, Letter G is not checked, it's gonna throw the score off.
Surveyor inquired what the score should have been if accurately assessed. V2 responded, It would be 17.The fall prevention and management policy (reviewed 3/2026) states the facility will identify and evaluate those residents at risk for falls. A fall risk evaluation will be completed on admission, readmission, and quarterly, significant change and after each fall.
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
145684 03/26/2026
Aliya of Homewood 940 Maple Avenue Homewood, IL 60430
being admitted
interview and record review, the facility failed to follow policy procedures and failed to ensure that
(R2) reviewed for falls.Findings include:R2 was admitted to the facility on [DATE] with diagnoses including history of falling and fracture of right pubis. R2 fell at the facility on 2/17/26.R2's (2/14/26) Physician Order Sheets include non-weight bearing to right leg for right pelvic fracture. R2's (2/15/26) care plan states resident is high risk for falls related to reduced mobility and poor safety awareness [right pelvic fracture is excluded].
Interventions include bed in lowest position, keeping frequently used items within reach, placement of call light within reach and staff to assist as needed [non-weight bearing and transfer requirements are excluded].On 3/23/26 at 11:28am, surveyor inquired about R2's fall plan of care. V2 (Director of Nursing) reviewed R2's baseline care plan and responded, Resident is at high risk for falls due to reduced mobility and poor safety awareness.
Surveyor inquired about R2's fall prevention interventions. V2 replied, Bed in lowest position.
Keep frequently used items within reach.
Staff to assist as needed.
Promote placement of call light within reach and assess resident ability to use.
Surveyor inquired if R2 was supposed to be getting out of bed - with pelvic fracture. V2 responded, That would depend on his (R2) weight bearing status based upon his ortho recommendation prior to coming to us (facility). V2 subsequently reviewed R2's hospital records (received prior to admission) and stated, Weight bearing, says non-weight bearing right leg.
Surveyor inquired if non-weight bearing right leg or pelvic fracture were included in R2's baseline care plan. V2 responded, I (V2) don't see that in here.The baseline care plan policy (revised 3/17/26) states the facility will develop and implement a baseline care plan for each resident that includes the instructions needed to provide effective and person-centered care. 2.) The baseline care plan will be developed within 48 hours of a resident's admission into the facility. 3.) The baseline care plan will include at a minimum the following necessary information to properly care for a resident. B.) Fall risk.
145684 03/26/2026
Aliya of Homewood 940 Maple Avenue Homewood, IL 60430
sclerosis, weakness, restlessness and agitation. R3's (10/30/25) BIMS determined a score of 9
substantial/maximal assistance with rolling left and right.
Transfers were not attempted due to
(high risk). R3's (2/19/24) care plan states the resident is at high risk for falls related to generalized weakness, potential medication side effects, multiple sclerosis, legally blind, muscle weakness, and failure to thrive, interventions: floor mats while in bed. On 3/23/26 at 2:05pm, R3 was lying asleep in bed. A floor mat was adjacent to R3's bed (near the wall) however the floor mat (between the beds) was folded and angled away from - the foot of bed.
The over-bed table (placed beneath the bed) was impeding ability to place the floor mat near R3's bed. On 3/23/26 at 2:08pm, surveyor inquired about R3's fall prevention interventions. V11 (LPN) responded, The mat and I (V11) usually stay here (in the hallway) from time to time. I got 30 patients, but I try to keep an eye on.
Surveyor inquired about the location of R3's floor mat (between the beds). V11 subsequently entered the room and replied, It should be bedside, uh next to the bed and affirmed that it was not.
Surveyor inquired if R3 rolled out of bed right now (between the beds) where would she (R3) land? V11 stated, If she rolls out? she would be on the floor. On 3/23/26 at 2:10pm, V12 (Assistant Director of Nursing) entered R3's room, unfolded the floor mat, and placed it near R3's bed after V11 moved R3's over-bed table out of the way. On 3/26/26 at 12:52pm, surveyor inquired about potential harm to a resident that falls. V21 (Medical Director) stated, It depends, they (residents) can have injuries; fractures, laceration, bleeds or other medical conditions if they're on a blood thinner.The fall prevention and management policy (reviewed 3/2026) states this facility is committed to maximizing each resident's physical, mental and psychosocial well-being.
While preventing all falls is not possible, the facility will identify and evaluate those residents at risk for falls, plan for preventive strategies, and facilitate as safe an environment as possible.
All resident falls shall be reviewed, and the resident's existing plan of care shall be evaluated and modified as needed. A fall risk evaluation will be completed on admission, readmission, and quarterly, significant change and after each fall.
Residents at risk for falls will have fall risk identified on the interim plan of care with interventions implemented to minimize fall risk.