Ryze At Homewood

the fall occurred. V2 affirmed an unwitnessed fall may change the clinical management of the

Prevention and Management, dated 7/2025, does not address the required actions for managing

therapy.Review of R1's EMR (electronic medical record) shows a physician note from V17 (medical doctor) for service dates of 9/30/25 and 10/03/25.

There was no observed note regarding the notification of the physician and/or the assessment of the physician regarding R1's fall that occurred on 10/04/2025.Facility provided in-service titled, Fall Risk Assessment, undated, listing staff names that were in-serviced on Fall Risk Assessments.

The Fall Risk Assessment in-service did not include documentation of the date and time it was conducted, nor did it specify the educational content that was provided. CMS's RAI (Resident Assessment Instrument) Chapter 3 Item (J), dated October 2024, documents, Falls are a leading cause of injury, morbidity, and mortality in older adults. A previous fall, especially a recent fall, recurrent falls, and falls with significant injury are the most important predictors of risk for future falls and injurious falls.

Identification of residents who are at high risk of falling is a top priority for care planning. A previous fall is the most important predictor of risk for future falls.

The fall may be witnessed, reported by the resident or an observer or identified when a resident is found on the floor or ground.

Record review of CMS's RAI (Resident Assessment Instrument) Chapter 4: CAA Process and Care Planning, dated October 2024, documents, in part, A fall refers to unintentionally coming to rest on the ground, floor, or other lower level but not as a result of an external force (e.g., being pushed by another resident). A fall without injury is still a fall.

Falls are a leading cause of morbidity and mortality among the elderly, including nursing home residents.Record review of facility policy titled, Change in Resident Condition, dated 7/2025, documents, It is the policy of the facility, except in a medical emergency, to alert the resident, resident's physician and resident's responsible party of a change in condition. 1.

Nursing will notify the resident's physician or nurse practitioner when: a.

The resident is involved in an accident or incident. 2.

Once the physician has been notified and a plan developed, the nursing or social service staff will alert the resident and family of the issue and any physician orders. 3.

The communication with the resident and their responsible party if they are not their own as well as the physician will be documented in the resident's medical record or other appropriate documents.

Record review of facility policy titled, Fall Prevention and Management, dated 7/2025, documents, This facility is committed to maximizing each resident's physical, mental, and psychosocial well-being.

While preventing falls is not possible, the facility will identify and evaluate those residents at risk for falls, plan for preventative strategies, and facilitate as safe an environment as possible.

All residents shall be reviewed, and the residents existing plan of care shall be evaluated and modified as needed. A fill risk assessment is 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.Review of pamphlet titled, RESIDENTS' RIGHTS' For People in Long-Term Care facilities, revised date 11/18, documents, Your facility must treat you with dignity and respect and must care for you in a manner that promotes your quality of life.

Your facility must provide equal access to quality care regardless of diagnosis.

You must not be abused, neglected, or exploited by anyone - financially, physically, verbally, mentally, or sexually.

Your facility must be safe, clean, comfortable, and homelike.

You may participate in developing a person-centered care plan which states all the services your facility will provide to you and everything you are expected to do.

This plan must include your personal and cultural choices.

Your facility must make reasonable arrangements to meet your needs and choices.

You should receive the services and/or items included in the plan of care.

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Ryze at Homewood 19000 South Halsted Homewood, IL 60430

and irresponsible with smoking related items).

The organization will try to balance individual rights

jeopardy to resident health or investigation of contraband. In situations where illegal activity appears to have taken place safety appropriate authorities will be notified.

Again, safety and security are of the utmost concern.

Room and Person Search PolicyThe following items are NOT ALLOWED in resident rooms at any time and

supervision is being provided: Drugs, Drug Paraphernalia.The August 2023 Substance Abuse Policy states: Substance Abuse PolicyThe facility reserves the right to protect all residents, staff, and visitors from the negative effects of substance abuse.

The facility will take all precautions necessary to prevent residents from using alcohol or illegal substances.1. In the event a resident is suspected of drinking alcohol or using drugs the facility will immediately, medically, and behaviorally assess the resident to verify if hospitalization is needed.2.

The resident will be given a drug screen to indicate the specific substance ingested.3.

The resident's pass will be immediately suspended pending results of the drug screen.4.

The resident will be restricted from attending day program (as applicable) pending the drug screen.5.

Refusal to take drug screen is identified as an automatic positive.Upon receiving positive results from a drug screen, the following protocol will be followed:1.

Any passes will be restricted for 30 Days.

Passes will be reinstated at the discretion of the Administration Team.2.

The resident will be suspended from the day program (as applicable) at the discretion of the Administration Team.

After two weeks, the Administration Team will assess if the resident is ready to return to the day program.3.

Home passes with family will be restricted at the discretion of the administration.

After two weeks, the administration team will assess the resident's progress to determine if the resident is appropriate to go home with family.4.

The resident will be placed on a behavior contract coinciding with their specific substance abuse issues and treatment plan.Resident Signature/date:Staff/Witness Signature/Date The Immediate Jeopardy that began on 09/19/25 was removed on 12/30/2025 when the facility took the following actions to remove the immediacy. On 12/30/25 the survey team verified by observation, interview, and record review, that the facility implemented the following to remove the immediacy.1.

Regional Director of Operations in-serviced the Administrator, V1, regarding the facility's Resident Possession & Use Policy on 12/23/2025 and the Illicit Drug Use Program.

The Administrator will be responsible for overseeing the Social Service Director, in ensuring all residents identified with a history of substance abuse and drug seeking behaviors are closely monitored with appropriate and effective interventions.The Regional Nurse Consultant in-serviced the Director of Nursing, regarding the facility's Resident Possession & Use Policy on 12/23/2025 and also the Illicit Drug Use Program.

The Director of Nursing will be responsible for overseeing nursing staff in ensuring all residents identified with a history of substance abuse and drug seeking behaviors are closely monit[TRUNCATED]