Elevate Care Niles
ELEVATE CARE NILES in NILES, IL — inspection on February 25, 2026.
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
nasal cannula.
Her breakfast tray is on the bedside tray table. R2 said that she only ate the sausages.
the CNA is responsible for providing nail care and shaving facial hair. V2 said that the CNA has to
assigned to R2 but was requested to help them with incontinence care.
She said she does not know who the assigned CNA for R2 is. V14 (LPN) and V15 (CNA) repositioned R2 to her right side.
Observed R2 soiled with urine, the disposable brief and bed linen were soaked with urine. V14 and V15 provided incontinence care. On 2/24/26 at 1:16PM, Informed V11 (LPN) that V15 (CNA) said that she is not the assigned CNA for R2. No one provided morning care nor checked for incontinence care to R2 this morning not until the surveyor came. V11 said that she did the residents assignment, and that V15 (CNA) is the assigned CNA for R2.
She said she will talk to V15.On 2/24/26 at 1:48PM, Informed both V1 (Administrator) and V2 (ADON) of above concerns. V2 (ADON) said that they don't have policy on nail care and facial care shaving for female residents.
Both cares are incorporated in ADLs care. On 2/25/26 at 11:17AM, V19 (CNA) said that she is the regular CNA for R2 on 7-3 shift.
She said that she always provided incontinence care after breakfast.
She always starts her rounds for all her assigned residents after breakfast around 9am because she has to pass breakfast trays first.
She does not check for incontinence first.
She said that she did not provide morning care or a bed bath to R2, she just provides incontinence care and changes her gown and bed sheets.R2 was admitted on [DATE] with diagnosis listed in part but not limited to Cerebral palsy, COVID 19, Chronic obstructive pulmonary disease, Arthritis multiple sites, Idiopathic peripheral autonomic neuropathy.
Comprehensive care plan indicated: She has ADL self-care performance deficit.
She has bowel and bladder incontinence. R2's progress notes dated 2/19/26 to 2/23/26 indicated no refusal of care.Facility's policy on Incontinence care revision 1/16/18 indicated: Purpose: To prevent excoriation and skin breakdown, discomfort and maintain dignity.
Guidelines: Incontinent resident will be checked periodically in accordance with the assessed incontinent episodes or every two hours and provided perineal and genital care after each episode.Facility's policy on Activity of daily Living indicated: Grooming: Maintaining personal hygiene, including planning the task and gathering supplies combing and or styling hair, face and hands, brushing teeth, shaving or applying make-up, oral hygiene, self-manicure (safety awareness with nail care) and or application of deodorant or powder.Facility unable to provide policy on Nail care and facial shaving.Facility's policy on complete bed bath revised 1/31/18 indicated: Purpose: To ensure resident's cleanliness to maintain proper hygiene and dignity.
Procedure: wet wash cloth and apply soap, if requested.
Wash, rinse and pat dry face, neck, ears and behind ears.
145662 02/25/2026
Elevate Care Niles 8333 West Golf Road Niles, IL 60714
impairment/ open wound on sacral, but she knows that she is at high risk for skin impairment.
She
nurse. On 2/24/26 at 1:48PM, Informed V1 (Administrator) and V2 (ADON) of above concerns.On
interventions for wound care.On 2/25/26 at 2:23PM, Followed up with the updated wound picture of R1 to V2 (ADON).
Facility unable to provide. R1 was admitted on [DATE] with diagnosis listed in part but not limited to Pneumonia, Elevated WBC (White Blood Cell), Nondisplaced intertrochanteric fracture or right femur for closed fracture with routine healing, Contusion of right shoulder, Alzheimer's disease, Dementia, Type 2 Diabetes mellitus, Irritant contact dermatitis due to fecal, urinary or dual incontinence.
Active physician order sheet indicated: Wound care: sacrum extended to buttocks/perineum/thighs: clean with cleaning wipes or soap and water apply mycology cream daily and as needed for MASD.
Wound care: sacrum/buttocks: cleanse with NS (Normal saline) apply foam dressing as needed every 24 hours as needed for protection.
Wound care right and left heel: cleanse with NS apply ABD (dressing) and tubigrip or foam 3x/week MWF and as needed.
Comprehensive care plan indicated: She has sacrum extended to buttocks/perineum/thighs extensive MASD.
Interventions: Keep skin clean and dry.
Monitor skin during care and report any changes.
Offload heels using heel protecting devices.
Ongoing assessment of wound to evaluate signs of deterioration or improvement.
She has ADL self-care performance deficit.
She has bladder and bowel incontinence.
R1's care plan and progress notes does not indicate that R1 is noncompliance with bilateral heel protectors' boots/offloading with pillows.Most recent wound report indicated: 2/17/26 -Sacrum extending to buttocks/perineum. MASD incontinence.
Date identified 1/10/26. No blanchable erythema 100%.
Measures 0x0x0cm.
Improved. 2/24/26 Sacrum extending to buttocks/perineum.
MASD incontinence.
Blanchable erythema 95%.
Pale pink non-granulating 5%.
Measures 4x4x0cm.
Cluster as one superficial open wound to sacral area. 2/17/26- Right heel pressure ulcer.
Date identified 1/10/26. 100% skin intact.
Measures 0x0x0cm. 2/24/26- Right heel pressure ulcer.
Dry scaly skin with scab formation.
Blanchable redness.Facility's policy on Skin condition assessment and monitoring- Pressure and non- pressure revised 6/8/18 indicated: Purpose: To establish guidelines for assessing, monitoring and documenting the presence of skin breakdown, pressure injuries and other non- pressure skin conditions and assuring interventions are implemented.
Guidelines: *Each resident will be observed for skin breakdown daily during care and on the assigned bath day by the CNA.
Changes shall be promptly reported to the charge nurse who will perform the detailed assessment. *Care givers are responsible for promptly notifying the charge nurse of skin breakdown.*At the earliest sign of a pressure injury or other skin problem, the resident, legal representative and attending physician will be notified.
The initial observation of the ulcer or skin breakdown will also be described in the nursing progress notes.Facility's policy on Pressure ulcer prevention revised 1/15/18 indicated: Purpose: To prevent and treat pressure sores/pressure injuryGuidelines: 2.
Inspect the skin several times daily during bathing, hygiene, and repositioning measures.
May use lotion on dry skin.3.
Change bed linen per schedule and whenever soiled with urine, feces or other material.11.
Use positioning devices or pillows, rolled blankets, etc. to reduce pressure and friction/shearing from heels, toes, and malleoli as indicated. 12.
Moisture barrier may be applied by CNA as needed to intact skin and may be kept at bedside.Comprehensive care plan revised 11/17/17 indicated: Purpose: To develop a comprehensive care plan that directs the care plan team and incorporates the resident's goals, preferences and services that are to be furnished to attain or maintain the resident's highest practicable physical, mental and psychosocial well-being.
Guidelines:The facility will develop and implement a comprehensive person-centered care plan for each resident, consistent with the resident rights, that includes measurable objectives and timeframes to meet a resident's medical, nursing and mental and psychosocial needs that are identified in the comprehensive assessment.