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Complaint Investigation

Brandel Health And Rehab

Inspection Date: September 12, 2025
Total Violations 1
Facility ID 145527
Location NORTHBROOK, IL
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Inspection Findings

F-Tag F0607

Freedom from Abuse, Neglect, and Exploitation Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0607 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some

FORM CMS-2567 (02/99) Previous Versions Obsolete

incident occurred. V14 Memory Care coordinator was in charged in her absence. Resident R3 is admitted on [DATE REDACTED]. Resident R3 refused trauma screening as indicated in Resident R3's assessment. Resident R3 is a vulnerable resident with cognitive impairment and behavioral issues. No Abuse prevention care plan was initiated upon admission. Resident R3 has abuse allegation report on 8/25/25. No Trauma screening was done. No Abuse prevention care plan was developed. V3 said that she was on vacation when the abuse allegation incident occurred. V14 Memory Care coordinator was in charged in her absence. Resident R4 is admitted on [DATE REDACTED]. Trauma screening was not done. Resident R4 has abuse allegation report on 9/1/25. No Trauma screening was done. No Abuse prevention care plan was developed. V3 said that she was on vacation when the abuse allegation incident occurred. V14 Memory Care coordinator was in charged in her absence. Resident R5 is admitted on [DATE REDACTED]. Trauma screening was not done upon admission. Resident R5 is a vulnerable resident with cognitive impairment and behavioral issues. No abuse prevention care plan was initiated upon admission. Resident R5 has abuse allegation report on 3/26/25. No trauma screening was done. No abuse prevention care plan was developed. Resident R6 was admitted on [DATE REDACTED].

No care plan for abuse prevention. No trauma screening assessment was done upon admission. Resident R6 was sent out to the hospital on 5/23/25 for shortness of breathing and was admitted with diagnosis of hypoxia and ribs fracture. Facility completed and reported injury of unknown origin on 5/24/25. On 9/9/25 at 12:30PM, Both V2 DON and V3 SSD said that Trauma screening assessment should be done upon admission. Trauma assessment should be done to the resident after allegation of resident abuse. Abuse prevention care plan should be formulated after abuse allegation made. Abuse prevention care plan should also be developed for those vulnerable residents who has cognitively impaired with behavioral issues. On 9/10/25 at 10:37AM V15MDS Coordinator/Care Plan Coordinator said that Trauma screening assessment should be done upon admission. If resident has reported allegation of abuse, the social service should complete resident trauma assessment and develop abuse prevention care plan. Vulnerable resident who are cognitively impaired, with behavioral issues should be care planned for abuse prevention because resident can react negatively to other resident and the other way around. On 9/10/25 at 12:33PM, V14 Memory Care Coordinator said that she covers for V3 SSD in her absence. She said that upon admission,

they completed resident's trauma screening /assessment. They use trauma assessment instead of abuse screening. She was told only do the trauma assessment once upon admission. She does not update resident's trauma assessment after allegation of abuse.On 9/10/25 at 2:30PM, Informed V1 Administrator and V2 DON of above concerns regarding implementation of abuse prevention program. Facility's policy on Abuse Prevention Program revised 7/12/23 did not indicated screening of residents as indicated in State Operating Manual. Facility's policy on Trauma-informed and culturally competent care revised August 2022 indicated: Purpose: To guide staff in providing care that is culturally competent and trauma-informed in accordance with professional standards of practice. To address the needs of trauma survivors by minimizing triggers and or re-traumatization. Resident screening: 1. Performed universal screening of residents, which includes a brief, non-specialized identification of possible exposure to traumatic events.Resident Care Planning:1. Develop individualized care plans that address past trauma in collaboration with the resident and family.

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📋 Inspection Summary

BRANDEL HEALTH AND REHAB in NORTHBROOK, IL inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

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 NORTHBROOK, 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 BRANDEL HEALTH AND REHAB or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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