Nexus At Palos
Nexus at Palos in PALOS HILLS, IL — inspection on September 2, 2025.
Found 1 citation. 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
jeopardy to resident health or safety
documented in the progress note.9. the name and title of the person responsible for the application and supervision of the physical device will be documented in the progress note. On [DATE] the surveyor verified by interview and record review that the facility implemented the following to remove the immediacy:Immediate Actions:The facility took the following actions to address the citation and prevent any additional residents from suffering an adverse outcome.
All residents with tracheostomies were reviewed by DON/Unit managers.
Completed on [DATE].
The review was done to ensure special instructions which includes mittens or other physical restraints were in place per physician orders and resident care plans.
There was one resident to was identified with a physical restraint. No other concern was identified related to use of physical restraints during the review.The DON/Unit Managers provided education to nursing staff (nurses and nursing assistants), RT's (respiratory therapists) including Agency staff on special instructions such as use/application of mittens and other physical restraints for residents with Tracheostomy, following care plans and physician orders.
Completion date: [DATE].The DON/Nurse Managers provided education to the nurses, including nurse agency staff, on change of shift reporting.
The training also included notifying nursing assistants of any new special instructions at the start of the shifts.
Completion date: [DATE].All nursing staff (nurses and nursing assistants) and RT's (respiratory therapists), including agency staff, who are not available and/or currently on vacation will also receive the same education upon their return to work.
The DON/Unit Managers will provide the same training.
Ongoing.
Additional Interventions:The DON/Unit Managers will continue to audit new admissions with Tracheostomy to ensure that orders for physical restraints are care planned and are communicated with the nursing staff and RT's.
Initiated on [DATE].The DON, Administrator, Unit Managers reviewed the policies and procedures related to physical restraints, tracheostomy, nursing rounds, care plan and following physician orders.
There is no revision necessary.
Completion date: [DATE].The QAPI committee held an Ad-Hoc QAPI meeting to discuss R4, and action actions described in this plan of removal.
Completion date: [DATE].The DON/Unit Managers will conduct audit and observation of all residents with tracheostomy weekly for four (4) weeks to ensure compliance with special instructions, such use if mittens and physical restraints are being implemented, physician orders and care plan interventions are followed.
Ongoing.The results of the audit/observation will be reviewed by the QAPI committee weekly for four (4) weeks.
The QAPI committee will determine if additional corrective actions are necessary to maintain compliance.
Ongoing.The facility asserts the likelihood for serious harm no longer exists on [DATE].
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