Nexus At Palos
Inspection Findings
F-Tag F0695
F 0695 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
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 REDACTED] 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 REDACTED]. 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 REDACTED].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 REDACTED].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 REDACTED].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 REDACTED].The QAPI committee held an Ad-Hoc QAPI meeting to discuss Resident R4, and action actions described in this plan of removal. Completion date: [DATE REDACTED].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 REDACTED].
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Nexus at Palos in PALOS HILLS, IL inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
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 PALOS HILLS, 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 Nexus at Palos or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.