Burgess Square Healthcare Ctr
BURGESS SQUARE HEALTHCARE CTR in WESTMONT, IL — inspection on November 20, 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
deleted so she continued to receive the wrong dose for five days.
That would explain the elevated INR results.
The inaccurate administration of the Warfarin caused [R1's] INR to rise to the level of 13.10, resulting in hospitalization and Vitamin K administration. V9 continued to say R4 should not have received a total of 11 milligrams of Warfarin on October 31, 2025, and R4's elevated INR result of 5.04 ratio on November 4, 2025 was a result of R4 receiving the incorrect dose of Warfarin.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.