Chateau Nrsg & Rehab Center
CHATEAU NRSG & REHAB CENTER in WILLOWBROOK, IL — inspection on April 27, 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
facility to provide resident centered care that meets the psychosocial, physical, and emotional needs
takes the physician order will be responsible for executing the order or provide for the safe hand-off
internal staff of changes/updates as appropriate. iv.
Notify resident/resident's representative of changes or new orders as appropriate. v.
Notify attending or other providers as appropriate.Facility's policy titled Pain- Clinical Protocol dated (8/2008) shows: 3.
The physician will perform or order appropriate tests as needed to help clarify aspects of pain (location, cause, etc.).
For example, an x-ray may help to identify the cause of joint pain.
Resident's physician and resident' s family/responsible party should be notified of significant changes pertaining to resident's pain level.Facility's policy titled Falls- Clinical Protocol (August 2008) shows: Monitoring and Follow-Up-
- The staff, with the physician's guidance, will follow up on any fall with associated injury until the
resident is stable and delayed complications such as late fracture or subdural hematoma have ruled out or resolved. a.
Frail elderly individuals are often at a greater risk for serious adverse consequences of falls.
145614 04/27/2026
Chateau Nrsg & Rehab Center 7050 Madison Street Willowbrook, IL 60521
them.
a resident after a fall.
This applies to 1 of 3 residents (R1) reviewed for diagnostic services in a
in front of his wheelchair in an upright sitting position, sustaining a skin tear to the left elbow.
When asked what happened, (R1) said that he was reaching for papers on the chair and slid out of the wheelchair.
Left elbow cleansed and dressing applied.
Wife made aware and also NP (Nurse Practitioner) aware of fall .R1's 2/17/26 progress note from 1:57 PM (written by V6-Nurse Practitioner/NP) showed The patient had a fall on 2/17/26.
The staff reported that (R1) was noted on the floor in front of the wheelchair in an upright sitting position, sustaining a skin tear to the left elbow.
The examiner assessed the resident. (R1) stated that he was sitting on the edge of the bed and used his walker to reach papers on a chair and fell. (R1) indicates pain in the left hip. (R1) is unable to participate in range of motion. STAT hip x-ray ordered .On 4/23/26 at 10:12 AM, V3 (ADON) stated that R1 had a fall on 2/17/26 at 5:30 AM. R1 got up from his wheelchair and ambulated and tripped over his leg rest and fell to the floor. R1 was observed to be sitting in front of his wheelchair on the floor. At that time, he had a skin tear to his elbow.
Later V6 (NP) came and saw him and he refused to be assessed because of the pain and she ordered a STAT X-ray. V3 stated I remember R1's daughter calling me and asking me about the fall and she asked me why it took until the next morning to do the X-ray. V3 stated they eventually came on 2/18/26 to do the x-ray. On 4/23/26 at 10:39 AM, V6 (Nurse Practitioner) stated she was notified of R1's early morning fall on 2/17/26 and she went and saw R1. V6 stated R1 refused to let her do range of motion on him because he had pain in his left hip so she told the nurse to put in an order for a STAT X-ray. V6 stated it is nursing who calls the X-ray company. V6 stated a STAT X-ray means that it should be done within four hours. On 4/23/26 at 12:45 PM, V2 DON (Director of Nursing) stated according to the X-ray report, the X-ray was not done until 2/18/26.
She said a STAT X-ray should be within 4 hours. On 4/24/26 at 11:37 AM, V8 (RN-Registered Nurse) stated she worked a double shift on 2/17/26 from 6:30 AM to 11 PM and she was R1's assigned nurse. V8 stated R1 had fallen earlier during the night shift at 5:30 AM and at 8:45 AM, he was complaining of pain 7/10 and she gave Tylenol. V8 stated after V6 (NP) saw R1, she told V8 to put in the order for the X-ray and she put it in as regular X-ray order. V8 stated after our stand-up meeting, V6 came to me and told me to make it a STAT order. V8 stated she called the X-ray company and told them it was a STAT X-ray order. R1's 2/18/26 progress note from 8:52 AM (the next day) showed Writer contacted x-ray company regarding estimated time of arrival for X-ray of hip.
Per company, a technician has been assigned and will be out this morning to complete X-ray.
Exact ETA not available.R1's Physician Orders showed two X-ray orders for his left hip, unilateral with pelvis when performed, 2-3 views one time only on 2/17/26. It does not show it as stat orders. It was ordered by V6 (Nurse Practitioner) and put in by V8 (RN).
The first order was put in at 10:47 AM and the second order was put in at 1:05 PM.
Both orders show one time only.R1's Radiology Results Report showed results were reported on 2/18/26 at 9:45 AM, and R1 had an acute comminuted left femoral intertrochanteric fracture.Facility's policy titled Physician Orders (8/1/21) shows: III.
Execution of Order and Notifications a) The nurse that takes the physician order will be responsible for executing the order or provide for the safe hand-off to the next nurse. i.
Contact.radiology services.as required to execute the medical order. iii.
Notify internal staff of changes/updates as appropriate. iv.
Notify resident/resident's representative of changes or new orders as appropriate. v.
Notify attending or other providers as appropriate.
Frequently Asked Questions
More Reports
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.