The inspection, triggered by a complaint, found the facility out of compliance with elopement protections.
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Those five people were listed on the staffing sheet.
Inspectors found the right wheel tie-down on the resident's wheelchair had not been fastened.
A registered nurse told inspectors on September 25, 2025 that staff were never formally notified which residents had sex offense histories.
Both were residents at Wentworth Rehab & Health Care Center on the city's South Side.
The resident, identified in inspection records only as R902, was not on one-to-one supervision at the time they were found.
The September 2025 complaint inspection resulted in a citation for harm, not a potential risk of harm, not a technical paperwork deficiency.
That finding emerged from a complaint inspection completed September 30, 2025.
Inspectors visited the facility on September 19, 2025, following a complaint.
That finding was one of two complaints federal inspectors examined during a September 29, 2025 survey of the facility at 5595 County Road Z.
She came in with a fever and dangerously low blood pressure.
His admission evaluation noted he used a wheelchair.