Stay Ahead of Compliance with Monthly Citation Updates


In your State Survey window and need a snapshot of your risks?

Survey Preparedness Report

One Time Fee
$79
  • Last 12 months of citation data in one tailored report
  • Pinpoint the tags driving penalties in facilities like yours
  • Jump to regulations and pathways used by surveyors
  • Access to your report within 2 hours of purchase
  • Easily share it with your team - no registration needed
Get Your Report Now →

Monthly citation updates straight to your inbox for ongoing preparation?

Monthly Citation Reports

$18.90 per month
  • Latest citation updates delivered monthly to your email
  • Citations organized by compliance areas
  • Shared automatically with your team, by area
  • Customizable for your state(s) of interest
  • Direct links to CMS documentation relevant parts
Learn more →

Save Hours of Work with AI-Powered Plan of Correction Writer


One-Time Fee

$49 per Plan of Correction
Volume discounts available – save up to 20%
  • Quickly search for approved POC from other facilities
  • Instant access
  • Intuitive interface
  • No recurring fees
  • Save hours of work
F0921
E

Failure to Provide Consistent Access to Toilet Tissue in Resident Bathrooms

Berwyn, Illinois Survey Completed on 06-09-2025

Penalty

No penalty information released
tooltip icon
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to ensure that resident bathrooms were consistently stocked with toilet tissue, affecting four residents reviewed for personal hygiene equipment. Observations on multiple occasions revealed that several resident bathrooms lacked toilet paper, with no extra rolls available in the rooms. Residents reported going without toilet paper for days, and one resident expressed not knowing how to maintain personal hygiene without it. Additionally, dirty clothing was found on the floor due to the absence of plastic bags, and overflowing garbage cans with used adult incontinent diapers were observed in some rooms. Staff interviews confirmed that housekeeping was responsible for restocking supplies, but there were lapses in this process, and nursing staff did not have access to the necessary supplies to address shortages promptly. Housekeeping staff and supervisors acknowledged inconsistencies in stocking procedures, citing issues such as staff arriving late, budget constraints, and lack of access to storage areas for non-housekeeping staff. There was no standard policy or SOP provided by the company for housekeeping, and the only guidance available was a daily checklist. The Housekeeping Director admitted that sometimes only one roll was provided per room depending on the budget, and on weekends, supplies were left for staff to use in the absence of housekeeping. The lack of a clear policy and restricted access to supplies contributed to the ongoing issue of residents being left without essential hygiene items.

An unhandled error has occurred. Reload 🗙