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F0584
E

Failure to Maintain Safe and Comfortable Room Temperatures

Evergreen Park, Illinois Survey Completed on 06-24-2025

Penalty

No penalty information released
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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 maintain resident room temperatures within the comfortable range of 71 to 81 degrees Fahrenheit, as required by policy. During a facility tour, multiple rooms and hallways were observed with temperatures exceeding 81 degrees, with specific measurements ranging from 81.3 to 81.6 degrees Fahrenheit. Residents reported that their rooms were very hot, especially over the weekend, and that staff were aware of the issue but had not taken effective action to resolve it. One resident stated that she was sweating and uncomfortable, and her family had to bring a portable fan to help alleviate the heat. Another resident reported being moved to a different room only after enduring the heat for several days. Staff interviews confirmed that the building was warm and that the air conditioning system was not functioning properly, particularly in the 100-unit area where individual AC units were not working due to broken fan belts. The Maintenance Director acknowledged the issue and suggested providing portable fans for residents who continued to complain about the heat. A Certified Nurse Assistant also noted that the facility was very hot at the beginning of her shift and that staff were instructed to close windows, but could not recall who gave the directive. Medical records indicated that several affected residents had significant health conditions, including acute respiratory distress, dependence on supplemental oxygen, severe persistent asthma, heart transplant status, and immunodeficiency. Facility policies required maintaining ambient temperatures within a specified range and outlined procedures for extreme heat, including identifying high-risk residents and ensuring proper functioning of air conditioning systems. Job descriptions for maintenance and nursing staff emphasized their responsibility to ensure a safe and comfortable environment for residents.

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