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F0558
D

Failure to Timely Repair Motorized Wheelchair for Quadriplegic Resident

Richton Park, Illinois Survey Completed on 10-31-2025

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

A resident with quadriplegia, diabetes, hypertension, chronic embolism, a history of traumatic brain injury, major depressive disorder, muscle wasting, and a right leg fracture was unable to use his motorized wheelchair due to a non-functioning battery. The resident, who was alert and oriented, reported that his wheelchair had been broken for an extended period, requiring aides to transport him around the facility. The resident expressed a preference for using his motorized wheelchair independently. The resident's power of attorney confirmed that the wheelchair had been inoperable for months and required repair. Facility staff interviews and record reviews revealed that the maintenance department does not service motorized wheelchairs and that responsibility for contacting the wheelchair company falls to the Rehab Therapy Director. The Rehab Therapy Director stated that the wheelchair company was contacted in September, and a technician determined a new battery was needed, pending insurance approval. However, as of the time of the survey, no follow-up had been made with another company, and the battery had not been replaced, leaving the resident without independent mobility. The resident's care plan indicated the need for a motorized wheelchair and outlined steps for repair, but these interventions were not completed in a timely manner.

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