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F0550
D

Failure to Ensure Resident Safety and Timely Medication Administration

Evanston, Illinois Survey Completed on 01-02-2026

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 ensure a resident's right to feel safe and secure, as required by its Residents Rights Policy. A male resident with multiple medical diagnoses, including cervical disc degeneration, asthma, diabetes, kidney failure, hypertension, dementia with behavioral disturbances, bipolar disorder, alcohol abuse, depression, and adult failure to thrive, reported not receiving his scheduled morning medications on Christmas Day. The resident stated that he typically receives his medications between 8:00AM and 9:00AM, but on the day in question, he had breakfast and did not receive his medications as expected. He also reported that there was no nurse present on the second floor until well after breakfast, which contributed to his feelings of abandonment and lack of safety. The resident further stated that when he voiced his concerns about the absence of a nurse and the delay in receiving his medications, a CNA responded rudely to him. This interaction, combined with the lack of timely medication administration and absence of nursing staff, led the resident to feel unsafe and unsupported in the facility. The facility's policy documents the right of residents to safety and protection from abuse and neglect, but these rights were not upheld in this instance.

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