F0559

E

Failure to Provide Required Written Notice Prior to Resident Room Changes

Naperville, Illinois Survey Completed on 02-05-2026

Penalty

No penalty information released

Summary

The deficiency involves the facility’s failure to provide residents or their representatives with written notice prior to room changes, affecting five residents reviewed for resident rights. One cognitively intact resident, admitted since 2021 and long residing in the same room, reported that on 1/28/2026 maintenance staff entered her room and began packing her belongings without prior explanation or notification of a room change. She became upset and questioned the reason for the move, later filing a grievance the same day stating she was not informed of the reason for the room change. The resident stated that management told her that her daughter had been notified, but she emphasized that she made her own decisions and remained unsure why she was moved.

Interviews and record review showed that the Admissions Director was instructed to assist with the room move due to planned remodeling on the resident’s unit and acknowledged not knowing the facility’s process for notifying residents or representatives about room changes. The Maintenance Director confirmed he was told to assist with the move and stopped when the resident became upset, then notified the Social Worker Director (SWD) and Admissions Director. The SWD documented contacting the resident’s daughter to obtain consent and reported that the daughter agreed as long as the resident approved the move; the SWD and Admissions Director then explained the reason for the move to the resident, who verbally agreed but remained upset. The SWD stated she was unaware of the facility’s policy requiring written notice of room changes, relied only on verbal consents, and did not notify new roommates of room changes, despite acknowledging that residents have the right to be informed of room changes and the reasons for them.