Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around October 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Norwood Crossing during CMS and state inspections, most recent first.
A resident with dementia, impaired mobility, and multiple fall risk factors was identified as high risk for falls, but no fall-prevention interventions were checked on the fall risk form despite a high score and a care plan noting fall risk. The resident, who often sat near the nurse’s station and was known by staff to frequently bend down to pick objects up from the floor, was left unsupervised in the hallway while an RN was passing medications elsewhere. The resident dropped an item, attempted to pick it up without assistance, fell, and sustained a displaced clavicle fracture. These events occurred despite facility policies requiring individualized assessment, documented interventions, and adequate supervision to prevent accidents.
The facility failed to maintain an effective pest control program, resulting in persistent gnats in hallways, resident rooms, and the kitchen. Surveyors and staff observed gnats flying in corridors, offices, and around nursing stations, as well as on window sills, beds, bedside tables, and near residents’ food. A visually impaired resident reported feeling gnats on her face and mouth, and another resident reported gnats on her table, food, and clothing. In the kitchen, cooks and the dining services director reported gnats flying throughout the area, and multiple dead gnats were seen on top of a large food container in the walk-in freezer. Maintenance staff acknowledged that gnats live in drains and identified a clogged, water-filled kitchen drain that was draining very slowly, while also noting that bug-repellent devices were not yet installed in the kitchen despite ongoing gnat activity.
A facility failed to ensure proper medication storage and security, affecting residents on the 4th floor. A resident was found with medications at the bedside without a physician's order, and treatment carts were left unlocked and unattended. Staff acknowledged the carts should be locked when not in use, highlighting a lapse in adherence to facility policy.
The facility failed to accurately log refrigerator and freezer temperatures and check the dating and labeling of food items, with records showing future dates. This inaccuracy was acknowledged by the Director of Dietary Services, who noted the importance of proper documentation to prevent food spoilage and potential illness among the 104 residents receiving an oral diet.
A facility failed to treat a resident with dignity by placing handwritten signs in the resident's room to remind nurses about wound care. These signs, intended for staff, were visible in various locations and included specific instructions for wound dressing changes. The DON acknowledged that such postings violated confidentiality, although the facility's policy emphasizes dignity, respect, and privacy.
A resident with a venous stasis ulcer did not receive consistent wound care as ordered, due to a misunderstanding among nursing staff about treatment responsibilities. The resident's wound worsened over time, with documentation missing for several scheduled treatments.
A resident with multiple medical conditions and cognitive impairment, identified as a high fall risk, experienced an unwitnessed fall resulting in a lumbar fracture due to inadequate supervision. Despite being placed by the nurse's station for monitoring, the resident was left unsupervised when a CNA went on break, and the RN was occupied with other duties. The facility's fall prevention policy was not adequately followed, leading to the incident.
The facility failed to monitor and address significant weight loss for three residents, leading to a deficiency in nutritional care. One resident experienced a 15.7% weight decrease over six months, with inadequate monitoring and dietary assessment. Another resident had a severe weight loss of 6.28% in one month, with missing monthly weights and no dietary intervention. A third resident lost 12 pounds over two months, with missing weights and no timely dietary assessment. The facility's policies for weight monitoring and nutritional assessment were not followed, resulting in unaddressed nutritional needs.
The facility failed to properly label and store food, with items found without dates in the refrigerator and freezer, and expired or undated items in dry storage. Additionally, food was improperly stored near cleaning products in medication rooms, violating storage policies. This affected 106 residents receiving an oral diet.
The facility failed to maintain enhanced barrier precautions and educate visitors on contact isolation precautions, impacting infection control. Staff entered rooms without proper hand hygiene and PPE, and suction equipment was mishandled. Policies on infection prevention were outdated, contributing to these deficiencies.
The facility failed to properly use low air loss mattresses for residents at risk of pressure ulcers. Two residents had incorrect weight settings on their mattresses, and another resident's mattress machine was turned off. Additionally, improper linens were used on the mattresses, contrary to facility policy, potentially impeding airflow and pressure relief.
The facility failed to provide proper respiratory care and equipment management for several residents. One resident with COPD had disconnected and kinked oxygen tubing, resulting in inadequate oxygen delivery. Another resident adjusted their oxygen flow independently, deviating from the prescribed amount. Additionally, respiratory supplies were improperly stored and not labeled according to facility policy, as observed during a survey.
The facility failed to properly label and manage medications, including expired and discontinued drugs, as observed in medication carts. An open bottle of Multivitamin with a past 'Best By' date and loose tablets were found, along with a blister pack of Alprazolam with broken seals for a resident whose medication had been discontinued. Additionally, a bottle of Audiologist Choice Wax Softener was improperly stored. Facility policies on medication storage and disposal were not followed.
A resident with multiple health conditions, including COPD and heart failure, was self-administering medications without a completed assessment, physician's order, or care plan. The resident was observed with inhalers at the bedside, and staff acknowledged the lack of a formal assessment, contrary to facility policy requiring evaluation of the resident's capability to self-administer medications.
The facility failed to ensure that a resident's treatment preferences, as documented on the POLST form, were accurately reflected in the care plan. The POLST indicated a DNR order and selective treatment, but the facility's practice did not differentiate between selective or comfort care in the DNR order. Interviews revealed a lack of clarity and consistency in handling POLST forms, with staff relying on nurses to read the document directly and no process for entering specific orders from Section B into the electronic health record.
A resident's care plan was not updated to reflect a physician's order for one-to-one meal assistance, resulting in the resident eating alone without staff help. Despite the order being documented after a hospital discharge, staff were unaware of the requirement, and the facility's policy on meal assistance was not followed.
A facility failed to provide appropriate restorative care for a resident with hand contractures, as the required splints were not applied, and quarterly restorative assessments were not completed. The resident, who is on active and passive range of motion programs, had not been assessed since August 2023, and there was no documentation of progress in restorative services. The facility's policy requires restorative care to prevent deterioration, but this was not followed.
Failure to Supervise High-Risk Resident and Implement Fall-Prevention Interventions
Penalty
Summary
The deficiency involves the facility’s failure to provide adequate supervision and implement fall-prevention interventions for a resident identified as high risk for falls, resulting in a fall with injury. The resident had multiple diagnoses including epilepsy, muscle weakness, difficulty walking, lack of coordination, muscle wasting and atrophy, and dementia, with a BIMS score of 11 indicating moderately impaired cognition. A fall risk data collection form dated 01/16/26 showed a score of 16, designating the resident as high risk for falls and instructing that interventions be promptly implemented when the score is 10 or more; however, the form contained no checked interventions. The resident’s care plan documented that the resident was at risk for falls due to impaired mobility, history of right hip fracture with hemiarthroplasty, glaucoma, and gait/balance problems, and referenced the fall risk assessment, but did not reflect specific interventions from the fall risk form. On the date of the incident, the resident was found lying on the floor on her back in front of the nurse’s station with a bump on the back of the head and complaints of left shoulder pain, and was later diagnosed with a displaced fracture of the shaft of the left clavicle. The resident reported that she had been in the hallway alone, dropped an object, attempted to pick it up, and then fell. The RN assigned to the resident stated she did not witness the fall and was down the hall passing medications at the time, while the CNA reported that the resident typically sat at the nurse’s station most of the day, was a fall risk, needed constant observation, and would initiate activities without communicating needs. The NP stated the resident should have assistance when picking up objects from the floor and should be supervised because staff were aware the resident frequently tried to pick things up from the floor. The ADON confirmed that a fall risk score of 16 indicated high risk, acknowledged that interventions should have been completed on the fall risk form, and stated that a high-risk resident known to bend down to pick things up should not be left unsupervised in the hallway. These actions and inactions were inconsistent with the facility’s written policies on safety, supervision, and fall prevention, which require individualized assessment, implementation, communication, and documentation of interventions, and provision of necessary supervision to prevent accidents.
Ongoing Gnat Infestation in Resident Areas and Kitchen Due to Ineffective Pest Control
Penalty
Summary
The facility failed to maintain an effective pest control program, as evidenced by ongoing gnat activity in resident care areas, hallways, and food service locations. Upon entering the facility, a surveyor observed gnats flying in the hallway and had to swat them away from her face. Staff interviews revealed that gnats had been seen in an MDS coordinator’s second-floor office, around nursing stations, and in residents’ rooms, including on window sills, beds, bedside tables, and near residents’ food. A housekeeper reported that gnats had previously been observed flying throughout the facility and that dead gnats were routinely cleaned from rooms and windows. One resident, who is visually impaired, reported feeling gnats hitting her skin and face and touching her mouth, while another resident reported gnats on her bedside table, near her food, and on her clothes, which she tried to swat away. In the kitchen, multiple staff members, including cooks and the dining services director, reported seeing gnats flying “everywhere” and noted that gnats can contaminate food items and spread disease. During a tour of the walk-in freezer with the dining services director, multiple dead gnats were observed on top of a large pickle container. Maintenance staff acknowledged that gnats live in drains and identified a clogged kitchen drain in the steamer/kettle area that was full of water and draining very slowly; a maintenance technician reported working for an hour to rod the drain without success. Although maintenance reported that an exterminator comes weekly and bug-repellent machines are used in hallways, there were no such machines yet in the kitchen, and staff across multiple floors confirmed that gnats continued to be present throughout the facility, with particular persistence on the second and third floors.
Medication Storage and Security Deficiencies
Penalty
Summary
The facility failed to ensure proper medication storage for a resident and secure treatment carts, which could potentially affect all residents on the 4th floor. During an observation, a resident was found with a bottle of Fluocinonide topical solution and a tube of Econazole nitrate cream left at the bedside without a physician's order to do so. The Assistant Director of Nursing (ADON) confirmed that no medication should be left at the bedside without a physician's order, and the Electronic Physician Order (EPO) for the resident did not include such an order. The Registered Nurse (RN) assigned to the resident was unsure about the professional standards for medication storage, indicating a lack of knowledge and adherence to facility policy. Additionally, the facility failed to ensure that treatment carts were locked when not in use or when not in the visual proximity of a nurse. On multiple occasions, treatment carts were found unlocked and unattended on different floors, with no licensed nurse or staff present. The Director of Nursing (DON) and other staff members acknowledged that the carts should always be locked when not in use, as per facility policy. This oversight in securing medication carts poses a risk to the safety and security of medications within the facility.
Improper Logging of Food Storage Temperatures and Expiration Checks
Penalty
Summary
The facility failed to properly log refrigerator and freezer temperatures in the kitchen, as well as the checking of the dating and labeling of food items and removal of expired items. During an observation with the Director of Dietary Services, it was noted that temperature logs for the walk-in freezer, ice cream freezer, and two refrigerators were documented for future dates, indicating inaccurate record-keeping. Additionally, the facility's dietary audit form showed that the checking of food items for dating and labeling, as well as the removal of expired items, was also documented for a future date. The Director of Dietary Services acknowledged the errors, stating that the documentation should be done during the AM and PM shifts and that the mistake was likely due to confusion over the date. The facility's policy requires that refrigerator temperatures be maintained between 35 to 39 degrees Fahrenheit and checked at least twice daily, while freezer temperatures should keep food frozen solid and also be checked twice daily. The failure to adhere to these procedures has the potential to affect all 104 residents receiving an oral diet in the facility, as improper food storage can lead to food spoilage and potential illness among residents.
Failure to Maintain Resident Dignity and Privacy
Penalty
Summary
The facility failed to ensure that a resident was treated in a dignified manner, as evidenced by the placement of handwritten signs in the resident's room. A registered nurse placed these signs to remind other nurses to change the resident's wound dressing, which were observed taped to the walls in various locations of the resident's room. The signs included instructions for the morning shift nurse to perform wound care on specific days and a note for the foot doctor not to handle the resident's dressing or wound. The Director of Nursing acknowledged that such instructions should not be posted on resident walls due to confidentiality concerns, although the facility's policy emphasizes treating residents with dignity and respect and maintaining privacy and confidentiality of personal and medical records.
Failure to Provide Consistent Wound Care
Penalty
Summary
The facility failed to provide necessary treatment and services to promote wound healing for a resident with a venous stasis ulcer. The resident, who had intact cognition and multiple medical diagnoses including peripheral vascular disease and chronic ulcer, had specific physician orders for wound care that were not consistently documented as completed. The Treatment Administration Record showed missing documentation for wound care on several occasions, indicating that the care may not have been performed as required. Interviews revealed that there was a misunderstanding among the nursing staff regarding the responsibility for changing the resident's wound dressings. The Director of Nursing acknowledged that the nurses mistakenly believed the podiatrist was responsible for the wound care on certain days, leading to missed treatments. This oversight resulted in the resident's wound worsening over time, as evidenced by the increase in wound size from December to February.
Inadequate Supervision Leads to Resident Fall and Injury
Penalty
Summary
The facility failed to provide adequate supervision for a resident identified as a high fall risk, resulting in an unwitnessed fall and a lumbar fracture. The resident, a 69-year-old with multiple medical diagnoses including malignant neoplasm of the right main bronchus, secondary malignant neoplasm of the brain, and severe protein-calorie malnutrition, was cognitively impaired and required maximum assistance with transfers. Despite being placed by the nurse's station for closer monitoring, the resident experienced a fall when left unsupervised. On the morning of the incident, the resident was noted to be anxious and attempting to get out of bed. The registered nurse and a certified nurse assistant redirected the resident multiple times and eventually transferred her to a wheelchair for closer supervision at the nurse's station. However, when the CNA went on lunch break, the registered nurse, who was responsible for monitoring the resident, was occupied with other duties, including medication administration and blood sugar checks, and did not ensure continuous supervision. The director of nursing, upon investigation, noted that the registered nurse should have requested assistance to monitor the resident when the CNA went on break. The facility's fall prevention policy mandates close observation of residents assessed at risk for falls, which was not adequately followed in this case. The lack of supervision led to the resident's fall and subsequent injury, highlighting a deficiency in the facility's adherence to its fall prevention protocols.
Failure to Monitor and Address Significant Weight Loss
Penalty
Summary
The facility failed to obtain monthly weights and address significant weight loss for three residents, leading to a deficiency in maintaining adequate nutrition and hydration. Resident R17 experienced a 15.7% decrease in weight over six months, with a notable 7.85% weight loss in one month. Despite the facility's policy requiring monthly and weekly weights for residents at risk, R17's weight loss was not adequately monitored or addressed. The Registered Dietitian (V12) acknowledged that the weight loss should have triggered a dietary assessment, but due to staffing changes and lack of documentation, R17's nutritional needs were not met. Resident R66 also experienced significant weight fluctuations, with a severe weight loss of 6.28% from January to February. The facility failed to obtain monthly weights for March and April, and no dietary assessment was conducted to address the weight loss. The Registered Dietitian (V12) was not informed of R66's weight loss, and there was no documentation explaining the lack of weight monitoring. The Director of Nursing (V2) stated that Certified Nurse Aides are responsible for weighing residents monthly, but this protocol was not followed for R66. Resident R61's records showed a 12-pound weight loss from December to February, with missing weights for January and March. The weight loss was not recognized or addressed by the facility, and no dietary assessment was conducted until May. The Regional Nutrition Director (V13) confirmed that the weight loss should have been addressed earlier, but there was no documentation or intervention in place. The facility's failure to monitor and address significant weight changes for these residents highlights a deficiency in their nutritional care practices.
Improper Food Storage and Labeling in Facility
Penalty
Summary
The facility failed to adhere to proper food storage and labeling protocols, which could potentially affect 106 residents receiving an oral diet. During an inspection, several food items in the walk-in refrigerator and freezer were found without proper labeling or dates, including egg salad, breadsticks, French fries, corn on the cob, pepperoni, shrimp, and a personal pan pizza. Additionally, in the dry storage room, items such as chocolate cake frosting and various seasonings were either expired or lacked proper dating. The Food Service Director acknowledged these issues, stating that all food items should be covered, dated, and labeled to prevent contamination and foodborne illness. Further inspection revealed improper storage of food items in medication rooms. On the fourth floor, applesauce containers were found stored next to disinfecting spray, and on the second floor, bottles of wine were stored next to bleach sanitation wipes. The wine was intended for a resident's consumption as per their order summary. The Director of Nursing confirmed that food should not be stored in medication rooms, especially near cleaning products, as it violates the facility's storage practices and policies.
Infection Control and PPE Deficiencies
Penalty
Summary
The facility failed to maintain enhanced barrier precautions for three residents, failed to educate visitors on contact isolation precautions for one resident, and failed to maintain suction equipment within professional standards of practice for one resident. Additionally, the facility did not annually update policies related to infection prevention and control. These deficiencies were observed during a survey, where staff members entered rooms with enhanced barrier precautions without performing hand hygiene and failed to wear appropriate personal protective equipment (PPE) during high-contact resident care activities. One resident had an enhanced barrier precautions sign on the door, but a registered nurse entered the room without performing hand hygiene and handled suction equipment improperly. The suction catheter was found open and possibly contaminated, which contradicts the facility's infection control policies. Another resident's care plan required the use of gowns and gloves for high-contact activities, such as administering medications via a gastrostomy tube, but the nurse only donned gloves, neglecting to wear a gown. A resident on contact isolation for ESBL in urine had signage indicating the need for PPE, but a family member entered the room without donning the required gown and gloves. The family member was not informed of the need for PPE until after entering the room, despite visiting daily. The facility's policies on hand hygiene and infection control were outdated, with the last updates occurring several years prior, indicating a lack of adherence to current professional standards and practices.
Failure to Ensure Proper Use of Low Air Loss Mattresses
Penalty
Summary
The facility failed to adhere to its policy and procedure regarding the use of low air loss mattresses for residents at risk of developing pressure ulcers. Specifically, the facility did not ensure that the weight control settings on the low air loss mattresses were correctly adjusted for two residents. One resident's mattress was set between 287 and 375 pounds, while the resident's actual weight was documented as 134 pounds. Additionally, another resident's low air loss machine was found to be turned off, which was contrary to the facility's policy that requires the machine to be on at all times when the resident is in bed. Furthermore, the facility did not follow its policy on the appropriate use of linens on low air loss mattresses. Two residents were observed lying on a flat sheet and a non-disposable incontinence pad, which is against the facility's policy that only a thin cotton flat sheet or a disposable incontinence pad should be used to avoid disrupting the airflow of the mattress. These deficiencies were identified through observations, interviews, and record reviews, highlighting a failure to provide adequate pressure ulcer care and prevention for residents at risk.
Deficiencies in Respiratory Care and Equipment Management
Penalty
Summary
The facility failed to ensure proper respiratory care for several residents, as observed during a survey. One resident with a history of Chronic Obstructive Pulmonary Disease (COPD) and other health issues was found with disconnected and kinked oxygen tubing, which was not delivering the prescribed 2 liters of oxygen. The resident's oxygen saturation was measured at 90%, below the target of greater than 92%, indicating inadequate oxygen delivery. The resident admitted to pulling the tubing when getting out of bed, and the nurse confirmed the tubing was not properly connected. Another resident, also with COPD and other cardiac conditions, was observed using oxygen at 3.5 liters per minute instead of the prescribed 4 liters. The resident adjusted the oxygen flow independently, citing shortness of breath during therapy sessions. The nurse acknowledged the resident's alertness and orientation but did not ensure the oxygen was set according to the physician's order. Additionally, the oxygen supplies were not labeled and dated as per facility policy. Further observations revealed improper storage and labeling of respiratory supplies for other residents. One resident's oxygen tubing was found undated on a nightstand, and another's suction machine was improperly placed on the floor with an uncovered oral suction tube. The facility's policy requires weekly changes and proper storage of oxygen and suction equipment to prevent contamination, which was not adhered to, as confirmed by the Director of Nursing.
Medication Management Deficiencies
Penalty
Summary
The facility failed to properly label and manage medications, as observed during a survey of the fourth floor, odd side, medication cart. An open bottle of Multivitamin with Minerals was found with a past 'Best By' date, and two unknown, loose green tablets were discovered out of their original packaging. Additionally, a blister pack of Alprazolam 0.25 mg for a resident had broken seals, and the nurse was unsure of the contents and the facility protocol for handling such medications. The resident's records indicated that the Alprazolam had been discontinued, yet it remained in the medication cart. Further issues were identified on the second floor, even side, medication cart, where a bottle of Audiologist Choice Wax Softener was found with a broken seal, not in its original packaging, and without a resident name or open date. The Director of Nursing stated that nurses are responsible for their medication carts, and night shift nurses should ensure medications are up to date and not expired. The facility's policies require medications to be stored in their original packaging and discontinued or outdated medications to be returned or destroyed, which was not adhered to in these instances.
Failure to Assess Resident's Self-Administration of Medications
Penalty
Summary
The facility failed to ensure that a resident, identified as R54, who was self-administering medications, had the necessary self-administration of medications assessment, a physician's order, and a care plan completed. R54 has multiple diagnoses, including Chronic Obstructive Pulmonary Disease (COPD), Heart Failure, and Atrial Fibrillation, among others. The resident was observed with an albuterol inhaler inside a tissue box at the bedside and Spiriva in the top drawer of the bedside table. R54 stated that they self-administered Spiriva once a day and used the albuterol inhaler every 4-6 hours as needed for shortness of breath. During the survey, it was noted that R54 did not have an assessment for medication self-administration, despite being alert and oriented. The Agency Registered Nurse, V7, acknowledged awareness of R54's possession and use of the inhalers but confirmed the absence of a formal assessment. The Director of Nursing, V2, later confirmed that an assessment should have been conducted to evaluate R54's capability to self-administer medications, as medications at the bedside pose a potential for error. The facility's policy on self-administration of drugs requires an assessment of the resident's mental and physical abilities to determine their capability to self-administer medications. This includes evaluating the resident's ability to read and understand medication labels, comprehend the purpose and proper dosage, and recognize risks and adverse consequences. The policy also mandates documentation of these assessments in the medical record, which was not completed for R54 prior to the surveyor's observation.
Failure to Honor Resident's POLST Preferences
Penalty
Summary
The facility failed to ensure that the provider order and care plan accurately reflected a resident's wishes as documented on the Provider Order for Life-Sustaining Treatment (POLST) form. Specifically, for one resident, the POLST form indicated a Do Not Resuscitate (DNR) order in Section A and selective treatment in Section B, which included medical interventions such as IV fluids and medications but not intubation. However, the facility's practice did not differentiate between selective or comfort care in the DNR order, leading to a misunderstanding of the resident's treatment preferences. Interviews with facility staff revealed a lack of clarity and consistency in handling POLST forms. The Director of Social Services stated that the facility does not document full treatment, selective treatment, or comfort measures, and instead relies on nurses to read the POLST document directly. The Director of Nursing and the Infection Prevention Nurse acknowledged that the facility does not have a process for entering specific orders from Section B of the POLST into the electronic health record, and there was confusion about the term "partial code." This lack of a clear process and understanding among staff contributed to the deficiency in honoring the resident's treatment preferences as outlined in the POLST form.
Failure to Provide One-to-One Meal Assistance
Penalty
Summary
The facility failed to follow physician orders and update a resident's care plan, specifically for a resident identified as R14. R14's care plan did not reflect the physician's order for one-to-one assistance during meals, which was documented as necessary due to the resident's medical conditions, including cellulitis, blindness, chronic kidney disease, and significant weight loss. Despite the order for one-to-one assistance, observations revealed that R14 ate meals alone without staff assistance on multiple occasions. Interviews with staff, including certified nurse aides and nurses, confirmed that R14 did not receive the required one-to-one assistance during meals. The deficiency was further highlighted by the lack of awareness among staff regarding the necessity of the one-to-one assistance order. Nurses V16 and V10 were unsure why R14 required such assistance, and V29 stated that the order was entered after R14 returned from the hospital, based on hospital discharge papers or verbal reports. The Director of Nursing confirmed that the hospital had reported R14 needed one-to-one feeding assistance due to weakness. The facility's policy on assisting residents with meals, which includes sitting with the resident and preparing food, was not followed, leading to the deficiency in care for R14.
Failure to Provide Appropriate Restorative Care for Resident with Limited ROM
Penalty
Summary
The facility failed to provide appropriate care for a resident, identified as R61, to maintain or improve their range of motion. During an observation, it was noted that R61, who has contractures in both hands, was not wearing the required assistive devices or splints. Interviews with the Wound Care Nurse/Restorative Nurse Supervisor revealed that R61 is on active and passive range of motion restorative programs and should have a splint for the contracted hand daily, except during incontinence care or bathing. However, the nurse was unsure which hand required the splint and admitted that the facility had been without a full-time restorative nurse for some time. Further review of R61's electronic health records showed that the last restorative assessment was completed in August 2023, and there was no documentation detailing R61's progress or lack of progress in restorative services. The MDS Coordinator confirmed that R61 has physical limitations with their hands and is on restorative programs as outlined in the care plan. The facility's restorative policy emphasizes the importance of integrating restorative care approaches to prevent deterioration or maintain a resident's functional level, but this was not adhered to in R61's case.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Chicago
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Alden Estates Of Northmoor | 0.6 mi | — | 5 | 0 |
| Ascension Resurrection Life | 0.6 mi | — | 11 | 0 |
| Celebrate Senior Living Niles | 1.2 mi | — | 1 | 0 |
| Citadel At Saint Benedict | 1.5 mi | — | 0 | 0 |
| Elevate Care North Branch | 1.5 mi | — | 3 | 0 |
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