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Health Inspection Summary

Lemont Nursing & Rehab Center

12450 Walker Road

Lemont, IL 60439

(630) 243-0400

Deficiency Category	Inspection Date: 1/10/25 Complaint Reporting Period: 4/1/24 - 3/31/25	Inspection Date: 4/4/24 Complaint Reporting Period: 4/1/23 - 3/31/24	Inspection Date: 2/2/23 Complaint Reporting Period: 4/1/22 - 3/31/23
Freedom from Abuse, Neglect, and Exploitation Deficiencies	0	0	1
Quality of Life and Care Deficiencies	6	5	3
Infection Control Deficiencies	1	2	2
Resident Assessment and Care Planning Deficiencies	1	0	2
Nursing and Physician Services Deficiencies	0	0	0
Resident Rights Deficiencies	3	0	0
Nutrition and Dietary Deficiencies	2	4	3
Pharmacy Service Deficiencies	3	2	1
Environmental Deficiencies	1	0	0
Administration Deficiencies	0	0	0

Detailed result for inspection on 1/10/25

Date of last standard health inspection:	1/10/25Read the full report (PDF)
Date(s) of complaint inspection(s) between 4/1/24 - 3/31/25	2/6/25Read the full report (PDF) 1/17/25Read the full report (PDF)
Date(s) of infection control inspection(s) between 4/1/24 - 3/31/25	No infection control inspections
Total number of Health Deficiencies for this nursing home:	17
Average number of Health Deficiencies in Illinois:	12.2
Average number of Health Deficiencies in the United States:	9.6

Freedom from Abuse, Neglect, and Exploitation Deficiencies
No Freedom from Abuse, Neglect, and Exploitation Deficiencies were found during this inspection period.

Quality of Life and Care Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	1/10/25	1/22/25	2 - Minimal harm or potential for actual harm	Few
Provide appropriate treatment and care according to orders, resident’s preferences and goals.	2/6/25	2/14/25	2 - Minimal harm or potential for actual harm	Few
Provide care and assistance to perform activities of daily living for any resident who is unable.	1/10/25	1/22/25	2 - Minimal harm or potential for actual harm	Some
Provide appropriate treatment and care according to orders, resident’s preferences and goals.	1/10/25	1/22/25	2 - Minimal harm or potential for actual harm	Few
Provide care and assistance to perform activities of daily living for any resident who is unable.	1/17/25	1/29/25	2 - Minimal harm or potential for actual harm	Few
Provide enough food/fluids to maintain a resident's health.	1/17/25	1/29/25	3 - Actual harm	Few

Infection Control Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Provide and implement an infection prevention and control program.	1/10/25	1/22/25	2 - Minimal harm or potential for actual harm	Some

Resident Assessment and Care Planning Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Ensure each resident receives an accurate assessment.	1/10/25	1/22/25	2 - Minimal harm or potential for actual harm	Few

Nursing and Physician Services Deficiencies
No Nursing and Physician Services Deficiencies were found during this inspection period.

Resident Rights Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	1/10/25	1/22/25	2 - Minimal harm or potential for actual harm	Few
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.	1/10/25	1/22/25	2 - Minimal harm or potential for actual harm	Few
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.	1/10/25	1/22/25	2 - Minimal harm or potential for actual harm	Few

Nutrition and Dietary Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	1/10/25	1/22/25	2 - Minimal harm or potential for actual harm	Many
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.	1/17/25	1/29/25	2 - Minimal harm or potential for actual harm	Few

Pharmacy Service Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.	1/10/25	1/22/25	2 - Minimal harm or potential for actual harm	Some
Ensure medication error rates are not 5 percent or greater.	1/10/25	1/22/25	2 - Minimal harm or potential for actual harm	Few
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.	1/10/25	1/22/25	2 - Minimal harm or potential for actual harm	Few

Environmental Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Keep all essential equipment working safely.	1/10/25	1/22/25	2 - Minimal harm or potential for actual harm	Few

Administration Deficiencies
No Administration Deficiencies were found during this inspection period.

Detailed result for inspection on 4/4/24

Date of last standard health inspection:	4/4/24Read the full report (PDF)
Date(s) of complaint inspection(s) between 4/1/23 - 3/31/24	1/31/24Read the full report (PDF) 6/6/23Read the full report (PDF)
Date(s) of infection control inspection(s) between 4/1/23 - 3/31/24	No infection control inspections
Total number of Health Deficiencies for this nursing home:	13
Average number of Health Deficiencies in Illinois:	13
Average number of Health Deficiencies in the United States:	9.4

Freedom from Abuse, Neglect, and Exploitation Deficiencies
No Freedom from Abuse, Neglect, and Exploitation Deficiencies were found during this inspection period.

Quality of Life and Care Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Provide appropriate pressure ulcer care and prevent new ulcers from developing.	1/31/24	2/16/24	2 - Minimal harm or potential for actual harm	Few
Provide care and assistance to perform activities of daily living for any resident who is unable.	6/6/23	6/13/23	2 - Minimal harm or potential for actual harm	Some
Provide safe, appropriate pain management for a resident who requires such services.	4/4/24	4/22/24	2 - Minimal harm or potential for actual harm	Few
Provide safe, appropriate dialysis care/services for a resident who requires such services.	4/4/24	4/22/24	2 - Minimal harm or potential for actual harm	Few
Provide care and assistance to perform activities of daily living for any resident who is unable.	4/4/24	4/22/24	2 - Minimal harm or potential for actual harm	Some

Infection Control Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Develop and implement policies and procedures for flu and pneumonia vaccinations.	4/4/24	4/22/24	2 - Minimal harm or potential for actual harm	Some
Provide and implement an infection prevention and control program.	4/4/24	4/22/24	2 - Minimal harm or potential for actual harm	Some

Resident Assessment and Care Planning Deficiencies
No Resident Assessment and Care Planning Deficiencies were found during this inspection period.

Nursing and Physician Services Deficiencies
No Nursing and Physician Services Deficiencies were found during this inspection period.

Resident Rights Deficiencies
No Resident Rights Deficiencies were found during this inspection period.

Nutrition and Dietary Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.	4/4/24	4/26/24	2 - Minimal harm or potential for actual harm	Many
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.	4/4/24	4/26/24	2 - Minimal harm or potential for actual harm	Some
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	4/4/24	4/26/24	2 - Minimal harm or potential for actual harm	Many
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.	4/4/24	4/26/24	2 - Minimal harm or potential for actual harm	Few

Pharmacy Service Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Ensure that residents are free from significant medication errors.	4/4/24	4/22/24	2 - Minimal harm or potential for actual harm	Few
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.	4/4/24	4/22/24	2 - Minimal harm or potential for actual harm	Few

Environmental Deficiencies
No Environmental Deficiencies were found during this inspection period.

Administration Deficiencies
No Administration Deficiencies were found during this inspection period.

Detailed result for inspection on 2/2/23

Date of last standard health inspection:	2/2/23Read the full report (PDF)
Date(s) of complaint inspection(s) between 4/1/22 - 3/31/23	1/27/23Read the full report (PDF) 11/17/22Read the full report (PDF) 9/15/22Read the full report (PDF)
Date(s) of infection control inspection(s) between 4/1/22 - 3/31/23	No infection control inspections
Total number of Health Deficiencies for this nursing home:	12
Average number of Health Deficiencies in Illinois:	12.5
Average number of Health Deficiencies in the United States:	8.7

Freedom from Abuse, Neglect, and Exploitation Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Respond appropriately to all alleged violations.	11/17/22	11/18/22	2 - Minimal harm or potential for actual harm	Few

Quality of Life and Care Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Provide care and assistance to perform activities of daily living for any resident who is unable.	2/2/23	2/10/23	2 - Minimal harm or potential for actual harm	Some
Provide safe and appropriate respiratory care for a resident when needed.	2/2/23	2/10/23	2 - Minimal harm or potential for actual harm	Few
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.	2/2/23	2/10/23	2 - Minimal harm or potential for actual harm	Few

Infection Control Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Develop and implement policies and procedures for flu and pneumonia vaccinations.	2/2/23	2/10/23	2 - Minimal harm or potential for actual harm	Some
Provide and implement an infection prevention and control program.	9/15/22	9/30/22	2 - Minimal harm or potential for actual harm	Few

Resident Assessment and Care Planning Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.	2/2/23	2/10/23	2 - Minimal harm or potential for actual harm	Some
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	1/27/23	1/29/23	2 - Minimal harm or potential for actual harm	Few

Nursing and Physician Services Deficiencies
No Nursing and Physician Services Deficiencies were found during this inspection period.

Resident Rights Deficiencies
No Resident Rights Deficiencies were found during this inspection period.

Nutrition and Dietary Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.	2/2/23	2/10/23	2 - Minimal harm or potential for actual harm	Some
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.	2/2/23	2/10/23	2 - Minimal harm or potential for actual harm	Some
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	2/2/23	2/10/23	2 - Minimal harm or potential for actual harm	Some

Pharmacy Service Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	2/2/23	2/10/23	2 - Minimal harm or potential for actual harm	Few

Environmental Deficiencies
No Environmental Deficiencies were found during this inspection period.

Administration Deficiencies
No Administration Deficiencies were found during this inspection period.

Complaints and facility-reported incidents in the past 3 years
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Provide appropriate treatment and care according to orders, resident’s preferences and goals.	2/6/25	2/14/25	2 - Minimal harm or potential for actual harm	Few
Provide care and assistance to perform activities of daily living for any resident who is unable.	1/17/25	1/29/25	2 - Minimal harm or potential for actual harm	Few
Provide enough food/fluids to maintain a resident's health.	1/17/25	1/29/25	3 - Actual harm	Few
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.	1/17/25	1/29/25	2 - Minimal harm or potential for actual harm	Few
Provide appropriate pressure ulcer care and prevent new ulcers from developing.	1/31/24	2/16/24	2 - Minimal harm or potential for actual harm	Few
Provide care and assistance to perform activities of daily living for any resident who is unable.	6/6/23	6/13/23	2 - Minimal harm or potential for actual harm	Some
Respond appropriately to all alleged violations.	11/17/22	11/18/22	2 - Minimal harm or potential for actual harm	Few
Provide and implement an infection prevention and control program.	9/15/22	9/30/22	2 - Minimal harm or potential for actual harm	Few
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	1/27/23	1/29/23	2 - Minimal harm or potential for actual harm	Few

Infection control inspection deficiencies in the past 3 years
This nursing home has not had any infection control inspections in the past 3 years.

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