PAVILION OF SOUTH SHORE
CMS
Actual Harm
Documentation Failure
Immediate Jeopardy
Infection Control
Medication Error
Resident Neglect
Wound Care
Penalty
$105,248
Outcome
PAVILION OF SOUTH SHORE in CHICAGO, IL was fined $105,248 by CMS across 3 separate penalties following 51 deficiency citations identified during federal surveys.
Details
PAVILION OF SOUTH SHORE (CHICAGO, IL) — $105,248 in CMS Fines
Outcome: PAVILION OF SOUTH SHORE in CHICAGO, IL was fined $105,248 by CMS across 3 separate penalties following 51 deficiency citations identified during federal surveys.
Deficiency areas cited:
- Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- Reasonably accommodate the needs and preferences of each resident.
- Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Provide safe and appropriate respiratory care for a resident when needed.
- Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
How Crucible Prevents This
Crucible's continuous compliance monitoring would have flagged the regulatory gaps that led to these CMS fines — through automated survey-readiness checks, real-time deficiency tracking, staff compliance dashboards, and corrective action plan enforcement — preventing the violations before the next federal survey.
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