Based on interview and record review the facility failed to reasonably accommodate a resident's request to electronically monitor her own room for one resident (R1) and the facility failed to allow one resident (R3) to electronically monitor his own room of two residents reviewed who had requested electronically monitor their rooms. The State of Illinois Ombudsman Program Booklet documents You have a right to purchase and use an electronic monitoring device after providing notice to the facility using the Electronic Monitoring Notification Consent Form.1.R1's Medical Record documents that she was admitted on [DATE] with diagnosis to include but not limited to hemiplegia and hemiparesis following a cerebral infarction, anxiety and restless leg syndrome. …
F557 citations in Illinois
Resident Rights Deficiencies
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Illinois cites F557 more often than its own record predicts
1.21 times the share F557 takes of citations nationally.
Of every deficiency written in Illinois in 2025, this is the portion that was F557.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Illinois surveyors wrote
F557 findings written in Illinois, one from each severity band recorded here, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
Based on interview and record review the facility failed to exercise reasonable care to protect a resident's personal property ensuring that the resident's property was kept in a safe location. This failure affected one of three residents (R1) reviewed for protection of personal property.Findings include:R1's medical diagnoses include but are not limited to human immunodeficiency virus, schizophrenia, anxiety, bipolar, essential hypertension, major depressive disorder. R1's Minimum Data Set (MDS) dated [DATE] has a Brief Interview for Mental Status score of 15, indicating R1's cognition was intact.R1's progress note dated 06/30/26 documents in part, Resident noted with altered mental status and decreased responsiveness to verbal and tactile stimuli compared to baseline. …
Based on interview and record review the facility failed to address complaints made by residents and family members about staff inappropriate behavior at the facility. Findings include: On 8/10/2021 at 2:00PM, V2 (Director of Nursing/DON) said she received a call on 8/9/2021 from V13 (family member of R13) to say the staff was rude to her on the telephone. V2 said she was in the process of looking into the allegation. On 8/10/2021 during interview, V13 stated nurse was rude to her when she reported to her that R13 had a [CONDITION(S)]. V13 said she asked the nurse about the medications for seizures for R13 and the nurse told her in a rude tone, I do not have time to look at that now, I have to attend to other things. On 8/10/2021 while in R16's room, R16 was visited by V38 (spouse). …
The short window
Recent years
| Year | Share of Illinois citations | vs expected |
|---|---|---|
| 2023 | 0.37% | 1.46× |
| 2024 | 0.26% | 0.96× |
| 2025 | 0.28% | 1.21× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Illinois surveyors cite →
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