F558 in Illinois. Pick another state for the same tag.
Against expectation — 2025
Illinois cites F558 more often than its own record predicts
Versus expected share1.42×
1.42 times the share F558 takes of citations nationally.
Share of Illinois citations1.57%
Of every deficiency written in Illinois in 2025, this is the portion that was F558.
Illinois1.57%
National1.11%
Share of all citations that were F558.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Illinois surveyors wrote
F558 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.
G · Actual harm, isolatedJune 1, 2026
Based on observation, interview, and record review, the facility failed to ensure a call light was in reach and residents had a means to call for help for 1 of 3 (R11) residents reviewed for accommodation of needs in a sample of 31. This failure resulted in R11 unable to receive help. It also resulted in R11 feeling frightened, frustrated, embarrassed, helpless and disposed of.Findings include:1. R11's admission Record, not dated, documents that R11 was admitted on [DATE] with diagnosis of Multiple Sclerosis and Quadriplegia. R11's Care Plan, dated 7/1/2025, (R11) has Quadriplegia. He requires assist with all of his ADL's (Activities of daily living). It also documents 8/4/2025 (R11) have Multiple Sclerosis. He is dependent on all ADLs. …
D · No harm, potential for more than minimal, isolatedAugust 27, 2026
Based on observation, interview, and record review the facility failed to ensure the call light was within reach for one of six residents (R1) reviewed for call light. Findings include:R1's admission Record documents that R1 was admitted to the facility on [DATE] with diagnosis list that includes but not limited to Parkinson's disease without Dyskinesia without mention of fluctuations, type 2 diabetes mellitus with diabetic neuropathy unspecified, chronic obstructive pulmonary disease unspecified, psoriasis vulgaris, and age- related osteoporosis without current pathological fracture.R1's MDS (Minimum Data Set) dated June 30, 2026, section C -cognitive pattern BIMS summary scored 14 indicating that R1 is cognitively intact.R1's physician order showed order for R1 to have incontinent care,… …
B · No harm, potential for minimal, patternNovember 25, 2019
Based on observation, interview and record review the facility failed to accommodate one of three residents (R6) with physical limitations from a total sample of 11.
Findings include:
On 11/19/2019 at 12:44 pm. R6 said, I have [MEDICAL CONDITION]. I am paralyzed from the neck down. I can't move. I can't use a remote. I have magazines. I can't turn a page. I can not push the button on the call light. I have a straw I blow in to work the call light. I have a laptop computer programmed with voice command. I would like to use it every morning. The staff are so busy they don't have time. The staff have to set it up for me. They put it on the over the bed table. They have to plug it in. Turn it on. Use the mouse to click on the voice command program. It takes about 30 minutes to set it up. …
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