Based on observation, interview and record review the facility failed to allow one resident (R18) to make her own decisions of sixteen residents reviewed for choices in a total sample of fifty-seven. This failure caused R18 emotional distress and crying. Findings Include: The Facility's undated Resident Rights Policy and Procedure documents Self-determination. Every resident has the right to, and the facility must promote and facilitate, resident, self-determination through support of resident choice, including but not limited to the rights specified in this section. A. each resident has right to choose activities, schedules (including sleeping and waking times), health care and providers of health care services consistent with his or her interests, assessments, and plan of care. B. …
F561 citations in Illinois
Self-determination · Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Illinois cites F561 less often than its own record predicts
0.47 times the national share — cited less often here than elsewhere.
Of every deficiency written in Illinois in 2025, this is the portion that was F561.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Illinois surveyors wrote
F561 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 establish care schedules based on individual resident preferences and needs rather than staff convenience for 5 of 5 residents (R1, R2, R3, R7, and R8) in the sample of 5 reviewed for overnight care schedules. Specifically, timecard records revealed two dedicated wound nurses routinely initiated shift duties as early as 2:30 AM to perform non-emergent wound care while residents were sleeping, solely to accommodate employee personal and educational schedules. …
Based on observation, interview and record review the facility failed to allow communal dining. This has the potential to affect all residents residing in the facility. Findings include: On 11/29/21 at 12:15 PM, All resident lunch trays are being served to resident's rooms, no communal dining is occurring. On 11/30/21 all resident breakfast trays and lunch trays were served in resident rooms. On 11/30/21 at 9:40 AM, V2, Director of Nurses (DON), stated, Communal dining has not been done here for a long time. …
The short window
Recent years
| Year | Share of Illinois citations | vs expected |
|---|---|---|
| 2023 | 0.18% | 0.34× |
| 2024 | 0.13% | 0.31× |
| 2025 | 0.18% | 0.47× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Illinois surveyors cite →
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