Based on interview and record review, the facility failed to ensure residents were able to communicate freely with the State Survey Agency (SSA) when the facility's Social Service Director (SSD) and Administrator confronted one resident after the resident voiced concerns about calling the SSA hotline (Resident #15). The sample was 10. The census was 103. Review of the facility's Grievance policy, dated 12/27/24, showed the following:-Purpose: It is the policy of this facility to support each resident's and family member's right to voice grievances without discrimination, reprisal or fear of discrimination or reprisal;-Resident Right to File a Grievance: Every resident has the right to voice their grievance with the facility or other agency. …
F586
Resident Rights Deficiencies
Not prohibit or in any way discourage a resident from communicating with federal, state, or local officials.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Every F586 citation surveyors wrote nationally that year.
Distinct nursing homes with at least one F586 finding.
The harm level
How severely F586 is cited
0.0% of citations found actual harm or worse (level G and above).
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D746.7% | E426.7% | F320.0% |
| No harm, potential for minimal | A— | B16.7% | C— |
In the surveyor’s words
What an F586 citation says
One finding from each severity level, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
Based on interviews and records reviewed the facility failed to ensure census reports were accurate when notifying an external entity (Age Options) of new admission to the facility, discharges out of the facility, and death of residents. This failure affected 7 residents reviewed in a sample of 98 residents. Findings include: On [DATE] at 10:20AM V12, Age Options Worker, said without the facility report the program can not help the residents. V12 said she spoke with the Organization Monitor and was told to contact IDPH. On [DATE] at 11:34AM V11, Admissions Director, demonstrated the Maximus/Pathtracker system for the surveyor. V11 said when a resident comes in, I enter their name and Medicaid number, if they have one or the social security number. …
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