Based on observation, interview, video review, and record review, the facility failed to ensure one resident (R4) remained free from physical abuse by staff. This failure resulted in R4 being pushed in the chest causing R4 to fall back into the chair and being slapped repeatedly to prevent R4 from standing up. This failure affected one of four residents (R4) reviewed for abuse and had the potential to affect 152 residents residing in the facility.The Immediate Jeopardy began on 06/18/26 when V18, Certified Nursing Assistant (CNA) physically pushed R4 in the chest causing R4 to fall into a chair then slapped R4's hands in an attempt to stop R4 from standing up. …
F600 citations in Illinois
Abuse and neglect · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Illinois cites F600 more often than its own record predicts
2.32 times the share F600 takes of citations nationally.
Of every deficiency written in Illinois in 2025, this is the portion that was F600.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Illinois surveyors wrote
F600 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 protect a resident's right to be free from physical and verbal abuse from staff. These failures affected one (R4) of three residents reviewed for abuse. These failures resulted in R4 suffering mental anguish and physical pain when a staff yelled at him for pulling his call light, and another staff forcefully yanked R4's shoulder to turn him around while providing care. R4 said that he was afraid for his life when the same staff that he requested not to care for him returned to his room a day or two later and R4 told her she was not supposed to be in his room.Findings include: R4 was admitted to the facility on [DATE], face sheet listed the following past medical history in part: Chronic inflammatory demyelinating polyneuritis,… …
Based on interview and record review, the facility failed to protect a resident (R2) from physical abuse from another resident (R3). This failure affected one (R2) out 3 residents reviewed for abuse.Findings include:R2's Electronic Health Record (EHR) documents R2 has diagnoses including but not limited to Toxic Encephalopathy, Chronic Kidney Disease, Stage 3a, Alcoholic Hepatitis with Ascites, Hyperglycemia, and Schizophrenia.R2 has a Brief Interview of Mental Status score of 09 that indicates moderate cognition impairment.R2's Screening Assessment for Indicators of Aggressive and/or Harmful Behaviors (SS), dated 8/16/2026, documents 4. …
The short window
Recent years
| Year | Share of Illinois citations | vs expected |
|---|---|---|
| 2023 | 3.27% | 1.85× |
| 2024 | 4.90% | 2.08× |
| 2025 | 6.07% | 2.32× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Illinois surveyors cite →
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