Based on interview and record review, the facility failed to provide detailed written notice 30 days prior to the discharge for one resident (R1) by failing to allow R1 to return to the facility while being accounted for on a facility issued community pass. This failure resulted in R1 not being properly discharged and being without medical care and medications for a month before getting a new primary care physician. Findings include: R1 is a [AGE] year old male and admitted to the facility 12/22/23 with diagnoses that included cerebral infarction, diabetes, asthma, hypertension, and substance abuse. On 8/20/24 at 4:09PM, R1 was interviewed over the phone and said that they were discharged from the facility on 7/27/24 without written notice. …
F623 citations in Illinois
Notice before transfer or discharge · Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Illinois cites F623 less often than its own record predicts
0.70 times the national share — cited less often here than elsewhere.
Of every deficiency written in Illinois in 2025, this is the portion that was F623.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Illinois surveyors wrote
F623 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 provide residents and/or their representatives written notification of the reason for transfer to the hospital. This applies to 3 of 3 residents (R57, R93, and R113) reviewed for discharge in a sample of 32. The findings include: 1. R113's Face Sheet showed R113 was admitted to the facility on [DATE]. R113 had multiple diagnoses which included psychosis, chronic diastolic (congestive) heart failure, paranoid schizophrenia, delusional disorders, auditory hallucinations, and visual hallucinations. R113's MDS (Minimum Data Set) dated 04/01/25 showed R113 was cognitively intact. …
Based on interview and record review, the facility failed to notify the resident/resident representative of the reason for transfer in writing for six (R1, R5, R6, R11, R31, R127) of six residents reviewed for emergency hospital transfer in a sample of 38. This has the potential to affect all 77 residents residing in the facility. Findings include: The facility's Admission, Transfer and Discharge Policy, dated 12/11/24, documents: 3. Notice of Transfer: Before a facility transfers or discharges a resident, the facility must- a. Notify the resident and the resident's representative(s) of the transfer or discharge and the reasons for the move in writing and in a language and manner they understand. 1. …
The short window
Recent years
| Year | Share of Illinois citations | vs expected |
|---|---|---|
| 2023 | 0.32% | 0.35× |
| 2024 | 0.71% | 0.69× |
| 2025 | 0.28% | 0.70× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Illinois surveyors cite →
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