Based on interview and record review the facility failed to provide a safe discharge for a resident with insulin-dependent diabetes and end-stage renal failure, requiring hemodialysis. This failure resulted in R1 being discharged from the facility and sent to a homeless shelter without the shelter's knowledge or ability to accept and care for the resident. Because of the resident's homelessness, R1 was transported to the local hospital, where he remained as of August 22, 2024, awaiting placement in another long-term care facility. These failures resulted in an immediate jeopardy. …
F624 citations in Illinois
Resident Rights Deficiencies
Prepare residents for a safe transfer or discharge from the nursing home.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2024
Illinois cites F624 less often than its own record predicts
0.20 times the national share — cited less often here than elsewhere.
Of every deficiency written in Illinois in 2024, this is the portion that was F624.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Illinois surveyors wrote
F624 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 ensure outpatient hemodialysis was in place prior to discharging a resident home. This affected one of three (R1) residents reviewed for safe discharges. This failure resulted in R1 missing approximately four treatments and being admitted to the local hospital with an elevated potassium level requiring emergency hemodialysis. Findings Include: R1 is an [AGE] year old with the following diagnosis: end stage renal disease with dependence on renal dialysis, type two diabetes, peripheral vascular disease, and chronic heart failure. A Nursing note dated 9/28/23 documents R1 admitted from the hospital. R1 is alert and oriented times three. …
Based on interview and record review the Facility failed to provide and document sufficient preparation and orientation for a safe and orderly discharge from the facility for 1 of 3 residents (R1) reviewed for discharge in the sample of 6. Findings include: R1's Physician Order Sheet (POS) for diagnoses of cerebral infarction due to embolism of left middle cerebral artery, type 2 diabetes mellites without complications, acute respiratory failure, unsteadiness on feet, lack of coordination, abnormal posture, chronic allergic conjunctivitis, bipolar, unspecified convulsion, acute kidney failure, acquired absence of right leg above knee, and depression. …
The short window
Recent years
| Year | Share of Illinois citations | vs expected |
|---|---|---|
| 2023 | 0.13% | 1.20× |
| 2024 | 0.02% | 0.20× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Illinois surveyors cite →
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction