Based on interview and record review, the facility failed to provide the resident and/or their representative of the facility's policy for bed hold in writing. This applies to 1 of 1 resident (R113) reviewed for discharge in a sample of 32. The findings include: 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. R113's Progress Note dated 12/20/24 at 5:00 PM, showed Resident roommate observed resident vomiting and came to the nurses' station to report it. …
F625 citations in Illinois
Bed-hold notice · Resident Rights Deficiencies
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Illinois cites F625 more often than its own record predicts
1.09 times the share F625 takes of citations nationally.
Of every deficiency written in Illinois in 2025, this is the portion that was F625.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Illinois surveyors wrote
F625 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 a copy of the Bed Hold Policy for six (R1, R5, R6, R11, R31, R127) of six residents reviewed for emergency hospital transfer in the sample of 38.This has the potential to affect all residents that currently reside in the faclity. Findings include: The facility's Bed Hold Policy-Healthcare Policy, dated 12/4/20, documents: Notice of Bed Hold and Readmission Policy will be provided before hospitalization or leave. A second notice will be provided to resident at time of transfer or within 24 hours of emergency. 1. R5's Electronic Medical Records documentation indicated that R5 was sent to the hospital on 5/23/24. …
The short window
Recent years
| Year | Share of Illinois citations | vs expected |
|---|---|---|
| 2023 | 0.37% | 0.60× |
| 2024 | 0.60% | 0.87× |
| 2025 | 0.31% | 1.09× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Illinois surveyors cite →
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