Based on interview and record review the facility failed to permit a resident to return to the facility after an acute hospitalization for 1 of 3 residents (R1) reviewed for discharge. The findings include: R1's electronic health record documents R1 had been residing at the facility since 7/28/2014. R1's 8/9/23 nursing note entered at 2:01 PM documents, Resident called [Mental Health Suicide Crisis Line] and stated she wanted to self-harm herself. Nurse did not know this until cops came in and stated that a resident had called. Resident did not show any self-harming signs or symptoms or nor did she state any discomfort or distress. Shortly, ambulance came as well, and she was transported via ambulance at around 7 PM. Vitals were all within normal range. …
F626 citations in Illinois
Resident Rights Deficiencies
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Illinois cites F626 less often than its own record predicts
0.53 times the national share — cited less often here than elsewhere.
Of every deficiency written in Illinois in 2025, this is the portion that was F626.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Illinois surveyors wrote
F626 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 permit readmission after an acute care hospitalization for 1 of 3 residents (R2) reviewed for involuntary discharge in the sample of 4. This failure resulted in causing R2 undue stress and worry regarding placement status and/or being placed in a facility that is not within proximity of family, and R2 remained in the hospital while waiting for his appeal. Finding includes: On [DATE] at 9:15 AM, V1, Administrator stated, The only involuntary discharge I have was on (R2). We could no longer meet his medical needs. This is my first involuntary discharge. …
Based on interviews and record reviews, the facility failed to permit a resident to return to the facility after he was transferred to the hospital. This applies to 1 of 3 residents (R5) reviewed for involuntary discharge in a sample of 16. The findings include: Face sheet, dated 2/22/25, shows R5's diagnoses included Huntington's disease and mood disorder. R5 was admitted to the facility on [DATE]. MDS, dated [DATE], shows R5 was cognitively intact and R5 was able to propel in a wheelchair once set up in the wheelchair. Care plan, dated 4/23/24, shows R5 was admitted to the facility on [DATE] with a criminal history of violating an order of protection and domestic battery. …
The short window
Recent years
| Year | Share of Illinois citations | vs expected |
|---|---|---|
| 2023 | 0.08% | 0.68× |
| 2024 | 0.14% | 1.03× |
| 2025 | 0.03% | 0.53× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Illinois surveyors cite →
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