Based on interview and record review, the facility failed to ensure an appropriate discharge for one resident reviewed for discharge practices by discharging the resident despite abnormal laboratory results indicative of dehydration. This deficient practice affected one (R1) of two residents reviewed for discharge. As a result, R1 was readmitted to the hospital within 48 hours of discharge with diagnoses of acute metabolic encephalopathy, likely secondary to a combination of dementia, dehydration, and urinary tract infection (UTI).Failure to ensure the resident was medically stable prior to discharge had the potential to result in worsening dehydration, delayed medical treatment, increased risk for hospitalization, and adverse health outcomes related to unresolved clinical conditions.R1… …
F627 citations in Illinois
Resident Rights Deficiencies
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Illinois cites F627 less often than its own record predicts
0.77 times the national share — cited less often here than elsewhere.
Of every deficiency written in Illinois in 2025, this is the portion that was F627.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Illinois surveyors wrote
F627 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 a resident to return to the facility following hospitalization and failed to demonstrate that a valid regulatory basis for transfer or discharge existed. This failure affected one (R1) of three residents reviewed for transfer and discharge. Findings include: R1 was admitted to the facility from 3/30/2024 to 7/10/2026 with diagnoses that include but are not limited to: Diabetes, Hypertension, Right- sided Bell's Palsy, Intellectual Disability, Autistic Disorder, and Intermittent Explosive Disorder. Minimal Data Set (MDS) assessment of 6/16/2026, section C1000 Cognitive Skills for Daily Decision Making, showed Severe impairment. R1 was transferred to the hospital on 7/10/26 for aggressive behavior. …
What else Illinois surveyors cite →
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