F628 in Illinois. Pick another state for the same tag.
Against expectation — 2025
Illinois cites F628 less often than its own record predicts
Versus expected share0.56×
0.56 times the national share — cited less often here than elsewhere.
Share of Illinois citations0.52%
Of every deficiency written in Illinois in 2025, this is the portion that was F628.
Illinois0.52%
National0.93%
Share of all citations that were F628.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Illinois surveyors wrote
F628 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.
J · Immediate jeopardy, isolatedMay 20, 2026
Based on interview and record review the facility failed to follow their own discharge policy for discharging a resident for one resident (R5). This failure led to R5 being discharged to a home with no running water, with all of R5's medical supplies being left in the weather elements and being ruined, no food in the home and no home health assistance as ordered by the doctor. The failure of leaving R5's medical supplies on the porch has the potential for R5 to get infections in wounds that could lead to hospitalizations, serious illness or even death. The failure to have no home health set up for home could lead to multiple health concerns worsening and causing illness, hospitalizations and death. …
Based on interview and record review, the facility failed to document a resident's discharge correctly for 1 of 3 residents (R2) reviewed for discharge. This failure resulted in R2 losing his Medicare coverage from [DATE]-[DATE], having to cancel important diagnostic testing and a follow-up appointment with his neurosurgeon, not having CPAP (continuous positive airway pressure) supplies due to lack of medical coverage, and having to spend many hours and days trying to get his Medicare coverage reinstated.The findings include:R2's admission Record, printed by the facility on [DATE], showed he had diagnoses including, but not limited to partial intestinal obstruction, type II diabetes mellitus with hyperglycemia, gastrointestinal hemorrhage, anemia, acute kidney failure, neoplasm of… …
D · No harm, potential for more than minimal, isolatedAugust 25, 2026
Based on interview and record review, the facility failed to document and provide a resident/power of attorney with timely notice of transfer and discharge. The facility also failed to provide the legal guardian with the bed hold policy and transfer notification. This failure applied to one (R1) of three residents reviewed for bed hold notice. 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. …
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