Based on interview and record review, the facility failed to assure each resident is assessed using the Minimum Data Set (MDS) Assessment tool no less than once every three months for 6 of 21 residents (R28, R42, R45, R49, R72, R97) reviewed for resident assessments in the sample of 59. The findings include: 1. R42's admission Record, dated 6/24/26, documents R42 was admitted to the facility on [DATE]. R42's Minimum Data Set (MDS) with a target date of 5/24/26 (Quarterly assessment) was submitted on 6/24/26. Assessment completed late: is more than 14 days after assessment reference date. R42's MDS with a target date of 5/26/26 (Discharge Return Anticipated) was submitted on 6/24/26. …
F638 citations in Illinois
Resident Assessment and Care Planning Deficiencies
Assure that each resident’s assessment is updated at least once every 3 months.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Illinois cites F638 less often than its own record predicts
0.65 times the national share — cited less often here than elsewhere.
Of every deficiency written in Illinois in 2025, this is the portion that was F638.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Illinois surveyors wrote
F638 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 review of records and interviews, the facility failed to provide required MDS (Minimum Data Set) discharge assessment for 1 out of 1 resident (R55) reviewed for resident assessments. These failures are not according to CMS instruction and affected 1 resident (R55) in determination of proper tracking of resident placement, monitoring and records.Findings include:On 05/06/2026 at 2:15 PM, an inquiry about R55 present location was made to V1 (Administrator/Executive Director). V1 after checking records, stated that R55 currently resides on assisted living but was in the skilled nursing facility in December. …
The short window
Recent years
| Year | Share of Illinois citations | vs expected |
|---|---|---|
| 2023 | 0.14% | 0.65× |
| 2024 | 0.13% | 0.74× |
| 2025 | 0.07% | 0.65× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Illinois surveyors cite →
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