Based on interview and record review, the facility failed to ensure that each Minimum Data Set (MDS) assessment was certified as complete by a registered nurse (RN) for 7 (R6, R17, R23, R27, R30, R34, R38) out of 26 residents' assessments reviewed. The findings include: 1. R6 Quarterly MDS dated [DATE] showed completion date on 9/19/24 and signed by V17 (LPN/Licensed Practical Nurse). 2. R17 Quarterly MDS dated [DATE] showed completion date on 9/19/24 and signed by V17 (LPN). 3. R23 Quarterly MDS dated [DATE] showed completion date on 9/30/24 and signed by V17 (LPN). 4. R27 Quarterly MDS dated [DATE] showed completion date on 9/19/24 and signed by V17 (LPN). 5. R30 Quarterly MDS dated [DATE] showed completion date on 9/19/24 and signed by V17 (LPN). 6. …
F642 citations in Illinois
Resident Assessment and Care Planning Deficiencies
Ensure a qualified health professional conducts resident assessments.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2024
Illinois cites F642 less often than its own record predicts
0.64 times the national share — cited less often here than elsewhere.
Of every deficiency written in Illinois in 2024, this is the portion that was F642.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Illinois surveyors wrote
F642 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 have a Registered Nurse sign a Minimum Data Set (MDS) assessment for four (R2, R3, R4, R13) of 24 residents reviewed for MDS completion in a sample of 51. Findings include: 1. R4's MDS Section Z, dated 11/6/18, does not have an RN signature. 2. R13's MDS Section Z, dated 12/16/18, does not have an RN signature. 3. R3's MDS Section Z, dated 12/9/18, does not have an RN signature. 4. R2's MDS Section Z, dated 8/30/18, does not have an RN signature. On 2/8/19 at 10:00 am, V12 RN (Registered Nurse)/MDS/Medicare Coordinator verified the MDS's had not been signed by an RN (Registered Nurse) and stated, We have a hard time getting them signed.
The short window
Recent years
| Year | Share of Illinois citations | vs expected |
|---|---|---|
| 2023 | 0.02% | 0.48× |
| 2024 | 0.01% | 0.64× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Illinois surveyors cite →
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