Based on interview and record review, the facility failed to ensure a current and accurate PASARR 1 screening (Preadmission Screening and Resident Review screening) was completed on a resident for 1 of 8 residents (R13) reviewed for PASARR I screenings in the sample of 31.The findings include:R13's admission report showed R13 was admitted to the facility on [DATE], with diagnoses including major depression, unspecified psychosis, and schizophrenia. R13's PASARR I screening, dated 11/17/2018, showed R13 had no serious mental health diagnoses at that time of the screening.On 6/9/26 at 12:05 PM, V11, Director of Admission, stated, PASARR I screening should be completed on all resident, prior to admission to the facility to ensure a resident is placed in the appropriate setting to treat not… …
F645 citations in Illinois
PASARR screening · Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Illinois cites F645 less often than its own record predicts
0.94 times the national share — cited less often here than elsewhere.
Of every deficiency written in Illinois in 2025, this is the portion that was F645.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Illinois surveyors wrote
F645 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 initiate a new Level I screen for residents with known mental illness for four of eight residents (R11, R52, R63, R83) reviewed for Pre-Admission Screening and Record Review (PASARR) in a sample of 36. Findings include: 1. On 01/31/2024 at 1:30PM during record review, R11's Interagency Certification of Screening Results OBRA-I Initial Screen dated 09/12/2017 indicated that R11 has no reasonable basis for suspecting MI (mental illness). …
The short window
Recent years
| Year | Share of Illinois citations | vs expected |
|---|---|---|
| 2023 | 0.32% | 0.55× |
| 2024 | 0.57% | 0.89× |
| 2025 | 0.57% | 0.94× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Illinois surveyors cite →
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