F646 in Illinois. Pick another state for the same tag.
Against expectation — 2025
Illinois cites F646 less often than its own record predicts
Versus expected share0.91×
0.91 times the national share — cited less often here than elsewhere.
Share of Illinois citations0.06%
Of every deficiency written in Illinois in 2025, this is the portion that was F646.
Illinois0.06%
National0.07%
Share of all citations that were F646.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Illinois surveyors wrote
F646 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.
G · Actual harm, isolatedMarch 21, 2019
Based on interview and record review, the facility failed to notify the physician of a resident's change in condition.
This failure contributed to R12's condition deteriorating and a delay in treatment.
This applies to 1 of 3 residents (R12) reviewed for physician notification in the sample of 3.
The findings include:
R12's acute hospitalization discharge summary dated (MONTH) 6, 2019, shows [DIAGNOSES REDACTED].
R12's progress note dated (MONTH) 8, 2019, by V22 Nurse Practitioner shows there was a concern for aspiration and a feeding tube was placed on (MONTH) 5, 2019 (while in the hospital). …
D · No harm, potential for more than minimal, isolatedJune 3, 2026
Based on interview and record review the facility failed to notify the state mental health authority once a resident experienced an increase in behaviors, was diagnosed with a new psychiatric condition, and was prescribed a new anti-psychotic medication for one of two residents (R16) reviewed for a significant change in condition in the sample of 30.R16's MDS (Minimum Data Set) dated 10/15/25 documents R16 does not receive anti-psychotic medication.R16's Behavior Note dated 12/4/25 at 10:58 AM documents, (R16) is very angry and anxious this am (morning). (R16) states that she does not want to move to south. It is not fair that I have to leave my home. …
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