Based on interviews and reviews of records, the facility failed to provide person-centered baseline care plan to 1 out of 3 residents (R1) for a total of 3 residents reviewed for Comprehensive Resident Centered Care Plans. These failures resulted in lack of interventions needed for 1 resident (R1) necessary to perform daily activities.Findings include: R1 subject of the complaint was initially admitted in the facility on 06/15/2026 and was discharged from the facility on 06/23/2026. R1 medical diagnosis includes degenerative diseases of nervous system, tremors, neuralgia and neuritis, pain, cerebellar ataxia, dysarthria following cerebrovascular disease. …
F655 citations in Illinois
Baseline care plan · Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Illinois cites F655 less often than its own record predicts
0.20 times the national share — cited less often here than elsewhere.
Of every deficiency written in Illinois in 2025, this is the portion that was F655.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Illinois surveyors wrote
F655 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 provide a baseline care plan for 5 of 5 residents (R1-R5) reviewed for baseline care plans in the sample of 5. The findings include: On 1/28/21 at 8:35 AM, R3 stated he was not aware of the facility providing him a baseline plan of care. On 1/28/21 at 8:45 AM, R2 stated no baseline care plan was provided to her. R1- R5's Interim Care Plans were reviewed. There is no evidence in the medical records the care plan was provided to the residents or their representatives. On 1/28/21 at 9:30 AM, V4 (Assistant Director of Nursing) stated nursing completes the baseline care plan upon admission to the facility. She was not sure who gives the base line care plan to the resident and/or resident representative. …
The short window
Recent years
| Year | Share of Illinois citations | vs expected |
|---|---|---|
| 2023 | 0.19% | 0.24× |
| 2024 | 0.17% | 0.25× |
| 2025 | 0.13% | 0.20× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Illinois surveyors cite →
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