Based on interview and record review, the facility failed to continue basic life support measures for a resident after R1 choked on food. The facility discontinued the cardiac compressions prior to emergency rescue team arriving. This failure contributed to R1 going for a period of 6 minutes without cardiac compression until initiated immediately by the paramedics. R1 later expired at the hospital. The immediate jeopardy began on (MONTH) 19, (YEAR) when R1 became unresponsive and not breathing at 7:10 PM. CPR was initiated but was stopped by the facility at 7:18 PM. Emergency Medical Services (EMS) arrived to R1 at 7:24 PM; (6 minutes later) on arrival of the paramedics; R1 was unresponsive, without a pulse and not breathing. EMS initiated CPR 6 minutes after the facility had stopped. …
F675 citations in Illinois
Quality of Life and Care Deficiencies
Honor each resident's preferences, choices, values and beliefs.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Illinois cites F675 more often than its own record predicts
1.25 times the share F675 takes of citations nationally.
Of every deficiency written in Illinois in 2025, this is the portion that was F675.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Illinois surveyors wrote
F675 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 observation, interview, and record review the facility failed to provide a deaf resident with a mode of meaningful communication for 1 of 6 residents (R1) reviewed for quality of life in the sample of 6. This failure resulted in R1 being unable to communicate with his friends in the deaf community, as well as his Care Services Coordinator. R1 was unable to receive counseling services for several months and showed signs of depression and isolation. The findings include: On 10/5/23 at 9:30 AM, R1 was lying in bed, with his head covered. R1's blinds were closed and the room was dark. R1 remained in his dark room until the noon meal. At 12:30 PM, the surveyor, V8 (R1's POA), and V9 (Ombudsman) entered R1's room. R1 was pulling at a thick mattress that was resting against his bed. …
Based on observation, interviews and record review, the facility failed to ensure adequate running water and failed to provide adequate hot water. This failure has affected four residents (R1, R3, R9 and R10) and has the potential to affect all 181 residents that reside in the facility. Findings include:R1 is [AGE] year-old with diagnosis including but not limited to: Type 2 diabetes mellitus, unspecified asthma, essential hypertension, insomnia and gastro-esophageal reflux disease without esophagitis.R1 has a BIMS (Brief Interview of Mental Status) score of 15, which indicates cognitively intact. …
The short window
Recent years
| Year | Share of Illinois citations | vs expected |
|---|---|---|
| 2023 | 0.08% | 1.77× |
| 2024 | 0.02% | 0.63× |
| 2025 | 0.06% | 1.25× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Illinois surveyors cite →
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