Based on observation, interview, and record review, the facility failed to ensure a diabetic resident's feet were monitored to prevent complications. This failure resulted in the resident acquiring a necrotic diabetic ulcer on her left heel. This applies to 1 out of 3 residents (R5) reviewed for foot care. The findings include: R5's EMR (Electronic Medical Record) showed R5 was admitted to the facility on [DATE] with multiple diagnoses, including hemiplegia and hemiparesis following cerebral infarction, diabetes, stenosis, and vascular disease. R5's EMR said she was dependent on staff assistance with her mobility and hygiene care, and at risk for developing ulcers. On 6/30/2025 at 9 AM, V24 (Wound Care Nurse/WCN) changed R5's left heel wound dressing. …
F687 citations in Illinois
Quality of Life and Care Deficiencies
Provide appropriate foot care.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Illinois cites F687 more often than its own record predicts
1.29 times the share F687 takes of citations nationally.
Of every deficiency written in Illinois in 2025, this is the portion that was F687.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Illinois surveyors wrote
F687 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 foot care to a resident dependent on staff to cut his toenails. This applies to 1 of 1 (R9) reviewed for podiatry in a sample of 20. The findings include: On 06/09/26 at 10:10 AM, R9 was lying in bed, and his toenails were 0.5 inches long on both feet and were curling over his toes. R9 said he told the staff a month ago he needed his toenails trimmed by the podiatrist, but no one had come to trim his toenails. At 12:19 PM, R9 said it hurt him to wear his sneakers because his toenails were too long in them. On 06/10/26 at 10:02 AM, R9's toenails were still 0.5 inches long and curling over his toes. R9's big toe on his right foot was thick. On 06/11/26 at 10:36 AM, R9's toenails remained long. …
The short window
Recent years
| Year | Share of Illinois citations | vs expected |
|---|---|---|
| 2023 | 0.18% | 1.03× |
| 2024 | 0.09% | 0.49× |
| 2025 | 0.22% | 1.29× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Illinois surveyors cite →
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