Based on observation, interview and record review the facility failed to assess a resident for limited ROM (range of motion) and implement interventions to prevent a decline in ROM. This failure resulted in one resident developing a hand contracture (a condition of shortening and hardening of muscles, tendons, or other tissue, often leading to restricted joint mobility).This applies to 1 resident (R45) reviewed for complications of immobility in a sample of 16.The findings include:On 01/20/2026 at 11:34 AM, R45 was observed sitting in the dining / activity area. R45's left hand was contracted with four fingers bent towards her palm. R45 moved the thumb of her left hand with her right hand but was unable to extend the four fingers on her left hand. …
F688 citations in Illinois
Mobility and range of motion · Quality of Life and Care Deficiencies
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Illinois cites F688 more often than its own record predicts
1.52 times the share F688 takes of citations nationally.
Of every deficiency written in Illinois in 2025, this is the portion that was F688.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Illinois surveyors wrote
F688 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 ensure contractures and range of motion interventions were care planned and implement interventions to prevent reduction in range of motion for one (R34) of three resident reviewed for range of motion in the sample list of 44 residents. Findings include: R34's Physician's Order dated 1/1/26 documents bilateral knee hinge braces up to six hours a day to prevent further knee contractures. Apply in the morning. R34's Occupational Therapy Discharge summary dated [DATE] documents R34's left hand contracture and use of two rolled washcloths. …
The short window
Recent years
| Year | Share of Illinois citations | vs expected |
|---|---|---|
| 2023 | 1.47% | 1.59× |
| 2024 | 1.32% | 1.49× |
| 2025 | 1.21% | 1.52× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Illinois surveyors cite →
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