F695 in Illinois. Pick another state for the same tag.
Against expectation — 2025
Illinois cites F695 less often than its own record predicts
Versus expected share0.90×
0.90 times the national share — cited less often here than elsewhere.
Share of Illinois citations1.97%
Of every deficiency written in Illinois in 2025, this is the portion that was F695.
Illinois1.97%
National2.20%
Share of all citations that were F695.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Illinois surveyors wrote
F695 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.
J · Immediate jeopardy, isolatedMay 5, 2026
Based on interviews and records reviewed the facility failed to follow one resident's (R10) plan of care while on trials to be weaned off mechanical ventilation and failed to monitor R10's pulse oximetry alarm was on. The alarm is used to alert staff when R10's oxygen saturation drops below 92%. Subsequently, on [DATE] R10 was observed unresponsive, pulse less and breathless due to staff not monitoring and supervising a resident that depended on mechanical ventilation to sustain his life. Additionally, the facility failed to ensure pulse oximetry alarms and displays function properly for 3 (R11, R12, and R16) residents in a sample of 4 residents reviewed.This was identified as an Immediate Jeopardy. …
Based on observation, interview, and record review the facility failed to ensure a resident with an order for a BiPAP (Bilevel Positive Airway Pressure) machine was provided one for 1 of 3 residents (R1) reviewed for respiratory devices in the sample of 9. This failure resulted in R1 being hospitalized for respiratory failure due to not using BiPAP machine.
The findings include:
R1's face sheet showed she was admitted to the facility on [DATE] with diagnoses to include acute diastolic congestive heart failure, chronic obstructive pulmonary disease with acute exacerbation, need for assistance with personal care, acute and chronic respiratory failure with hypoxia, primary pulmonary hypertension, other forms of dyspnea, obstructive sleep apnea, and anxiety disorder. …
E · No harm, potential for more than minimal, patternAugust 20, 2026
Based on observations interviews and record reviews, the facility repeatedly failed to follow their policy to complete oxygen humidifier and oxygen administration equipment refills/ replacement (R22 and R63), failed to enter weekly oxygen equipment care and replacement on the treatment administration sheet/physician order sheet and care plan (R22), failed by initialing that oxygen equipment had been replaced when it had not occurred (R63). These failures affected two of three residents (R22 and R63) reviewed for respiratory/oxygen administration on the sample list of 44 residents.Findings include:1. …
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