Based on interview and record review the Facility failed to ensure coordination of care for a resident to receive medically necessary hemodialysis for 1 of 3 residents (R2) reviewed for dialysis services in the sample of 16. This failure occurred when (R2) was admitted to the facility on [DATE] and did not receive dialysis services for 12 days. R2 was sent to the hospital per family request where she was found with critical lab values, shortness of breath and had a 5 day hospital stay.Findings include:The IJ (Immediate Jeopardy) was presented and called on 10/29/2025 at 1:12 PM, with V1, Administrator, V22, [NAME] President of Clinical Operations and V23 Regional Director of Operations. The Immediate Jeopardy began on 10/8/2025 at 1:20 PM when R2 arrived at the facility. …
F698 citations in Illinois
Dialysis · Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Illinois cites F698 less often than its own record predicts
0.36 times the national share — cited less often here than elsewhere.
Of every deficiency written in Illinois in 2025, this is the portion that was F698.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Illinois surveyors wrote
F698 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 maintain communication and collaboration with an offsite dialysis center, follow dialysis and physician's orders, complete assessments and monitoring for dialysis related complications, and report elevated blood pressures for one of two residents (R15) reviewed for dialysis in a sample list of 64. These failures resulted in R15 being hospitalized and admission to the intensive care unit. Findings include: The facility's Diet Manual dated 2025 documents the following: A Chronic Kidney Disease (CKD) Renal diet is for resident's with CKD and is appropriate for resident's on dialysis. This includes 75-85 grams (g) of protein, 2.5-3.5 g of Sodium, 1.8-2.5 g of potassium and 1.5 g or less of phosphorous per day. …
Based on observation, interview, and record review the facility failed to provide documentation of communication with the dialysis facility for three residents (R1, R2, R42), failed to have appropriate physician orders for two residents (R1, R42), and failed to implement a care plan for one resident (R1) of three residents reviewed for dialysis in a sample of 68. Findings include: The facility policy, Hemodialysis Guidelines, dated 4/3/24, documents, Care interventions required when a resident is on hemodialysis may exceed the usual identified problems and interventions provided to residents in long-term care setting. The following information will provide additional direction in assessment, planning and provision of care to our residents. …
The short window
Recent years
| Year | Share of Illinois citations | vs expected |
|---|---|---|
| 2023 | 0.39% | 0.48× |
| 2024 | 0.43% | 0.57× |
| 2025 | 0.27% | 0.36× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Illinois surveyors cite →
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