Based on observation, interview and record review, the facility failed to provide behavioral health services for residents with mental illness, and to maintain/improve resident's psychosocial well-being for 1 of 3 residents (R1) reviewed for behavioral services in a sample of 9. This failure resulted in R1 voicing feelings of isolation, suicidal ideations with a plan of strangulation, and engaging in self-injurious behaviors.This failure resulted in an Immediate Jeopardy, which was identified to have begun on 4/14/25 when the facility failed to implement increased monitoring for R1, remove hazardous objects from R1's room, and refer R1 for recommended counseling services. V1 (Administrator) and V2 (Director of Nursing) were notified of the Immediate Jeopardy on 8/22/2025 at 9:03 AM. …
F740 citations in Illinois
Behavioral health services · Quality of Life and Care Deficiencies
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Illinois cites F740 less often than its own record predicts
0.68 times the national share — cited less often here than elsewhere.
Of every deficiency written in Illinois in 2025, this is the portion that was F740.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Illinois surveyors wrote
F740 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 behavioral health services for 1 of 3 residents (R2) reviewed for behavior services in the sample of 6. This failure resulted in R1 being repeatedly yelled at, cursed at, and called names by R2.The findings include:The facility's policy and procedure revised 5/11/2019 showed, . Behavior Tracking/Management Program. Purpose: To provide a means to collect data regarding individual resident behaviors. This data will be used for the following reason: To collect a baseline to determine the extent of the problem(s); To Monitor the effectiveness of the plan of care developed; To monitor for behavior (including problems individuals have been placed on psychotropic medications for); To monitor for changes in behavior. …
Based on interview and record review, the facility failed to help a resident maintain their highest practical level by failing to a.) follow their comprehensive care plan and behavioral health services policies b.) maintain medical records accurate in accordance with accepted professional standards and practices c.) provide consistent psychosocial therapy for one (R173) resident out of eight residents reviewed in a total sample of 35. Findings include:On 07/14/2026 at 11:08 AM, R173 was laying down on her bed, R173 stated that she would say that some things are not being addressed. R173 was noted with a flat facial affect (where a person shows minimal or no emotional expression on their face, even when experiencing strong emotions internally). …
The short window
Recent years
| Year | Share of Illinois citations | vs expected |
|---|---|---|
| 2023 | 0.35% | 1.34× |
| 2024 | 0.34% | 1.36× |
| 2025 | 0.18% | 0.68× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Illinois surveyors cite →
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction