Based on observation, record review and interview, the facility failed to develop and implement effective behavioral interventions for R1, R2, R3, R4, R5, R6, R7, R8, R9, R10, R11 and R12, each with a known cognitive impairment. These failures resulted in repetitive instances of resident to resident physical abuse to R1, R5, R6, R7, R10, R11 and R12. These failures put these residents at continued risk for engaging in ongoing behaviors resulting in physical violence to one another. Unmitigated behavioral interventions could result in residents sustaining severe, life-threatening, or fatal injuries. This failure resulted in an Immediate Jeopardy. While the immediacy was removed on 8/12/21, the facility remains out of compliance at severity level two. …
F744 citations in Illinois
Dementia care · Quality of Life and Care Deficiencies
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Illinois cites F744 more often than its own record predicts
1.73 times the share F744 takes of citations nationally.
Of every deficiency written in Illinois in 2025, this is the portion that was F744.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Illinois surveyors wrote
F744 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 interview and record review, the facility failed to care for a dementia resident in a safe manner for 1 of 2 resident (R2) reviewed for abuse in the sample of 10. This failure resulted in R2 sustaining a left humerus fracture. Findings include:Based on interview and record review, the facility failed to care for a dementia resident in a safe manner for 1 of 2 resident (R2) reviewed for abuse in the sample of 10. This failure resulted in R2 sustaining a left humerus fracture. Findings include:R2's admission Record, print date of 12/1/25, documents R2 was admitted on [DATE] with diagnoses of Osteoarthritis and Dementia. …
Based on observation, interview, and record review the facility failed to have interventions in place to protect a cognitively impaired resident from potential abuse. This applies to one of five residents (R1) reviewed for abuse in the sample of 11.The findings include: The facility face sheet for R1 shows her to have diagnoses to include but not limited to dementia, Pick's Disease (a rare irreversible neurodegenerative condition, a type of dementia), mild intellectual disability and schizoaffective disorder bipolar type. …
The short window
Recent years
| Year | Share of Illinois citations | vs expected |
|---|---|---|
| 2023 | 0.14% | 0.68× |
| 2024 | 0.23% | 1.11× |
| 2025 | 0.34% | 1.73× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Illinois surveyors cite →
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