Based on observation, interview, and record review, the facility failed to obtain a physician ordered Dilantin level for one of two residents (R47) reviewed for hospitalization s in the sample of 30. This failure resulted in R47 being hospitalized with a critically high Dilantin level. Findings include: On 06/20/23 at 10:41 AM, R47 was alert self-propelling himself in the hallway. R47 stated, A few weeks ago, I had to go to the hospital because they messed something up with my medicine. R47's Care plan, dated 6/21/23, documents, (R47) has a seizure disorder. (R47) has a (vagal nerve) Interventions: Give seizure medication as ordered by doctor. Monitor/document side effects and effectiveness. Obtain and monitor lab/diagnostic work as ordered. …
F770 citations in Illinois
Administration Deficiencies
Provide timely, quality laboratory services/tests to meet the needs of residents.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Illinois cites F770 less often than its own record predicts
0.58 times the national share — cited less often here than elsewhere.
Of every deficiency written in Illinois in 2025, this is the portion that was F770.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Illinois surveyors wrote
F770 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 ensure a wound culture was picked up in a timely manner. This applies to 1 of 3 residents (R1) reviewed for lab services in the sample of 8. The findings include:R1's un-witnessed fall report dated 5/8/26 shows, he had a fall and obtained a skin tear to his leg. On 6/6/26 at 9:16 AM, V10 R1's Power of Attorney (POA) stated, R1 had a fall and scraped his leg. The wound ended up getting infected and she was concerned that the resident had a MRSA (Methicillin-resistant Staphylococcus aureus) infection. She requested a swab to be done to check for MRSA. V7 Wound Care Nurse did the swab in front of her and put it in the top drawer of her treatment cart. She forgot it was there. …
The short window
Recent years
| Year | Share of Illinois citations | vs expected |
|---|---|---|
| 2023 | 0.10% | 0.44× |
| 2024 | 0.09% | 0.44× |
| 2025 | 0.12% | 0.58× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Illinois surveyors cite →
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