Based on interview and record review, the facility failed to ensure that laboratory results were communicated to the ordering provider in accordance with facility policy and procedures for notification. This failure applied to one (R1) of three residents reviewed for notification of laboratory results and resulted in no provider being notified that R1 had a critical potassium level of 8.4 mEq/L (normal range 3.5-5.1), putting R1 at risk of cardiac arrythmia (irregular or abnormal heart rhythm). R1 subsequently experienced cardiac arrest in the facility and expired four days after the laboratory result was obtained. These failures resulted in an Immediate Jeopardy. …
F773 citations in Illinois
Administration Deficiencies
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Illinois cites F773 less often than its own record predicts
0.46 times the national share — cited less often here than elsewhere.
Of every deficiency written in Illinois in 2025, this is the portion that was F773.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Illinois surveyors wrote
F773 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 interviews and record reviews, the facility failed to notify the physician of abnormal laboratory test results for one resident (R7) out of three reviewed for physician notification in a sample of 18. R7's elevated sodium level (sodium 151, normal range is 135-145) was reported to this facility on 1/17/24 at 4:02pm and not reviewed by nursing staff until 1/18/24 at 2:54 AM. This result was not communicated to R7's physician prior to R7 being admitted to the hospital on 1/19/24 at 9:20pm with diagnoses including dehydration and elevated sodium level (sodium 158). Findings include: On 2/8/24 at 1:50 PM, V35 NP (Nurse Practitioner) stated that V35 would expect the nurse to notify her of all abnormal laboratory results. …
Based on interviews and record review the facility failed to obtain laboratory services as ordered by the physician for one (R5) of one resident reviewed for laboratory services in a sample list of 24.Findings Include:On 8/17/2026 at 9:35AM V1, Administrator, confirmed the facility nurses are to follow all physician orders including hospital discharge orders when a resident returns from the hospital.On 8/18/2026 at 11:13AM V6, Wound Nurse, confirmed R5 was to obtain laboratory services on 8/10/2026 and 8/17/2026. V6 confirmed there are no laboratory results in the medical record. …
The short window
Recent years
| Year | Share of Illinois citations | vs expected |
|---|---|---|
| 2023 | 0.06% | 0.56× |
| 2024 | 0.09% | 0.84× |
| 2025 | 0.06% | 0.46× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Illinois surveyors cite →
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