Based on interview and record review, the facility failed to ensure the nursing department was directed by a qualified Director of Nursing responsible for oversight of nursing services and coordination of care, resulting in a lack of direction and communication within the nursing department and therapy regarding resident care needs for one (R1) of three residents reviewed for gastrostomy tube (G-tube) management. This failure has the potential to affect all 81 residents residing in the facility. Findings include:The facility's Resident Roster dated 3/6/26 documents 81 residents reside at the facility. On 3/7/26 at 11:45 AM, V1 (Administrator) stated the facility has not had a Director of Nursing for several months. …
F837 citations in Illinois
Administration Deficiencies
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Illinois cites F837 less often than its own record predicts
0.28 times the national share — cited less often here than elsewhere.
Of every deficiency written in Illinois in 2025, this is the portion that was F837.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Illinois surveyors wrote
F837 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 ensure the facility employed a licensed administrator. This failure affects all 81 residents residing in the facility. Findings include: On 12/14/22 at 11:15 am, V4 Human Resources Director/Acting Administrator (HR Director) stated V4 is the HR Director for the facility and is not a Licensed Nursing Home Administrator (LNHA). V4 stated V4 has not started taking the LNHA classes. On 12/16/22 at 8:52 am, V2 Director of Nursing stated the facility does not have an administrator at this time. V2 stated the facility has not had an administrator employed since 9/16/22. …
The short window
Recent years
| Year | Share of Illinois citations | vs expected |
|---|---|---|
| 2023 | 0.05% | 0.65× |
| 2024 | 0.01% | 0.13× |
| 2025 | 0.01% | 0.28× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Illinois surveyors cite →
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