Based on interview and record review the facility failed to ensure verification of license qualification was performed upon hire of a registered professional nurse for 1 of 3 (V4) reviewed for licensed professionals. Findings Include:On 5/6/2026 at 10:54 AM, V3 (Director of Human Resources) stated V4 (Registered Nurse) was hired in August 2025 as a as needed staff nurse. V3 said it was an oversight on her end for not properly verifying V4's registered nurse license upon hire. In March 2026, V3 and facility administration were notified by their corporate office that V4 did not have the license qualification as a registered nurse. On 5/6/2026 at 1:18 PM, V1 (Administrator) said V3 should have ensured nursing license was checked and verified upon hire. …
F839 citations in Illinois
Administration Deficiencies
Employ staff that are licensed, certified, or registered in accordance with state laws.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Illinois cites F839 more often than its own record predicts
1.59 times the share F839 takes of citations nationally.
Of every deficiency written in Illinois in 2025, this is the portion that was F839.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Illinois surveyors wrote
F839 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.
The short window
Recent years
| Year | Share of Illinois citations | vs expected |
|---|---|---|
| 2024 | 0.02% | 0.41× |
| 2025 | 0.09% | 1.59× |
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