Based on observation, interview, and record review, the facility failed to ensure that the resident's plan of care included the most recent hospice plan of care and coordination of care between the facility and hospice agency in order to maintain the resident's well-being and management of pain. This failure applied to one (R1) of three residents reviewed for hospice and resulted in delayed treatment for [MEDICAL RECORD OR PHYSICIAN ORDER] . Findings include: R1 is a cognitively impaired with diagnosis [MEDICAL RECORD OR PHYSICIAN ORDER] . On 2/1/22 at 9:30 AM, V3 (Assistant Director of Nursing/Nursing Supervisor) stated upon interview, R1 is on hospice and (R1) was sent out Sunday 1/30/22 due to a fracture. Surveyor asked how often hospice came to care for R1. …
F849 citations in Illinois
Administration Deficiencies
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Illinois cites F849 less often than its own record predicts
0.39 times the national share — cited less often here than elsewhere.
Of every deficiency written in Illinois in 2025, this is the portion that was F849.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Illinois surveyors wrote
F849 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 prompt communication between Hospice Services and the facility for one resident (R6) of three residents reviewed for Hospice Services in a total sample of thirty eight. The Facility's Hospice Services Agreement signed and dated 8/1/2023 documents Hospice personnel shall provide all necessary oversight of services provided to Residents in accordance with the Hospice Plan of Care. Hospice shall review documentation of such services and shall communicate weekly Facility personnel to ensure that the needs of Residents are met in a comprehensive, coordinated fashion twenty-four hours a day. Such communication shall be documented pursuant to Hospice Policy. …
The short window
Recent years
| Year | Share of Illinois citations | vs expected |
|---|---|---|
| 2023 | 0.13% | 0.41× |
| 2024 | 0.12% | 0.38× |
| 2025 | 0.10% | 0.39× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Illinois surveyors cite →
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