F867 in Illinois. Pick another state for the same tag.
Against expectation — 2025
Illinois cites F867 less often than its own record predicts
Versus expected share0.14×
0.14 times the national share — cited less often here than elsewhere.
Share of Illinois citations0.04%
Of every deficiency written in Illinois in 2025, this is the portion that was F867.
Illinois0.04%
National0.33%
Share of all citations that were F867.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Illinois surveyors wrote
F867 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.
F · No harm, potential for more than minimal, widespreadJuly 8, 2026
Based on interview and record review, the facility failed to implement a Performance Improvement Plan (PIP) for identified problems with abuse, behavior monitoring, and falls. This failure has the potential to affect all 62 residents in the facility.Findings include:Record Review: Review of the facility's QAPI (Quality Assurance Performance Improvement) Binder revealed no Performance Improvement Projects (PIPs) had been completed for abuse or falls. Documentation for April, May, and June identified behaviors, abuse, and falls as ongoing areas of risk. …
C · No harm, potential for minimal, widespreadOctober 11, 2024
Based on interview and record review, the facility failed to produce documentation or evidence of the yearly Performance Improvement Projects (PIP) for falls, identified by the facility as a problem-prone area.
This has the potential to affect all 90 residents residing in the facility.
The findings include:
On 10/10/24 at 11:50 AM, V1 (Administrator) and V3 (ADON/Assistant Director of Nursing) conducted the QAPI/QAA (Quarterly Assurance and Performance Improvement/Quality Assessment and Assurance) task with the surveyor. V1 said she was unable to locate any documentation of the QAPI/QAA meetings and any information regarding the facility's PIP. …
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