Based on observation, interview and record review, the facility failed to establish and maintain an effective infection prevention and control program to identify infectious disease symptoms as well as track, report, treat and isolate infected residents to prevent urinary tract infections for 4 (R1, R3, R6, R23) of 4 residents reviewed for infection control. This failure has the potential to affect all 33 residents in the facility. This failure resulted in R1 being admitted to the hospital on [DATE] for developing sepsis related to a urinary tract infection (UTI), R3 admitted to the hospital on [DATE] with developing a complicated urinary tract infection, and R23 being admitted to the hospital on [DATE] with an acute metabolic encephalopathy secondary to UTI complicated by bilateral ureter… …
F880 citations in Illinois
Infection prevention and control · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Illinois cites F880 less often than its own record predicts
0.88 times the national share — cited less often here than elsewhere.
Of every deficiency written in Illinois in 2025, this is the portion that was F880.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Illinois surveyors wrote
F880 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 utilize infection control techniques in 5 of 5 residents (R3, R7, R10, R15, R28), reviewed for infection control in the sample of 29. This failure resulted in R10 having multiple UTI's (Urinary Tract Infections) with hospitalization. Findings Include: 1) On 5/20/26 at 10:40 AM, nephrostomy care was observed with V21, Wound Nurse, with the following noted: Prior to entering room, V21 donned a gown, gloves, and mask. V21 entered the room and removed the left nephrostomy dressing, dated 5/19/26, and discarded it in the regular trash can. There were no gloves available in the room, V21 exited the room and brought in a box of gloves. V21 donned the gloves with no hand hygiene completed. …
Based on observation, interview, and record review the facility failed to ensure enhanced barrier precautions were followed for residents with open wounds during wound care for 2 of 3 resident reviewed for wounds and infection control in the sample of 8.The findings include:1. On 8/27/26 at 1:09 PM, V4 (Wound Nurse) was at R3's bedside for wound care to his left lower leg, posterior/Achilles area. V4 had gloves on but not a gown. V4 removed the old dressing from R3's wound and discarded it. V4 removed her gloves, used hand sanitizer and applied new gloves. V4 used wound cleanser to soak off a folded up 4 x 4 that was packed in the wound and had adhered to the wound. V4 stated they pack the wound with the 4 x 4 gauze and fold it to fit in the wound to pack it. …
The short window
Recent years
| Year | Share of Illinois citations | vs expected |
|---|---|---|
| 2023 | 5.51% | 1.07× |
| 2024 | 5.26% | 0.94× |
| 2025 | 5.41% | 0.88× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Illinois surveyors cite →
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