Based on interview and record review the facility failed to follow their antibiotic stewardship policy to ensure one resident was receiving the correct treatment for a urinary tract infection and wound infection, and failed to track the duration of antibiotic therapy, in order to monitor the effectiveness of antibiotic therapy. This affected two of three residents (R9, R12) reviewed for antibiotic therapies. This failure resulted in R9 being hospitalized with a white blood count of 79.1(normal range 3.5-10.5) and diagnosed with septic shock related to sacrococcygeal osteomyelitis and urinary tract infection/cystitis. Findings include: 1. …
F881 citations in Illinois
Antibiotic stewardship · Infection Control Deficiencies
Implement a program that monitors antibiotic use.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Illinois cites F881 more often than its own record predicts
1.06 times the share F881 takes of citations nationally.
Of every deficiency written in Illinois in 2025, this is the portion that was F881.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Illinois surveyors wrote
F881 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 maintain an antibiotic stewardship program. This failure has the potential to affect all 58 residents in the facility.The findings include:The facility's Long-Term Care Facility Application for Medicare and Medicaid form dated 7/13/26 showed a resident census of 58.On 7/13/26 at 1:00 PM, V3 Assistant Director of Nursing (ADON) stated the facility currently did not have an Infection Preventionist (IP) overseeing the resident immunizations/vaccine program, resident infections, or antibiotic stewardship. V3 stated she was unsure how long the facility had been without an IP as V3 had just been hired by the facility two weeks prior. …
Based on interview and record review, the facility failed to follow their policy for antibiotic stewardship. This applies to all 92 residents residing in the facility. The findings include: The facility's Long-Term Care Facility Application for Medicare and Medicaid dated October 21, 2024, showed the facility's census was 92 residents. On October 23, 2024, at 9:12 AM, V3 (ADON/Assistant Director of Nursing) stated she took over as the Infection Preventionist on October 14, 2024. V3 continued to say she just started to review which residents were currently on antibiotics in the facility. …
The short window
Recent years
| Year | Share of Illinois citations | vs expected |
|---|---|---|
| 2023 | 0.68% | 1.46× |
| 2024 | 0.77% | 1.71× |
| 2025 | 0.51% | 1.06× |
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