Based on interview and record review, the facility failed to notify positive COVID test results to Family Representatives and or Power of Attorney for 2 of 4 residents (R3 and R4) reviewed for COVID notification in the sample of 4. Findings Include: 1. R3's Minimum Data Set (MDS), dated [DATE], documents R3 is moderately cognitively impaired. R3's Physician Order Sheet, dated 7/9/24, documents strict contact/droplet isolation related to COVID until 7/20/24 for all services rendered in room. R3's Nurses Note for 7/9/24 did not document her responsible party was notified of her being COVID positive. R3' s Electronic Health Record documents the facility's electronic messaging system, dated 7/15/24, a message was left about COVID in the building. …
F885 citations in Illinois
Infection Control Deficiencies
Report COVID19 data to residents and families.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2024
Illinois cites F885 more often than its own record predicts
3.54 times the share F885 takes of citations nationally.
Of every deficiency written in Illinois in 2024, this is the portion that was F885.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Illinois surveyors wrote
F885 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 notify residents and resident representatives of employees testing positive for COVID-19 (Human Coronavirus 2019) for four of six residents (R1-R3 and R6) reviewed for infection control in the sample of six. This failure has the potential to affect all 43 residents residing in the facility. Findings include: The facility's COVID-19 Control Measures policy revised on 10/1/20 documents to refer to CMS (Center for Medicare and Medicaid Services), CDC (Centers for Disease Control and Prevention), NHSN (National Healthcare Safety Network), and IDPH (Illinois Department of Public Health) reporting requirements for suspected or confirmed COVID-19 in staff and residents. …
The short window
Recent years
| Year | Share of Illinois citations | vs expected |
|---|---|---|
| 2023 | 0.05% | 0.93× |
| 2024 | 0.01% | 3.54× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Illinois surveyors cite →
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