F886 in Illinois. Pick another state for the same tag.
Against expectation — 2023
Illinois cites F886 more often than its own record predicts
Versus expected share1.64×
1.64 times the share F886 takes of citations nationally.
Share of Illinois citations0.13%
Of every deficiency written in Illinois in 2023, this is the portion that was F886.
Illinois0.13%
National0.08%
Share of all citations that were F886.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Illinois surveyors wrote
F886 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.
K · Immediate jeopardy, patternMay 4, 2023
Based on interview and record review the facility failed to implement their Coronavirus (Covid-19) testing policy to prevent or reduce the spread of Covid-19 on the third floor nursing unit. This failure affected 25 of 45 (R16, R18 - R36, and R38- R43) residents reviewed for outbreak testing, and prevention of the spread of Covid-19. This failure resulted in V55 (nursing aide) testing positive on 3.29.23 the facility failed to follow their policy and test the residents who received direct care from V55 (R16, R19 - R36). The failure resulted in R19- R21 testing positive 13 days later. R18 displaying signs and symptoms of Covid-19 on 4.6.23, the facility failed to immediately isolate and test R18 allowing R18 to go out to the dentist. …
F · No harm, potential for more than minimal, widespreadMay 5, 2023
Based on observations, interviews, and review of records the facility failed to follow Covid-19 testing policy during an outbreak to test residents and staffs exposed to a resident positive of Covid-19 infection. These failures have the potential to affect all 80 residents living in the facility in minimizing risk of Covid-19 infections.
Findings include:
On 05/02/2023 during entrance, V1 (Administrator) stated that facility has 1 positive resident for Covid-19 infection. Per document presented by V2 (Infection Preventionist / Director of Nursing), R14 is currently positive for Covid-19. R14 census documents R14 was currently in a room on the first floor. Prior to transferring, R14 was on the second floor from 07/20/2022 up to 05/01/2023. …
C · No harm, potential for minimal, widespreadOctober 12, 2021
Based on observation, interview and record review the facility failed to document rapid COVID-19 testing and results in each resident's record. This failure has the result to affect all 81 residents in the facility.
Findings include:
R1, R2 and R3 electronic records failed to document any COVID testing with negative results
On 10/5/2021 at 10:18 AM, V3, Infection Control Nurse, stated the facility does not record rapid COVID-19 tests in residents' records unless the result is positive
On 10/7/2021 at 1:20 PM, V2, Director of Nursing (DON), stated the facility does not have a policy in regard to documentation of COVID test results.
The facility census sheet dated 10/5/2021 documents a census of 81.
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