Based on interview, observation, and record review, the facility failed to maintain a homelike environment for 1 of 4 residents (R4) reviewed for home like environment in the sample of 9.The findings include: R4's admission Record, dated 11/18/25, documents R4 was admitted to the facility on [DATE] and was discharged on 10/30/25R4's Minimum Data Set (MDS), dated [DATE], documents R4 was cognitively intact.On 11/13/25 at 1:24 PM, V5, R4's Daughter/Power of Attorney (POA), stated (R4's) room window had a hole in it and flies were getting in. I went to the store and bought some tape to cover the hole and a fly swatter to kill the flies.On 11/13/25 at 3:00 PM, V7, Maintenance Director, stated he is not aware of any windows that may have a hole in them. …
F915 citations in Illinois
Environmental Deficiencies
Ensure each resident room has a window to the outside that meets requirements
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Illinois cites F915 more often than its own record predicts
16.21 times the share F915 takes of citations nationally.
Of every deficiency written in Illinois in 2025, this is the portion that was F915.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Illinois surveyors wrote
F915 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.
What else Illinois surveyors cite →
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