F919 in Illinois. Pick another state for the same tag.
Against expectation — 2025
Illinois cites F919 less often than its own record predicts
Versus expected share0.74×
0.74 times the national share — cited less often here than elsewhere.
Share of Illinois citations0.33%
Of every deficiency written in Illinois in 2025, this is the portion that was F919.
Illinois0.33%
National0.45%
Share of all citations that were F919.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Illinois surveyors wrote
F919 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.
L · Immediate jeopardy, widespreadSeptember 10, 2025
Based on observation, interview, and record review the facility failed to successfully develop a plan and implement an accessible call system for all residents once an electronic call system became inoperable. These failures resulted in R1 being admitted from the hospital into a bed without a working call system on [DATE]. R1 was admitted with the diagnoses of Atrial Fibrillation, Repeated Falls, Acute and Chronic Right Heart Failure, Morbid Obesity, Hypertension, and Venous Insufficiency, and on [DATE] R1 was experiencing chest pain for over two hours without access to a working call system or staff response. …
Based on observation, interview and record review the facility failed to provide a functioning nurse call system in resident bathrooms for all facility residents. This failure resulted in four of four residents (R1, R2, R3 and R4) expressing fear and anxiety during toileting in their rooms due to a non-functioning nurse call system.
Findings include:
The facility policy, Call Lights, dated (revised) 2/2/18 documents, Purpose: To respond to resident's requests and needs in a timely and courteous manner. Resident call lights will be answered in (a) timely manner. All residents that have the ability to use a call light shall have the nurse call light system available at all times and within easy accessibility to the resident at the bedside or other reasonable accessible location. …
E · No harm, potential for more than minimal, patternAugust 27, 2026
Based on observations, interviews and record review, the facility failed to ensure nurses' station central call light notification systems were plugged in and operational and hall indicator lights were operational. These failures affected four residents (R2, R4, R5, R7) out of five residents (R1, R2, R4, R5, R7) reviewed for call lights and has the potential to affect all 172 residents residing on the first, third, and fourth floors of the building.Findings include: On 08/24/2026 at 10:20 a.m., R4 reported they often must get in their wheelchair and go to the first-floor nurses' station to get help and ensure their call light is functioning, but after a recent incontinent episode, R4 was in a wet bed for over an hour while waiting for staff to respond.On 08/24/2026 at 10:50 a.m., R2 stated… …
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