Based on observation, interview, and record review, the facility failed to ensure adequate ventilation of steam released above the dish machine which caused water damage and degradation of the ceiling tiles above the dish machine/dishwashing area. These failures have the potential to affect all 35 residents that consume food from the kitchen. Findings include: Facility census (5/11/2026) documents 37 residents reside in the facility. Facility nothing by mouth (NPO) list (undated) documents 2 residents do not consume oral nutrition.On 5/11/2026 at 11:08 am, observed V12 utilize the dish machine. V12 completed the quality assurance process for the dish machine using a test strip. Observable steam was produced above the dish machine which rose and hit the ceiling tiles above the dish machine. …
F923 citations in Illinois
Environmental Deficiencies
Have enough outside ventilation via a window or mechanical ventilation, or both.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Illinois cites F923 less often than its own record predicts
0.44 times the national share — cited less often here than elsewhere.
Of every deficiency written in Illinois in 2025, this is the portion that was F923.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Illinois surveyors wrote
F923 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 observation and interview, the facility failed to prevent a urine like odor in the facility. This failure has the potential to affect all 57 residents. Findings include: Facility Housekeeping Cleaning Schedule undated documents To establish a schedule which ensures the building and equipment is maintained in a clean and sanitary manner. All items may be cleaned more frequently, if necessary. On 3/9/21 at 9:45 AM, Upon entry of the facility, a urine like odor was detected. On 3/9/21 at 11:00 AM, A urine like odor detected upon entry of the southeast hallway that becomes more prominent toward end of hallway. On 03/10/21 at 10:08 AM, A urine like odor detected upon entry of the southeast hallway that becomes more prominent toward end of hallway. …
What else Illinois surveyors cite →
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