Based on interview and record review, the facility failed to ensure all staff received mandatory training and education for the Infection Prevention and Control program which includes the written standards, policies and procedures for the program. This failure has the potential to affect all 83 residents residing within the facility.Findings include:The Facility Resident Census Roster and Facility Matrix/802, dated 4/21/26, were reviewed. The Census Roster documents 83 residents reside in the facility.The Facility assessment dated [DATE] documents Staff Training and Competency- The facility in-service training calendar indicates the mandated annual training requirements as well as specific topics pertinent to provision of care and services to the identified population. …
F945 citations in Illinois
Infection Control Deficiencies
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Illinois cites F945 less often than its own record predicts
0.54 times the national share — cited less often here than elsewhere.
Of every deficiency written in Illinois in 2025, this is the portion that was F945.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Illinois surveyors wrote
F945 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.
The short window
Recent years
| Year | Share of Illinois citations | vs expected |
|---|---|---|
| 2024 | 0.02% | 0.50× |
| 2025 | 0.03% | 0.54× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Illinois surveyors cite →
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction