Winston Manor: Resident Missing 24 Hours, Unreported - IL
The resident, identified in inspection documents only as R6, signed out of Winston Manor at 1:30 p.m. on August 9, 2025. Or rather, someone signed out at 1:30 p.m. The facility's own sign-out sheet from that day does not include R6's signature. Nursing progress notes from August 9 contain no documentation of R6 leaving at all.
By the following afternoon, August 10, a licensed practical nurse identified as V4 was writing notes that said she had called 911 "of missing person since yesterday." R6 had not returned by 4:00 p.m. A second nursing note that night, at 10:34 p.m., confirmed R6 still had not come back.
A Missing Persons Police Report was filed August 12, documenting R6 as missing as of August 11 at 1:30 p.m., more than two days after R6 was last seen at the facility.
The facility's incident reporting binder contained no report about R6. It also contained no reports about two other residents, R5 and R7, both of whom had been dropped from the facility's active census by August 11. The inspection record does not explain what happened to R5 or R7. Their names appear in the census document, then disappear. No incident reports. No documentation in the reportable binder.
Three residents. Gone from the records. Nothing filed for any of them.
Winston Manor's own policy on accidents and incidents states that all such events "shall be investigated and reported to the administrator" and that an incident report must be submitted to the director of nursing within 24 hours. The policy lists specific documentation requirements: the date and time of the incident, the nature of any injury or illness, when the resident's physician was notified, when the family was told and by whom, and the signature of whoever completed the report.
None of that paperwork exists for R6, R5, or R7.
The inspection, conducted August 25, 2025, was a complaint survey. Inspectors cited the facility under F0609, which covers the obligation to report and investigate incidents involving residents. The citation was rated at the level of minimal harm or potential for actual harm, affecting a few residents.
That rating deserves some attention. A resident leaving a nursing facility without a confirmed signature, with no nursing documentation on the day of departure, with 911 not called until more than 24 hours later, and with no incident report ever filed, is the kind of sequence that, depending on what happened to R6 afterward, could look very different in hindsight.
The inspection record does not say whether R6 was ever found.
Winston Manor is located at 2155 West Pierce in Chicago's Wicker Park neighborhood. The facility's plan of correction was not included in the inspection documents reviewed.
What the records show is a nursing home where a resident vanished on a Saturday, where the paperwork from that Saturday contains no evidence anyone noticed, where a nurse was documenting a 911 call the next afternoon by describing the situation as something that had been going on "since yesterday," and where the binder that exists specifically to capture incidents like this one was empty of any trace of R6, R5, or R7.
The sign-out sheet from August 9 has other names on it. R6's is not one of them.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Winston Manor Cnv & Nursing from 2025-08-25 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: July 2, 2026 · Our methodology
WINSTON MANOR CNV & NURSING in CHICAGO, IL was cited for violations during a health inspection on August 25, 2025.
The resident, identified in inspection documents only as R6, signed out of Winston Manor at 1:30 p.m.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.