Arcadia Care Aledo
Inspection Findings
F-Tag F0638
F 0638
Assure that each resident’s assessment is updated at least once every 3 months.
Level of Harm - Minimal harm or potential for actual harm
Based on record review and interview the facility failed to assess one resident (Resident R1) of three reviewed for fall risk.Resident R1 was admitted to the facility 12/28/23 with diagnoses to include, but not limited to: Major Depressive Disorder, Benign Prostatic Hyperplasia, Hypertension, Diabetes, and Cerebral Ischemia.Resident R1 fell 10/28/25 at 5:05 AM resulting in Resident R1 sustaining a right hip fracture.The facility's Fall Prevention Program policy dated 05/2025 documents, The program will include measures which determine the individual needs of each resident by assessing the risk of falls and implementation of appropriate interventions to provide necessary supervision. A Fall Risk Assessment will be performed at least quarterly and with each significant change in mental or functional condition and after any fall incident.Resident R1's medical record does not document a fall risk assessment completed November 2024 through August 2025.On 11/7/25 at 1:28 PM, V1 (Director of Nursing) verified Resident R1 did not have a fall risk assessment completed quarterly November 2024 through August 2025.On 11/12/25 at 12:32 PM V11 (Regional Registered Nurse) verified the facility policy documents a resident is to have a fall risk assessment completed on admission and quarterly and that Resident R1 did not have a fall risk assessment completed November 2024 through August 2025.
Residents Affected - Few
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date
these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE
TITLE
(X6) DATE
FORM CMS-2567 (02/99) Previous Versions Obsolete
Facility ID:
If continuation sheet
Event ID:
ARCADIA CARE ALEDO in ALEDO, IL inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in ALEDO, IL, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from ARCADIA CARE ALEDO or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.