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Complaint Investigation

Autumn Meadows Of Cahokia

Inspection Date: August 27, 2025
Total Violations 1
Facility ID 145581
Location CAHOKIA, IL
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Inspection Findings

F-Tag F0689

Quality of Life and Care Deficiencies
Harm Level: Immediate Jeopardy

F 0689 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Many

FORM CMS-2567 (02/99) Previous Versions Obsolete

placed oxygen safety signage 8/25/2025 by Maintenance Director.Initiated a every 15-minute safety check

on Resident R3 by nursing staff on 8/25/2025.Director of Nursing or designee completed re- education on smoking policy and safety on 8/5/25, 8/10/2025 and 8/25/25.Admin, DON/ADON, and CNA Supervisor educated all staff on smoking policy, oxygen/fire safety, monitoring procedures, and procedures for reporting noncompliance. Initiated on 8/25/2025 to all staff present and remaining staff will be educated prior to next shift.Smoking policy will be reviewed for implementation of additional interventions for safety of residents with oxygen. Completed by Regional Nurse on 8/25/25.Actions to prevent re-occurrence:On 8/25/2025, smoke detectors to be placed in resident rooms who smoke and are on oxygen. This will be completed by

the maintenance Director.All residents with oxygen orders will receive a smoking risk assessment within 24 hours on all re-admissions starting on 8/25/2025 by charge nurse. All care plans will be updated by the MDS nurse to include individualized interventions by 8/25/2025.All residents who smoke and/or are on oxygen will be educated on facility smoking policy, fire hazards, and oxygen safety by 8/25/25.Education will be documented in resident records and completed by the maintenance director.Ongoing quality assurance:DON/designee will complete daily audits for 14 days to ensure 15-minute checks and compliance with interventions for Resident R3 starting on 8/25/25.Admin or Activity director will conduct weekly audits for 8 weeks, then monthly audits for 6 months starting 8/25/2025.Results reviewed in monthly QAPI meetings by IDT with corrective actions implemented as needed starting on 8/25/2025.On 8/20/2025 V4, Social Service Director, provided the facility resident roster identifying 89 residents residing in the facility.

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📋 Inspection Summary

AUTUMN MEADOWS OF CAHOKIA in CAHOKIA, IL inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

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 CAHOKIA, 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 AUTUMN MEADOWS OF CAHOKIA or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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