Lakeside Health & Rehab Center
Inspection Findings
F-Tag F0689
F 0689 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
Issue Type Bruise. Wound Description Base Color red Wound description: resident has reddish bruising / discoloration noted to bilateral hands with small skin tear present on top of left hand. Injuries Type Bruise Location Left Hand Date / Time 9/3/25 7:00 AM Details red discoloration / bruising noted with small skin tear on top of left hand. Bruise location Right Hand Date / Time 9/3/25 7:00 AM Details red bruising / discoloration present to top of hand. Investigate. Conclusion: investigation reveals that CNA likely transferred the resident with one instead of 2. CNA denies. CNA working her last shift at (facility) on this day and no longer works her. Marked in her file that she is ineligible for re-hire.On 9/29/25 at 3:13 PM, V19, Resident R16's Husband, stated he comes every day and sits with Resident R6 all day. He stated that when he came in this morning Resident R6's elbow was bleeding a little bit, and he let the facility know. He said she must have bumped it.
V19 was questioned if he had concerns about abuse or Resident R6's safety, V19 stated no but about a month ago both of her wrists were bruised it looked like she was pulled. I am not sure what they did about that.On 10/2/25 at 9:29 AM, V2, Director of Nurses, stated I did do an investigation into Resident R6's hands. I determined
the CNA V18 transferred Resident R6 by herself. Resident R6 requires 2 staff members and a gait belt for a safe transfer. This happened on V18's last night shift. She had already turned in her notice of quitting. The bruising was reported to me at 7:00 AM after V18 had already clocked out and went home. I let V16 know that it V18 did not work her anymore because when she clocked out at 6:00 AM her employment was finished.On 10/2/25 at 10:45 AM, V6, CNA, stated Resident R6 transfers with 2 staff members and a gait belt.On 10/2/25 at 1:05 PM, V20, Licensed Practical Nurse, stated I was told about Resident R6's wrists and hands. They were just kind of red,
the left had a skin tear, and I think the right wrist was the worse one. She was not complaining of pain and there was no swelling. I let V2 and V17 know about it.The transfer Policy, dated 7/1/23, documents, Procedure: 1. Explain to resident what task you are going to be performing. Enlist his / her assistance with
the task if he / she can prove it. 2. The transfer technique used for the resident will be evaluated and determined by the nurse or directed by therapy. It continues, 7. Follow Plan of Care to ensure the use of proper transfer technique.
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LAKESIDE HEALTH & REHAB CENTER in CARLINVILLE, 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 CARLINVILLE, 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 LAKESIDE HEALTH & REHAB CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.