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Complaint Investigation

Chicago Ridge Snf

Inspection Date: September 3, 2025
Total Violations 2
Facility ID 145639
Location CHICAGO RIDGE, IL
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Inspection Findings

F-Tag F0689

Quality of Life and Care Deficiencies
Harm Level: Immediate Jeopardy

F 0689

[DATE REDACTED]. Ongoing training will be provided for all new hires, and

Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Few

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

Event ID:

Facility ID:

If continuation sheet

Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

09/03/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Chicago Ridge Snf

10602 Southwest Highway Chicago Ridge, IL 60415

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

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F-Tag F0760

Pharmacy Service Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0760 Level of Harm - Minimal harm or potential for actual harm

Resident R7's controlled substance sheets, dated July and August, notes that hydrocodone-acetaminophen was signed out by the nursing staff twice a day.

There is no documentation found in Resident R7's medical record noting the nursing staff monitored the effectiveness of Resident R7's pain medication consistently.

Residents Affected - Few Resident R7's pain care plan, initiated 5/5/23, notes Resident R7 is at increased risk for alteration in pain/discomfort related to general aches/pains. Interventions include but not limited to administer analgesic medication as ordered per plan of care, observe resident for effectiveness of pain relief, notify physician for any new resident complaints of pain or signs/symptoms of pain to obtain new order for medication regimen or break-through pain management, offer as needed analgesic medication as indicated for pain management.

The facility's administering medications policy, dated 1/1/2020, notes the individual administering the medication shall initial the resident's medication administration record (MAR) before administering the medication. The director of nursing is responsible for the supervision and direction of all personnel with medication administration duties and functions. If it is discovered the person administering medications has forgot to initial on the MAR, the supervisor shall notify that person to investigate if the medication has been administered. If the response indicates the medication was administered, the staff member shall return to

the facility and document in the MAR as a late entry.

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

Event ID:

Facility ID:

If continuation sheet

📋 Inspection Summary

CHICAGO RIDGE SNF in CHICAGO RIDGE, 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 CHICAGO RIDGE, 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 CHICAGO RIDGE SNF or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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