Alta Rehab At Fairmont
Inspection Findings
F-Tag F0628
F 0628 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
in a ‘scan' box to be uploaded to the system. V15 stated if he (Resident R5) was discharged on 08/14/2025 then she (V15) should have uploaded the discharge paper already because she checks the scan box every other day. On 09/03/2025 at 10:23am, V15 (Medical Records/Transportation) stated she was not able to find the discharge paper for (Resident R5). That she looked at the scan box and there is no document to upload. V15 stated it means the nurse did not print the discharge instruction for him to sign. On 09/03/2025 at 10:51am, V26 (RN-Registered Nurse/Night Shift Supervisor) stated the facility has Discharge Assessment on the ‘Assessment' tab in EHR system. The nurse, who will discharge the resident, is expected to complete the Discharge Assessment in EHR system. The night shift nurse assigned to the resident is responsible for completing the Medications Section of the Discharge Assessment. The nurse, who is discharging the resident, should print the completed Discharge Assessment because there is a section on the Discharge Assessment where the resident has to sign. Signing the Discharge Assessment is an acknowledgment that
the resident or the POA receives the medication and the discharge instruction. Each section of the Discharge Assessment will turn green once completed. If it did not turn green, it means that section is not completed or answered yet. Discharge Assessment should be completed prior to discharge. A complete Discharge Assessment gives instruction to the resident or family how they will take the medication and the purpose of the medication. It also explains the follow up appointments that are scheduled. If not completed and not given to the resident, the resident may miss the appointments and or may not take the medications appropriately. Resident R5's admission Record documented that Resident R5's diagnoses (include but not limited to) hemiplegia and hemiparesis, sequelae of cerebral infarction, and morbid obesity due to excess calorie. Resident R5's Census list documented that Resident R5 was readmitted on [DATE REDACTED] and was discharged on 8/14/2025. Resident R5's (06/30/2025) care plan documented, in part I wish to be discharged home w/family. Will verbalize/communicate an understanding of the discharge plan and describe the desired outcome by the
review date. The resident needs written instructions, as required, to ensure care continuity post-discharge. Resident R5's (08/10/2025) Discharge Instruction documented, in part discharge date and time: 08/14/2025 11:00(am). Of note, Sections A and B were completed by V7 (Social Services Director). Sections C.
Medications, Section D. Diet/Nutrition - Dietary, Section E. ADL/Bowel & Bladder/Restorative Nursing, Section F. Education/Appointments, Section G. Skin Condition on Discharge & Treatments - Nursing were not completed. Space provided for Name of Person Completing the Sections and Resident/Responsible Party Signature, as applicable, has no entry.The (09/04/2025) email correspondence with V28 (Regional Nurse Consultant) documented, in part Referring to the Discharge Instruction on the ‘Assessment' tab in EHR system. What is the expectation? The expectation is for staff to complete prior to discharge and provide a copy upon discharge. The (undated) Discharge/Transfer of Resident documented, in part Purpose: To provide safe departure from the facility. To provide for continuity of care and treatment.
Equipment: Discharge Notice. Procedure: 1. Explain discharge procedure to resident and family. Provide additional health education or medication instruction information for resident or family as indicated in lay(man) terms. 7. Complete Transfer Form Accurately and completely. Rationale/Amplification. Ensure that resident's current physical and psychosocial assessment, medications and current treatment is completely describe. 11. Document discharge summary. Include notes on specific instruction given (medications) to resident and responsible party in lay(man)'s terminology.
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ALTA REHAB AT FAIRMONT in CHICAGO, 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 CHICAGO, 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 ALTA REHAB AT FAIRMONT or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.