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Complaint Investigation

Balmoral Home

Inspection Date: November 26, 2025
Total Violations 1
Facility ID 145796
Location CHICAGO, IL
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Inspection Findings

F-Tag F0558

Resident Rights Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0558 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Note: The nursing home is disputing this citation.

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

notified maintenance. V28 said that after maintenance repaired it, Resident R12 still complained that it was broken.On 11/25/2025 from 10:45 AM to 11:10 AM, V14 (Maintenance Supervisor) accompanied the surveyor to Resident R13's and Resident R14's rooms to inspect their wheelchairs. Upon observation, the right strap of the Resident R13's seatbelt was tied to the elbow or cushion guard of the right armrest in a knot. After the nursing staff removed Resident R13 from the chair, V14 explained that Resident R13's seatbelt was not placed properly. V14 showed how

the seatbelt strap was not fastened properly and how the material used to tie the knot was not secure. V14 added that screws should be added to firmly secure the seatbelt of the wheelchair.V14 stated that the rubber around Resident R14's wheelchair wheels fall off as Resident R14 enters the building. V14 stated that V14 witnessed

the rubber falling off as Resident R14 entered the facility and V14 repaired it. V14 said that it was a surprise to learn that Resident R14's brakes were not working. There was blue tape tied around the breaks of Resident R14 wheelchair. V14 explained that the smooth tape had no grip or traction which causes improper breaks. V14 said that Resident R14's wheelchair may cause property damage, accidents and injury to Resident R14.V14 added that Resident R14's lack of breaks could cause Resident R14 to run into a wall. V14 stated that this is an overall safety issue.On 11/25/2025 at 1:05 PM, V2 (Director of Nursing) stated that Resident R12 was not pleased with Resident R12 wheelchair and sought V2's assistance

in receiving a new one. V2 said that V2 told Resident R12 that Resident R12 should wait to qualify for the wheelchair because Resident R12 may later qualify for the walker and insurance may not pay for both.On 11/26/2025 at 1:40 PM, V1 (Administrator), V1 said the divider of Resident R12's wheelchair was touching the wheel and the screw needed to be replaced and that was the reason why the wheels of Resident R12's wheelchair was hard. V1 stated that it is important to make sure the wheelchairs are in good working condition for resident safety. V1 added that is important that wheelchairs of residents are kept functioning properly to receive the best quality of care.The facility undated policy titled Assistive Devices and Equipment reads Defective or worn devices are repaired or discarded, at resident's or family's discretion.

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📋 Inspection Summary

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