California Terrace
Inspection Findings
F-Tag F0558
F 0558 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some
FORM CMS-2567 (02/99) Previous Versions Obsolete
Resident R4's bedside tables. On [DATE REDACTED] at 12:13 PM, V2 (Director of Nursing) stated staff are to either verbally report or write down any maintenance issues. When it comes to call lights, V2 expects staff to answer the residents' call lights in a timely manner. If the staff are available, they are to answer them. Facility's Policy and Procedure Call Light (revised 1/25) documents in part: All call lights will be answered by staff within a reasonable time, depending on the task required. All staff should assist in answering call lights. A non-nursing staff member may seek out nursing staff for further assistance when needed. Staff members may go to the resident's room to respond to the call system and promptly cancel the call light. Procedure: Answer the light (signal) promptly. Facility provided a copy of the ‘Illinois Long-Term Care Ombudsman Program - Resident Rights for People in Long-Term Care Facilities.' It documents in part residents have the right to receive the services and/or items included in the plan of care. Facility's Preventative Maintenance Program (11/2022) documents in part the purpose is to conduct regular environmental tours/safety audits to identify areas of concern within the facility. The Preventative Maintenance Program will review resident equipment are in working order.
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
09/19/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
California Terrace
2829 South California Blvd Chicago, IL 60608
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)
F-Tag F0584
F 0584 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some
FORM CMS-2567 (02/99) Previous Versions Obsolete
dirt on them. On 9/18/2025 at 12:13 PM, V2 (Director of Nursing) stated housekeeping is to ensure the environment is clean for the residents. V2 stated housekeeping should go in after each meal and clean up any issues so that it is clean and readily available to the residents. Facility provided a copy of the ‘Illinois Long-Term Care Ombudsman Program - Resident Rights for People in Long-Term Care Facilities.' It documents in part that residents have the right to a safe, clean, comfortable, and homelike environment.
Facility's Housekeeping Guidelines (7/14) documents in part that the purpose is to provide guidelines to maintain a safe and sanitary environment for residents, facility staff and visitors. Housekeeping personnel shall adhere to daily cleaning assignments developed so to maintain the facility in a clean and orderly manner. The Administrator and Environmental Services Director will routinely make visual quality control
observations to ensure that a high level of sanitation is maintained. Cleaning of curtains, walls, blinds, etc. will be cleaned when dust or soiling is visible. Trash will be removed from all areas of the facility daily and as needed to prevent spillage and odors. Facility's Preventative Maintenance Program (11/2022) documents in part that the purpose is to conduct regular environmental tours/safety audits to identify areas of concern within the facility. The head of maintenance and/or housekeeping are to conduct random rounds to conduct environmental tours/safety audits of the facility. This includes to ensure that all facility areas ae kept clean and in safe condition, paint is free from watermarks and peeling, ceiling tiles are free from watermarks or spots, and wall coverings are intact and free of tears or loose seams.
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
09/19/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
California Terrace
2829 South California Blvd Chicago, IL 60608
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)
F-Tag F0689
F 0689 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some
FORM CMS-2567 (02/99) Previous Versions Obsolete
the cracks or on the loose pieces coming off the cracks. V19 kicked a loose piece of cement was about 4 inches in length out to the dirt. Resident R10-Resident R14's ‘Care Plan Reports' document they are all fall risks. Resident R14's ‘Care Plan Report' documents multiple falls while out in the patio with one resulting from Resident R14 tripping while coming up the patio ramp. On 9/18/2025 at 12:13 PM, V2 (Director of Nursing) stated to prevent accidents staff are to ensure the environment is free from hazard. Facility provided a copy of the ‘Illinois Long-Term Care Ombudsman Program - Resident Rights for People in Long-Term Care Facilities.' It documents residents have the right to a safe, clean, comfortable, and homelike environment. Facility's ‘Fall Prevention Program' documents: It is the policy of this facility to have a Fall Prevention Program to assure the safety of all residents in the facility, when possible. Facility is to identify risk factors and remove hazards. Facility's Preventative Maintenance Program (11/2022) documents the purpose is to conduct regular environmental tours/safety audits to identify areas of concern within the facility. The head of maintenance and/or housekeeping are to conduct random rounds to conduct environmental tours/safety audits of the facility.
This includes to ensure all facility areas ae kept clean and in safe condition.
Event ID:
Facility ID:
If continuation sheet
CALIFORNIA TERRACE 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 CALIFORNIA TERRACE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.