Clark Manor
Inspection Findings
F-Tag F0607
F 0607 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
[V9's] hand the bed control slipped out of her hand and hit [Resident R1's] forehead. [V9] immediately called me. [Resident R1] is always resistant to morning care. [Resident R1] has a behavior of very resistant every morning. [V9] called me because his [Resident R1] head was bleeding. I went inside [Resident R1's] room I saw that there was bleeding on the forehead, so I put treatment. I cleaned the wound and put pressure dressing. The bleeding was controlled. I asked [Resident R1] what happened, and [Resident R1] said that [V9] was holding the bed control, and [Resident R1] grabbed the remote control slipped from [V9's] hand then hit his [Resident R1] head accidentally. [Resident R1] did not want to be changed. [Resident R1] never told me that the [V9] hit him [Resident R1]. We sent to the hospital [Resident R1] via 911.A review of Resident R1's progress notes dated 12/21/25 at 4:07 PM documented by V8 (Resident R1's Nurse Practitioner) reads in part: [Resident R1] was seen today. A 3-4 cm [centimeters] fresh laceration in the mid of forehand. [Resident R1] reports a confrontation with nurse staff and hit by the remote.On 12/23/25 at 12:20 PM, a follow-up interview was conducted with V1 and V3.
Both stated they did not receive any report from V8 (Resident R1's Nurse Practitioner) regarding Resident R1's abuse allegation. Resident R1 said that the expectation is for V8 to report it to V1 immediately for any abuse allegations.
They would start the abuse reporting and abuse investigation right away and suspend the staff involve pending investigation if they were informed. Both stated an in-service will be provided right away to V8 about the facility's abuse policy and procedures.On 12/23/25 at 12:23 PM, called V8 and left a message through the answering service, but V8 never returned Surveyor's call.Facility provided V8's in-service on abuse prevention and reporting dated 12/23/25.The facility's Abuse and Neglect policy and procedure dated 6/26/25 documents in part: All allegations and/or suspicions of abuse must be reported to the Administrator immediately. If the Administrator is not present, the report must be made to the Administrator's Designee. All allegations of abuse will be reported to IDPH immediately not exceeding 2 hours after the initial allegation is received.
Event ID:
Facility ID:
If continuation sheet
CLARK MANOR 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 CLARK MANOR or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.