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Complaint Investigation

Community Care Nursing Center

Inspection Date: September 5, 2025
Total Violations 1
Facility ID 146164
Location CHICAGO, IL
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Inspection Findings

F-Tag F0550

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

F 0550 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interviews and review of records the facility failed to maintain resident rights to access personal funds in timely manner for 1 out of 1 resident (Resident R41). These failures affected 1 resident (Resident R41) in his ability to support his wants and/or needs due to lack of financial funds.Findings include: Resident R41 is [AGE] years old with initial admission date of 07/17/2024. Resident R4 diagnosis includes type 2 diabetes and kidney transplant. Resident R41 has a BIMS of 15 dated 06/24/2025 that means resident cognition is intact. On 09/02/2025 at 10:05 AM, Resident R41 stated that he asked for his monthly allowance of 30 dollars on August 1 and 2. Facility staff told him (Resident R41) that it was not yet available. Resident R41 stated that he asked multiple times for his monthly allowance from activity staff but still have the same answer. Resident R41 stated it was very hard because he does not have any money at all. Resident R41 stated that because of his frustration he told the facility that he would report to the State. It was only then that facility gave him his monthly allowance. On 09/03/2025 at 10:28 AM, V15 (Business Manager) stated that facility give residents their personal funds or monthly allowance between day 2 to 5 of each month. V15 stated that itemization of personal funds is being done by corporate office. Every time resident received personal fund, a receipt will be made with residents' signature. Review of Resident R41 July itemization documents that 30-dollar allowance was debited on July 18. V15 stated that it may be recorded but it is not

the actual date of disbursement depending on the receipt. Review of Resident R41's receipt for 30-dollar allowance for the month of August was dated on the 27 of August almost September. V15 stated that if it was available, it should have been given to Resident R41. V15 was made aware that based on Resident R41's itemization record of funds, Resident R41 has enough balance to cover 30-dollar allowance at the start of August. V15 saw the record and did not comment. 09/03/2025 11:28 AM V18 (Activity Director) stated that when resident asked for trust fund it will be given right away. Once business office gave her (V18) the money, I gave it right away. V18 stated that what she received for resident's monthly allowance is always cash. V18 stated that for the current month (September 2025) business office will give her the money on Thursday (September 4) and will give it to the resident on Friday (September 5). V18 stated that monthly allowance of 30 or 60 dollars is

the only money given to residents by the facility through Activity Department. V18 when made aware that Resident R41 received his monthly allowance on August 27 almost September. V18 said, It's not that late. Under Resident Rights Policy dated 03/2021, residents will be assured of the following rights including rights regarding their money. And the right of every resident to manage their own money.

Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date

these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE

TITLE

(X6) DATE

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

Facility ID:

If continuation sheet

Event ID:

📋 Inspection Summary

COMMUNITY CARE NURSING CENTER 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 COMMUNITY CARE NURSING CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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