Complete Care At The Boulevard
Inspection Findings
F-Tag F0686
F 0686 Level of Harm - Actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
effort.Resident R1's progress noted dated 08/18/25 documents in part, Writer alerted by CNA on duty that the resident was not as responsive as usual. Upon assessment vital signs 98/54, P (pulse) 113, t (temperature) 101.9, R (respirations) 19, SPO2 (oxygen saturation of peripheral blood) 95% on room air. Notified NP (Nurse Practitioner) new orders to send to ER (emergency room).Progress note dated 8/19/25 document Resident R1 admitted with diagnosis of Sepsis and necrotizing fasciitis in ICU intubated.Progress notes reviewed 7/30/25 - 8/19/25, no documentation that Resident R1 refused repositioning or lay down. Review of wound care provider notes 8/8/25 and 8/13/25 do not identify Resident R1 refusing care.Resident R1's hospital record dated 08/18/25 documents in part, Patient presented to ED (Emergency Department) after being found to be febrile to 100.7, as well as hypotensive in her SNF (Skilled Nursing Facility). Upon arrival she was found to be afebrile, normotensive, although with leukocytosis to 33 and hyperglycemia to 388. Labs also significant for venous lactate to 2.2. Infectious workup showing sacral ulcer with underlying destruction of coccyx concerning for osteomyelitis with gas tracking into the R (right) gluteal musculature, R gluteal cleft, and perineum c/f (concern for) active infection. CT abdomen and pelvis: 1. Sacral ulcer with underlying destruction of the coccyx concerning for osteomyelitis. Additionally, there is gas tracking into the right gluteal musculature, right gluteal cleft, and perineum concerning for active infection. Given the extent of gas tracking along the subcutaneous tissues and into the right gluteal musculature there is concerning for developing necrotizing fasciitis. No drainable abscess. Resident R1's hospital surgical report dated 08/18/25 documents in part, Findings: Stage 4 sacral decubitus ulcer with frankly necrotic surrounding tissue and malodorous murky grey output liquid output, probed to coccyx. Wide excision and debridement of wound to underlying healthy tissue. Anterior tracking along the R medial gluteal fold along anorectal junction. Wound base 14cm (centimeters) wide x 18.5 long x 3.5cm deep. Resident R1's hospital records dated 08/19/25 documents
in part, Patient intubated and sedated s/p (status post) emergent wound debridement on 8/18/25, unable to participate in interview.Facility's policy titled Turning and Repositioning dated 09/01/24 documents in part, Policy: It is our policy to implement turning and repositioning as part of our systematic approach to pressure injury prevention and management.Facility's policy titled Wound Treatment Management dated 09/01/24 documents in part, Policy: To promote wound healing of various types of wounds, it is the policy of this facility to provide evidence-based treatments in accordance with current standards of practice and physician orders.Policy Explanation and Compliance Guidelines: 1. Wound treatments will be provided in accordance with physician orders, including the cleansing method, type of dressing, and frequency of dressing change.7. Treatments will be documented on the Treatment Administration Record or in the electronic health record.8. The effectiveness of treatments will be monitored through ongoing assessment of the wound. Considerations for needed modifications include: a. Lack of progression towards healing.
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Complete Care at the Boulevard 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 Complete Care at the Boulevard or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.