Elevate Care Chicago North
Inspection Findings
F-Tag F0684
F 0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Level of Harm - Minimal harm or potential for actual harm
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
observation, interview, and record review, the facility failed to provide timely wound care for one (Resident R1) out of three residents reviewed for wound treatment. Findings Include: Resident R1's Electronic Health Record/EHR shows
she was admitted to the facility on [DATE REDACTED], she is [AGE] years old, her Brief Mental Status shows she is severely impaired. She has diagnoses not limited to chronic respiratory failure with hypoxia, encounter for attention to tracheostomy, dysphagia oropharyngeal phase, encephalopathy, dysphagia following cerebral infarction, aphonia, and dependence on supplemental oxygen.On 1/29/26 at 10:34 AM, Resident R1 was supine in bed, non-verbal, and she was unable to respond to interview. On 1/29/26 at 3:06 PM, V7 (Wound Care Coordinator) stated he cannot recall if anyone told him about Resident R1's left gluteal small skin alteration on 1/23/26 until 1/27/26 when he called the doctor for a treatment order. He also stated he realizes there was a delay of treatment, which could potentially worsen Resident R1's wound. On 1/29/26 at 2:47 PM, via telephone, V11 (Licensed Practical Nurse/LPN) stated an unidentified Certified Nursing Assistant/CNA reported to her on 1/23/26 that Resident R1 has small superficial skin alteration on her buttocks. She reported to the wound team, but
she did not document the intervention anywhere in Resident R1's medical record, V11 stated she knows if it is not documented that it means it was not done. On 1/29/26 at 2:50 PM, V2 (Director of Nursing/DON) stated she has been in the facility since June 2025, and it is her expectation that nurses would provide nursing interventions timely to prevent further tissue breakdown. She also stated Resident R1's wound on her buttock is very small even though the treatment was not started until after three days. Resident R1's Physician Order Sheet/POS active order as of 1/29/26 shows wound care, left gluteal cleanse with normal saline, apply zinc oxide paste, cover with silicone bordered foam every day and as needed (PRN) every shift dated 1/28/26. Resident R1's Treatment Administration Record/TAR shows initial wound treatment, dated 1/27/26.Resident R1's progress notes, dated 1/27/26, Wound Care: Resident R1's Left Gluteal - Cleanse with normal saline, pat dry, apply Zinc Oxide paste, cover with Silicone Bordered Foam, every day and as needed/PRN.Change in condition policy, dated 7/8/24, documents: To ensure that medical care problems are communicated to the attending physician in a timely, efficient, and effective manner.Registered Nurse and Licensed Practical Nurse Job description: documents: Ensures timely notification of medical director.
Residents Affected - Few
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:
ELEVATE CARE CHICAGO NORTH 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 ELEVATE CARE CHICAGO NORTH or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.