Little Village Nrsg & Rhb Ctr
Inspection Findings
F-Tag F0550
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
observations, interviews, and record reviews, the facility failed to protect the rights of the resident and allow one (Resident R2) resident to go out on a community pass after a ninety-day restriction without performing a reassessment. Resident R2's Minimum Data Set (MDS) dated [DATE REDACTED] shows Resident R2 is cognitively intact.Resident R2's was admitted to the facility on [DATE REDACTED] with diagnoses including but not limited to other bipolar, major depressive disorder recurrent, severe with psychotic symptoms, generalized anxiety disorder, and other psychoactive substance abuse. On 8/19/25 at 10:58 AM, Resident R2 received in room, stated he has been in the facility since October 2023. He went out to the community on independent pass on 2/28/25, he came back to the facility intoxicated with drug-marijuana, and he was given a ninety-day community pass restriction on 3/3/25. His ninety-day community restriction officially ended in June 2025, but he is still not being allowed to leave the facility despite multiple requests voiced to the facility V7 (Social Service Director), and the facility is violating his rights.On 8/19/25 at 3:10 PM, V7 (Social Service Director) stated that he has been in the facility for one year, the residents have the right to go out on pass based on safety community assessment. The resident could go out for two hours, four hours, or eight hours, when the resident violates the contract, the resident will be restricted as ordered and complete a new community access observation assessment to determine if the resident is qualified to go out to the community independently or with supervision. Resident R2 had repeated violations of constant alcohol/drug overdose whenever he goes out independently, on 2/28/25 he overdosed with some drug, and the physician placed him on ninety-day community restriction until 6/1/25. V7 stated that, Resident R2 should have been reassessed since 6/1/25 to determine if he is qualified to go out to the community independently or with supervision, but he was not reassessed until surveyor walked into the facility on 8/19/25.On 8/21/25 at 12:20 PM, V1 (Administrator) stated that she has been in the facility for twenty years, the residents have the right to go out to the community. Resident R2 should have been reassessed
after the end of the ninety-day community pass restriction on 6/1/25 because that is his right. She will ensure V5 takes care of this situation right away.Resident R2's physician order dated 3/3/25 documents in part; Restricted community pass for 90 days until 6/1/25.Resident R2's community access observation assessment dated [DATE REDACTED]. Residents Rights dated 10/2027 documents in part: residents are entitled to exercise their rights and privileges to the fullest extent possible.
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:
LITTLE VILLAGE NRSG & RHB CTR 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 LITTLE VILLAGE NRSG & RHB CTR or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.