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Complaint Investigation

Warren Barr Lincoln Park

Inspection Date: November 21, 2025
Total Violations 1
Facility ID 145875
Location CHICAGO, IL
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Inspection Findings

F-Tag F0883

Infection Control Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0883

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Level of Harm - Minimal harm or potential for actual harm

Based on record review and interview, the facility failed to offer vaccination to 3 out of 5 residents (Resident R7, Resident R86, Resident R87) reviewed for vaccination related to infection prevention. Findings include: Resident R7's immunization history documents the last time resident received influenza vaccination was on 11/13/2022. Pneumococcal vaccine was not administered, due to refusal, since 07/21/2023. No documentation was available for each vaccine that was offered for the current year 2025. Resident R86's immunization record documents the last time resident received influenza vaccination was on 01/04/2025. Pneumococcal vaccination (PCV13) received on 01/22/2020. Clinical Management / Infection Prevention, dated 03/04/2025, reads: Adult 50 years and older recommends PCV15, PCV20 or PCV21 pneumococcal vaccination. Resident R87's immunization record does not document the resident received pneumococcal vaccination. On 11/19/2025 at 10:34 AM, V6 (Infection Preventionist / Registered Nurse) stated she just started as an Infection Preventionist. V6 stated she still needs to address vaccination of some residents. Currently, residents that do not have documentation as to their immunizations were not offered vaccination yet. V6 stated vaccination is a priority, the importance of vaccination is to protect them (residents) and protect people around residents from infection.

Pneumococcal Vaccination Policy dated 07/15/2025:It is the policy of the facility to offer and administer pneumococcal vaccinations to each resident. Pneumococcal vaccination will be offered upon admission.

Influenza Vaccination dated 07/15/2025:It is the policy of the facility to annually offer and administer vaccination against influenza to each resident.

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:

📋 Inspection Summary

WARREN BARR LINCOLN PARK 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 WARREN BARR LINCOLN PARK or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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