City View Multicare Center
Inspection Findings
F-Tag F0657
F 0657
notes the purpose is to ensure that in the event a fall occurs, additional interventions will be implemented to prevent another fall from occurring.
Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
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Facility ID:
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Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
10/28/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
City View Multicare Center
5825 West Cermak Road Cicero, IL 60804
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0689
F 0689 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
on the eighth-floor nursing unit, as they are all independent. V6 denied going into dining room to assist after informed Resident R1 was on the floor or afterwards.On 10/20/25 at 11:00 AM, V7 (Nurse Supervisor) stated V7 spoke with Resident R1 and Resident R1's family member regarding the incident. V7 stated Resident R1 took another resident's coffee, not sure which resident it was. The other resident swung at Resident R1 and Resident R1 fell. V7 stated he does not recall any further details, but his note dated 9/20 is an accurate account of incident.Resident R1's medical record, dated 9/20/25 at 9:13 PM, V7 (Nurse Supervisor) noted V7 was made aware Resident R1's family member requested a call back from supervisor as regards to Resident R1's welfare. V7 returned call to Resident R1's family member and updated family member on Resident R1's condition. V7 assured Resident R1's family member tan x-ray of the right arm will be done due to pain, while Resident R1 was receiving pain medication to relieve the pain pending the outcome of the x-ray. V7 also explained to Resident R1's family member Resident R1 confirmed to V7 that Resident R1 took and spilled peers coffee, who in turn swung back at Resident R1, leading to a fall. On 10/22/25 at 2:00 PM, V8, CNA (Certified Nurse Aide) stated she worked 9/19 day shift and evening shift, but denied working on the eighth-floor nursing unit where Resident R1 resided. The facility's staffing assignment sheet, dated 9/19/25, notes V8 assigned to work on the eighth-floor nursing unit day shift and evening shift. It also notes V8 documented her initials next to her name.On 10/23/25 at 10:08 AM, V9, LPN (Licensed Practical Nurse) stated she worked a double shift from 9/20 at 11:00 PM until 9/21 at 3:00 PM and was assigned to provide care for Resident R1. V9 stated Resident R1 did complain of pain to right arm. V9 stated she received report that Resident R1 fell and Resident R1 had swelling to right arm as a result. Resident R1 was receiving pain medication. V9 stated the x-ray results were known on 9/21 in the morning. V9 stated
the x-ray showed fracture. Resident R1 also had discoloration to his right eye. Resident R1 exhibits periods of anxiety in which Resident R1 paces on the nursing unit. Resident R1 paces daily. The facility's fall prevention and management program policy, dated 8/3/2017, notes the purpose is to ensure that in the event a fall occurs, additional interventions will be implemented to prevent another fall from occurring.
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CITY VIEW MULTICARE CENTER in CICERO, 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 CICERO, 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 CITY VIEW MULTICARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.