Aliya Of Crestwood
Inspection Findings
F-Tag F0677
F 0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
Level of Harm - Minimal harm or potential for actual harm
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interviews and record reviews, the facility failed to follow their policy and procedures to ensure residents received showers in accordance with professional standards of practice. This failure applies to one (Resident R4) of four residents reviewed for receiving showers in the facility. Findings include: Resident R4 is [AGE] years old, female, admitted to the facility 08/14/2025, diagnoses including but not limited to: Dementia, metabolic encephalopathy, cerebral ischemia, and gait and mobility abnormality. Resident R4's (MDS) Minimal Data Set assessment of 08/21/2025, section C, the BIMS (Brief Interviewed Mental status) score was 10/15, which means moderately impaired cognitively. Resident R4's MDS of 8/21/2025, GG section for Shower/bathe self, Resident R4 requires Substantial/maximal assistance - Helper does more than half the effort. The helper lifts or holds
the trunk or limbs and provides more than half the effort.On 9/29/2025 at 1:00 PM, Resident R4's family member said, I went on vacation in the middle of the month, and when I came back to visit Resident R4, she reported that she had not showered, and I could smell body odor and requested Resident R4 to be showered right away. Resident R4's electronic medical records and shower sheets hard copies for the month of September 2025 only 9/8/25 and 9/15/25 shower records were found. On 9/29/2025 at 3:54 PM, V2 (Director of Nursing) said, I expect
the nursing staff to follow the shower schedules for the residents and any refusal, nursing assistants are supposed to notify their nurse and chart the refusal. If a resident refuses to shower frequently, the facility will update their care plan. On 9/29/2025 at 3:49 PM, V1(Administrator) provided the policy titled Activities of Daily Living, reviewed dated 1/1/2025. Which reads in part (but not limited to),Program: A program of activities of daily living is provided to prevent disability and return or maintain residents at their maximal level of functioning based on their diagnosisGuideline: 2. A program of assistance and instructions in ADLS skills is care planned and implemented.Procedure:A. Hygienef. Showers or baths are scheduled, and assistance is provided when required.Policy titled Bathing reviewed 3/17/2025.All residents are offered a bath or shower at least once per week. More frequent bathing or showering is given as needed or requested.
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:
ALIYA OF CRESTWOOD in CRESTWOOD, 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 CRESTWOOD, 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 ALIYA OF CRESTWOOD or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.