Imboden Creek Senior Living
Inspection Findings
F-Tag F0686
F 0686 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
ordered by the physician. V2 stated nurses are to perform the wound treatments according to physician orders, and if wound treatments are not completed as ordered, the wound would worsen and likely become infected causing the wound to take longer to heal. On 9/17/25 at 11:30am V6, Hospice Nurse, confirmed
the hospice documentation does not document a pressure ulcer wound on Resident R1 at time of admission. 2.Resident R2's undated care plan documents an admission date of 12/20/2024, with diagnoses of Parkinson's Disease Without Dyskinesia, Unsteadiness On Feet, Other Symptoms and Signs Involving the Musculoskeletal System, History Of Malignant Neoplasm Of Ovary, Acute Kidney Failure and Dementia. Resident R2's September 2025 Treatment Administration Record documents a physician order for wound/pressure ulcer treatment dated 08/26/2025. The same document documents the physician order of cleanse sacral wound with normal saline. Pack gauze soaked in quarter strength bleach water into wound with cotton tipped applicator.
Cover with ABD (gauze) pad. Change dressing two times a day (8am and 8pm) for Wound Care for 24 days. This same document documents on September 2,3,4,5,8,9,11,13,14 the 8am treatment was not completed and September 12 the 8pm treatment was not completed. On 09/15/25, Resident R2's medical record documents Resident R2's last skin/wound assessment as completed on 7/28/25. On 09/16/25 at 11:30am, Resident R2's sacral unstageable deep tissue injury (pressure ulcer) wound care was performed by V3, Corporate Nurse, and V7, Licensed Practical Nurse (LPN). The wound had full-thickness tissue loss with muscle exposed and can be directly seen. The wound bed and edges are red and inflamed. V7 used bleach solution soaked gauze to pack the undermining around the wound edges, Resident R2 complained of pain during the packing by V7.
On 09/11/2025 at 12:30pm, V2, Director of Nurses (DON), stated Resident R1 and Resident R2 have wounds/pressure ulcers that need treatments.On 9/16/25 at 2:30pm, V2, DON, confirmed nurses are to perform a weekly wound assessment and there are no weekly skin/wound assessments performed by facility nurses for Resident R2 as the Skin/Wound policy states and the treatment administration record for September 2025 documents the treatments were not completed as ordered by the physician. V2 stated nurses are to perform wound treatments according to physician orders, and if wound treatments are not completed as ordered, the wound could worsen and likely become infected causing the wound to take longer to heal.
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IMBODEN CREEK SENIOR LIVING in DECATUR, 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 DECATUR, 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 IMBODEN CREEK SENIOR LIVING or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.