Imboden Creek Senior Living
Inspection Findings
F-Tag F0801
F 0801 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Many
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Based on interview and record review, the facility failed to employee a Certified Dietary Manager for food services. This failure has the potential to affect all 75 residents currently residing in facility.Findings include:Facility Midnight Census, dated 11/28/2025 ,documents there are 75 residents currently residing in
the facility.On 11/28/2025 at 1:19 PM, V11 (Dietary Manager (DM)) stated he is not certified for dietary management and he is not currently enrolled in any certification courses.On 11/28/2025 at 10:50 AM, V1 (Administrator) stated V11(DM) is not certified and V16 (Regional Registered Dietician) consults for facility
on a monthly basis. On 11/28/2025 at 2:38 PM, V1 (Administrator) confirmed V11 (DM) is not a Certified Dietary Manager, and V11(DM) is not currently enrolled in any certification courses. The facility's job description for the Director of Food Services that is undated documents the general purpose of this job description is to assist in planning, organizing, developing, and directing the overall operation of the Dietary Department in accordance with current and federal, state, and local standards governing the facility, and as may be directed by the Administrator, to ensure the quality nutritional services are provided on a daily basis and that the Dietary Department is maintained in a clean, safe, sanitary manner.
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:
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.