Eldorado Rehab & Healthcare
Inspection Findings
F-Tag F0692
F 0692 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
hypothyroidism, anorexia, gastro-esophageal reflux disease with esophagitis, osteoporosis, and dysphagia.Resident R13's physician's order sheet dated 11/25/25 documents orders including but not limited to regular diet with mechanical soft texture, regular liquid consistency, health shake three times per day with meals.Resident R13's most recent care plan documents a focus area for the potential for a nutritional problem dated 11/24/23. Interventions for this focus area include but aren't limited to invite Resident R13 to activities that promote additional intake dated 11/24/23 and provide and serve diet as ordered dated 11/24/23. Another focus area
on same care plan documents Resident R13 had potential for impairment to skin integrity dated 11/24/23.
Interventions for this focus area include but aren't limited to encourage good nutrition and hydration to promote healthier skin dated 11/24/23. Another focus area for Resident R13 documents Resident R13 has osteoporosis dated 11/24/23. Interventions documented for this focus area include but aren't limited to encourage intake of dairy products, cereals enriched with calcium and vitamin D dated 11/24/23. Resident R13's MDS dated [DATE REDACTED] documents in section GG Resident R13 is a set up/clean up assistance for eating.Resident R13's dietary notes by V6, Registered Dietician dated 10/31/25 documents Resident R13 had significant weight loss the past 2-3 months.
Weight loss has slowed down. Current body mass index is low for age. Resident R13 tolerates liquids better than solids. It is appropriate to add supplement with meals to provide nutrient dense liquid option for better tolerance related to pain with swallowing.On 11/24/25 at 1:00 P.M., observed Resident R13's lunch tray not to contain
the health shake on her tray. Resident R13's meal ticket lying on her tray documents Resident R13 was to have a health shake administered with her lunch time meal.On 11/24/25 at 2:00 P.M., V17, Dietary Aide stated he would expect residents' ordered supplements to be on the residents' trays when they leave the kitchen. V17 stated the reason Resident R13's ordered health shake wasn't on her lunch tray was because V17 had simply forgotten to put it
on the tray. On 11/24/25 at 3:16 P.M., V9, Registered Nurse stated she would expect any nutritional supplements ordered by the medical doctor to be on the tray when they go out of the kitchen. On 11/25/25 at 1:04 P.M., V5, Dietary Manager stated any ordered nutritional supplements should go out with the meal tray they are ordered to be administered with. V5 stated there is no reason they should not be included on
the meal tray. V5 stated the supplements reportedly missing from Resident R13's tray was unacceptable. V5 stated all supplements should be on the trays when they leave the kitchen. On 11/25/25 at 4:05 P.M., V1, Administrator stated she would expect the nutritional supplements to be administered as ordered to all residents. V1 agreed some of the possible adverse outcomes that could stem from residents not receiving their ordered nutritional supplements could include but not be limited to weight loss, loss of muscle mass affecting balance, strength, mobility, and prolonged or decreased ability to heal.On 11/25/25 at 2:32 P.M., V7, Medical Doctor stated she would expect the facility to administer or at least offer the nutritional supplements to Resident R1 and Resident R13 as they are ordered. V7 stated if nutritional supplements are not administered as ordered it could cause a decline in the affected resident's overall health, cause malnourishment if they are already prone to that, can increase the adverse effects of her chronic illnesses, affect her ability to heal, maintain weight and muscle mass.On 11/25/25 at 2:44 P.M., V6, Registered Dietician stated she would expect the facility to administer the ordered nutritional supplements as ordered by the medical doctor and recommended by her. V6 stated if nutritional supplements are not administered as ordered to the residents
it could cause decrease in ability to heal, further weight loss, decrease in muscle mass, causing further weakness, and increased risk of falls.
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ELDORADO REHAB & HEALTHCARE in ELDORADO, 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 ELDORADO, 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 ELDORADO REHAB & HEALTHCARE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.