Aperion Care Elgin
Inspection Findings
F-Tag F0684
F 0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Level of Harm - Minimal harm or potential for actual harm
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
interview and record review, the facility failed to ensure the resident attended infectious disease (ID) follow-up appointments, documenting and notify the attending the ID specialist of the missed appointment, resident refusal of care and the resident's discharge from the facility. This applies to 1 of 3 (Resident R6) residents reviewed for care regarding active infections. The findings include:Review of the Electronic Medical Record (EMR) showed that Resident R6, a [AGE] year-old resident, was admitted to the facility from the hospital on September 5, 2025. Resident R6's multiple diagnoses included non-traumatic spinal cord injury, acute paraplegia, surgical site infection, sepsis, lumbar radiculitis, diabetic amyotrophy, diabetes mellitus type 2, and multilevel lumbar spinal stenosis.Hospital records dated September 5, 2025, documented that Resident R6 had undergone extensive lumbar spinal surgery on July 31, 2025. His postoperative course was complicated on August 8, 2025, by fever, severe sepsis, and a postoperative lumbar infection. Resident R6 was under the care of an ID specialist and prescribed Unasyn 3 g IV every six hours via PICC line, with a treatment end date of September 24, 2025. Hospital documentation indicated that the ID specialist required a follow-up appointment in approximately three weeks, due September 23, 2025.The Physician Order Sheet (POS) for September 2025 confirmed the order for Unasyn 3 g IV every six hours via PICC line.Progress notes dated September 8, 2025, documented that the ID office contacted the facility and provided Resident R6's follow-up appointment dates for September 19 and September 30, 2025. Record review showed no documentation that Resident R6 went to his appointment for the September 19,2025. Progress notes dated September 25, 2025, indicated that Resident R6 was discharged home. The EMR contained no documentation that: -Resident R6 attended the scheduled ID appointment on September 19, 2025, or had refused the appointment, or the ID specialist was notified of the missed appointment or the discharge to ensure continuity of infection treatment.On November 28, 2025, at 1:15 p.m., V3 (Licensed Practical Nurse) stated that Resident R6 had refused the September 19 ID appointment. However, there was no record of refusal in the EMR, nor evidence of notification to the ID specialist to modify treatment or reschedule follow-up.On November 30, 2025, at 11:00 a.m., V2 (Director of Nursing) stated that facility's practice requires staff to notify the ID specialist when a resident refuses a scheduled follow-up appointment, as the specialist may need to adjust antibiotic therapy or provide an earlier appointment. No such notification occurred.
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:
APERION CARE ELGIN in ELGIN, 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 ELGIN, 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 APERION CARE ELGIN or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.