River View Rehab Center
Inspection Findings
F-Tag F0686
F 0686 Level of Harm - Actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
breakdown on residents at risk should be identified early to aid in preventing potential deterioration. V19 said he expected the facility staff to follow their pressure injury prevention and wound assessment policy to ensure residents at risk could be managed appropriately. Resident R3's comprehensive care plan did not indicate he was at risk for skin breakdown prior to 5/19/2025. The care plan was updated on 5/19/2025 to indicate Resident R3 had new facility-acquired wounds to his sacrum on 5/19/2025 and right medial heel on 5/22/2025. Resident R3's ADL report from 5/01/2025-5/26/2025 showed he required limited to extensive assistance with his toileting needs. Resident R3's Bath and Skin Report Sheet for May 2025 showed his weekly (every 7 days) comprehensive skin check was last done on 5/12/2025. The following scheduled skin assessment on 5/19/2025 was not documented.Resident R3's Treatment Nurse Initial Skin Alteration Review (Wound Nurse) report dated 5/19/2025 said Resident R3 had a new facility identified open wound to his coccyx area. The wound measured 7.6 x 6.8 x 0.1 cm. The assessment did not indicate the type of wound and the type of tissue present.Resident R3's Specialty Physician Initial Wound Evaluation and Management Summary report dated 5/22/2025 said Resident R3 had a facility-acquired unstageable (due to necrosis) sacrum full thickness wound. The wound had 40% necrotic tissue with moderate serous drainage and measured 8 x 7 x 0.1 cm. The report also said Resident R3 had another facility acquired unstageable DTI of the right medial heel undetermined thickness wound. The wound measured 5.5 x 6 cm x unknown depth due to blood blood-filled blister. The facility's policy titled Pressure Injury and Skin Condition Assessment Policy, dated 09/2016, said the policy was established to provide guidelines for assessing, monitoring, and documenting the presence of skin breakdown, pressure, and other ulcers and assuring interventions were implemented. The policy said each resident will be observed for skin breakdown daily during care and on the assigned bath day by the CNA. Changes shall be promptly reported to the Charge Nurse, who will perform the initial assessment. Skin notifications include redness/swelling, blisters, skin discoloration, bleeding, wound drainage, any type of lesion, and changes in skin temperature. The policy said that at the earliest sign of pressure injury or other skin breakdown, and initial assessment and documentation, should be completed in the resident's clinical record. A licensed nurse was responsible for assessing, measuring, and recording pressure wounds in the Wound Assessment Form. The form documentation should include the site, stage of the pressure ulcer, and a comprehensive description of the wound.
Event ID:
Facility ID:
If continuation sheet
RIVER VIEW REHAB CENTER 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 RIVER VIEW REHAB CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.