Arc At Hickory Point
Inspection Findings
F-Tag F0689
F 0689 Level of Harm - Actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
the rib cage) and found there to be a displacement or a deformity in her rib cage. Computed Tomography (CT) scan of Resident R1's chest, dated 7/10/25, documents Resident R1 had multiple left-sided rib fractures, a collection of blood in the chest cavity, and a left sided collapsed lung. A follow-up X-ray of Resident R1's chest, dated 7/10/25, documents Resident R1's left-sided collapsed lung had worsened, was moderate in size, and had an increase in bleeding and bruising. This x-ray also documents multiple rib fractures.On 9/03/25 at 9:45 AM, V10, Licensed Practical Nurse, stated she was the nurse caring for Resident R1 at the time of Resident R1's fall. V10 stated Resident R1 was
a known fall risk and Resident R1 didn't have any fall interventions in place. On 9/03/25 at 12:48 PM, V11, CNA, stated Resident R1 was a known fall risk, and the only intervention she knew of was to put Resident R1's bed in the low position.On 9/3/25 at 1:35 PM, V14, MDS/Care Plan Coordinator, stated she did a Baseline Care Plan for Resident R1 on admission, and it included falls as a problem. V14 stated the only intervention that was marked on
the Care Plan was for staff to ensure Resident R1 was wearing appropriate footwear. V14 stated other fall interventions should have been on the Resident R1's Care Plan for the prevention of falls.On 9/03/25 at 2:27 PM, V15, CNA, stated she knew Resident R1 was a fall risk and there were no fall interventions in place that she was aware of.On 9/03/25 at 2:38 PM, V16, CNA, stated she didn't know Resident R1 was a fall risk, but some of the CNA's would put Resident R1's bed in the low position. V16 stated there were no other fall interventions.On 9/03/25 at 1:40 PM, V13, Assistant Director of Nursing/LPN, confirmed Resident R1's fall risk assessment was completed on 6/29/25, and Resident R1's score was 13, indicating she was at a high risk for falls. V13 stated fall risk assessments are completed to determine a resident's risk for falls and to develop appropriate interventions according to
the resident's risk.On 9/03/25 at 2:54 PM, V12, Regional Nurse Consultant, stated they have an IT (Information Technology) issue with Care Plans, and fall interventions should have been in place.On 9/03/25 at 1:35 PM, V2, Director of Nursing, stated Resident R1 was pleasantly confused and easily redirected. V2 stated Resident R1 was a fall risk, and that having fall interventions in place could have changed Resident R1's outcome. On 9/03/25 at 3:47 PM, V17, Physician (former Medical Director), stated if there had been proper fall protocols and precautions in place for Resident R1 it might have changed Resident R1's outcome.
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ARC AT HICKORY POINT in FORSYTH, 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 FORSYTH, 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 ARC AT HICKORY POINT or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.