Freeburg Care Center
Inspection Findings
F-Tag F0600
F 0600 Level of Harm - Actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
in wheelchair. Surveyor asked Resident R2 about incident with Resident R3. Resident R2 stated I was sitting here and this guy I didn't know clocked me. I thought he punched me, but he used a knife. I only saw his fist. I fell out of my chair.
He's gone now. Surveyor asked Resident R2 if he felt safe and Resident R2 stated I guess so.On 10/21/2025 at 9:15AM V6, CNA (Certified Nurse's Assistant), stated I was at a table close by Resident R2's table assisting another resident and heard Resident R2 scream My eye my eye. I ran over and Resident R3 was walking away with a glazed look in his eyes. He said, Get out of my face #####. I started helping Resident R2 and getting his vitals. Resident R3 left the dining room with other staff. Resident R3 had never acted this way before.On 10/21/2025 at 8:10AM V5, RN (Registered Nurse) stated I was
in V2's office when I heard someone yell Help me Help me. I saw Resident R3 walking away out of the dining room.
Staff members that were in the dining room were already there and walking with Resident R3 and staff were already assisting Resident R2. Resident R2 was on the floor. Resident R2 thought he had gotten hit. We laid Resident R2 on the ground flat. Resident R2 had a very small laceration under his right eye on his cheekbone area. There was a very small amount of blood.
We started neuro checks and vitals on Resident R2 and helped him up. Resident R3 was sent out to the hospital first and then Resident R2. Resident R2's vitals and neuro checks were all fine.On 10/21/2025 at 8:33AM V2, DON, stated I was in my office
the time of the incident with Resident R2 and Resident R3. I heard Ouch, Ouch and went running out of office. I saw Resident R2 on the floor and his head was on the foot pedals of his wheelchair. I asked Resident R2 what happened, and he said, That guy clocked me. We then laid Resident R2 flat and started getting vitals and neuro checks. One of the CNAs had walked out of the dining room with Resident R3. I went to see about Resident R3, and he was away from all other residents.
He was talking crazy. He was saying his wife was cheating on him and his son was stealing from him. He was irate. We stayed with him and kept him away from residents until EMS came.On 10/21/2025 at 10:40AM V8, LPN, stated I was walking back into the dining room on 10/13/2025 during lunch and heard Resident R2 yelling help and that his eye hurt. V2 was already there by Resident R2 and some other staff were with Resident R3 keeping him away from other residents. We started vitals and neuro checks. I then called and got orders to send both residents out. Facility abuse policy updated 12/13/2023 states This facility affirms the right of our residents to be free from abuse, neglect, misappropriation of property, corporal punishment and involuntary seclusion. This facility therefore prohibits mistreatment, neglect or abuse of its residents, and has attempted to establish a resident-sensitive and secure environment. The purpose of this policy is to assure that the facility is doing all that is within our control to prevent occurrences of mistreatment, neglect or abuse of our residents.
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FREEBURG CARE CENTER in FREEBURG, 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 FREEBURG, 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 FREEBURG CARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.