Forest View Rehab & Nursing Center
Inspection Findings
F-Tag F0689
F 0689 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Some
FORM CMS-2567 (02/99) Previous Versions Obsolete
by outside Social Services Consulting group on 11/13/25. Initial Elopement Risk Assessment will be completed by nursing, and assessments by social services reviewed and supervised by Social Services Consulting completed upon admission, quarterly, significant change, or any observed exit-seeking behavior.
Staff training will be integrated into new-hire orientation and annual in-services; includes training for elopement vs wandering risk and interventions. Elopement binder will be updated by social service consultant based on results of elopement risk assessment. Binder reviewed by Administrator/DON weekly x 4 weeks, then monthly x3 months. Facility to complete elopement drills weekly for all shift by Social Services consultant, Administrator and DON. Results of drills to be reviewed Administrator/DON. QA Committee to audit 5 elopement-risk residents weekly x 4 weeks, then monthly x 3 months for compliance with interventions and monitoring DON/Social Services Consultant to review all elopement risk assessments completed weekly for 90 days and report findings in QAPI. Maintenance to conduct weekly door alarm and window lock checks and log results.
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Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
11/17/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Forest View Rehab & Nursing Center
535 South Elm Itasca, IL 60143
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0850
F 0850
Hire a qualified full-time social worker in a facility with more than 120 beds.
Level of Harm - Minimal harm or potential for actual harm
Based on interview and record review, the facility failed to employ a qualified full time Social Services Director. This applies to all 129 residents residing in the facility. The findings include:Facility Daily Census, dated 11/5/25, shows the facility census was 129 residents.Application for Employment, dated 6/25/21, shows V3 (Director of Social Work) applied for the Social Service Director position. The application shows V3's highest level of education attained was a high school diploma.Employment offer letter, dated 7/2/21, shows the facility offered V3 the position of Social Services Director and V3 accepted the position on 7/2/21.Director of Social Services Job Description, signed by V3 (Director of Social Services) on 1/10/23, shows the education and experience required for the position includes either a bachelor's degree in psychology or sociology; a Bachelors or Master of Arts in Social Work, or a Licensed Clinical Social Worker's Certificate. On 11/13/25 at 10:30 AM with V19 (Consultant) and V2 (Director of Nursing), V1 (Administrator) stated V3 (Social Services Director) continued to work at the facility as the Social Services Director while the facility was recruiting for a new, qualified Social Services Director. V1 stated V3 remained
in the role of Social Services Director since she was identified as not being qualified for the position during
a prior complaint survey. V1 stated V3 would remain as Social Services Director until a new, qualified Director was hired.
Residents Affected - Many
FORM CMS-2567 (02/99) Previous Versions Obsolete
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FOREST VIEW REHAB & NURSING CENTER in ITASCA, 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 ITASCA, 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 FOREST VIEW REHAB & NURSING CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.