Grove Health & Rehab Ctr, The
Inspection Findings
F-Tag F0689
F 0689 Level of Harm - Actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
them the call light. (Resident R1) is not able to turn himself over.On 11/13/2025 at 3:24 PM, V15, CNA stated when
we are providing incontinent care, we are never ever supposed to leave the resident unattended ever, even for a second. If we need help, we are supposed to push the call light and/or put the resident's call light on and wait for help. If we can't wait, we are supposed to put the bed down all the way down to the floor, position the resident on their back, and give them their call light before we ever leave the room. (Resident R1) is not able to turn himself.On 11/13/2025 at 3:27 PM, V16, CNA stated, We are never to leave a resident unattended while providing incontinent care. If we need supplies and I did not bring them, then I would put
the call light on and wait for help. If nobody came, then I would put the resident on their back, cover them up, lower the bed all the way to the floor and hand them the call light.On 11/13/2025 at 4:18 PM, V17, Corporate Nurse stated, (V12) should have put on the call light and waited for help. She should have never left the resident unattended.Resident R1's emergency room Visit date reviewed 11/10/2025 document hospital problem, (Principal) Intracranial hemorrhage. [AGE] year old male presents to the emergency department as a trauma transfer. The patient fell at the nursing home CAT scan obtained in outlying facility was suspicious for a frontal confusion. Patient was transferred here to be seen by neurosurgery. History mainly EMS patient has dementia. Minor head injury.On 11/20/2025 at 8:39 AM, V26, Nurse Practitioner stated,
During incontinent care if a staff member raised the bed, then I would expect the staff to lower the bed and place the resident on their back and or call for assistance before leaving the room. The resident should never be left with the bed raised unattended. I would not expect staff to leave the room with the bed up because it puts the resident at risk for falling out of the bed and they could sustain any injury from the fall.The Facility Fall Policy with a date initiated of 7/1/2023 documents, To provide staff with guidelines for investigating, reporting, and recording Accidents and Incidents. An accident/incident is any occurrence which is not consistent with the routine operation of the facility or the routine care of a particular resident. It may involve injury or damage to property. It may involve residents, visitors, or volunteers.
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If continuation sheet
GROVE HEALTH & REHAB CTR, THE in JACKSONVILLE, 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 JACKSONVILLE, 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 GROVE HEALTH & REHAB CTR, THE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.