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Complaint Investigation

Prairie Village Healthcare Ctr

October 24, 2025 · Jacksonville, IL · 1024 West Walnut
Citations 2
CMS Rating 3/5
Beds 126
Provider ID 145294
Healthcare Facility
Prairie Village Healthcare Ctr
Jacksonville, IL  ·  View full profile →
Inspection Summary

PRAIRIE VILLAGE HEALTHCARE CTR in JACKSONVILLE, IL — inspection on October 24, 2025.

Found 2 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF0687
Quality of Life and Care Deficiencies
Potential for More Than Minimal Harm

insects in webspace between 4th and 5th toes also seen by nurse, so nurse was cleaning both feet The facility's Charting and Documentation policy, revised 8/2006 documents all services provided to the resident, or any changes in the resident's medical condition shall be documented in the resident's medical record.

All observations must be documented in the resident's medical record.

All changes in resident's condition must be recorded which includes the date and time, name and title of who provided the care and the assessment data and/or any unusual findings obtained during the treatment, notification of physician if indicated.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

10/24/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Prairie Village Healthcare Ctr

1024 West Walnut Jacksonville, IL 62650

SUMMARY STATEMENT OF DEFICIENCIES

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview the facility failed to maintain a complete and accurate medical record for 1 (R2) of 3 sampled residents in review of complete and accurate medical records.

Findings include: R2's Undated Face Sheet, documents she was admitted to the facility on [DATE]. No diagnosis of wounds or bugs on R2's skin, including maggots. R2's Minimum Data Set (MDS) dated [DATE] documents she is alert. On 10/24/2025 at 3:33 PM V5, LPN stated V13, Facility Podiatrist entered the facility early in the morning on 10/20/2025 and assessed residents, including R2. R2's Electronic Medical Record (EMR) dated 10/23/2025 no documentation of V13's progress notes. On 10/23/2025 at 2:20 PM V1, Administrator stated V13, Facility Podiatrist doesn't share/send his progress notes with the facility, and he never has. On 10/24/2025 at 11:54 V13, R2's Podiatrist stated he is the facility podiatrist, and sees over 25 plus patients at the facility approximately four times a year. V13 stated his office sends the facility his progress notes within 2-3 days after he assesses the residents so his progress notes should be uploaded in the residents' medical records system. V13 stated he wasn't aware the facility wasn't receiving his progress notes or that his office wasn't forwarding his progress notes to the facility.

The Facility's Charting and Documentation Policy, revised 8/2006 documents all observations and services performed must be documented in the resident's clinical record.

Facility ID:

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 PRAIRIE VILLAGE HEALTHCARE CTR or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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