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Complaint Investigation

Jerseyville Nsg & Rehab Center

Inspection Date: November 12, 2025
Total Violations 1
Facility ID 145465
Location JERSEYVILLE, IL
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Inspection Findings

F-Tag F0689

Quality of Life and Care Deficiencies
Harm Level: Actual Harm

F 0689 Level of Harm - Actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

that on, otherwise we would have her more supervised and up at the nurse's station. V2 stated Resident R2's only major health concern was that she didn't have fingers or toes, so we wanted to keep her safe. V2 stated the bed alarm was not an effective intervention for Resident R2, the alarm was only effective when used in her wheelchair. V2 stated in agreement that Resident R2 already had use of bed and chair alarms in place prior to her fall [DATE REDACTED], it would not have been a new intervention. V2 stated in agreement that Resident R2's bed had already been put in low position with a fall mat in place prior to her fall on [DATE REDACTED] and that it wasn't added to her care plan interventions until after the fall. V2 stated maybe they could have put the alarm box inside Resident R2's bedside table to keep her from turning it off.On [DATE REDACTED] at 11:50 AM, V11 (Medical Director) stated his main concern for Resident R2 was preventing falls. V11 stated he hadn't seen Resident R2 yet but was scheduled to see her this month. V11 stated in his clinical expertise, a TSH (thyrotropin) level of 34 and having hypothyroidism would not have an effect on the risk of falls. V11 stated he would expect staff to be following the fall risk care plan interventions if they were able to do so. V11 stated he would expect interventions to be progressive and resident centered, if Resident R2 was able to turn off the alarm, he would expect the facility to attempt to prevent her from being able to do so by hiding it. V11 stated if the fall risk interventions were not being followed and

they were previously working, it could pose a higher risk for Resident R2 to fall.On [DATE REDACTED] at 2:18 PM, V2 (DON) stated the facility did not have an alarm policy but they did have guidelines for Personal Alarms. The Personal Alarms guidelines (undated) documented bed exit alarms are often used as an intervention for fall reduction programs, but they are not always used effectively. It continued to document it is important that when placing an alarm to consider many reports describe patients deliberately deactivating their alarms and may not be appropriate.The facility's Falls Management Policy dated [DATE REDACTED] documented it is the policy of the facility to assess and manage resident falls through prevention, investigation, and implementation and evaluation of interventions.

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📋 Inspection Summary

JERSEYVILLE NSG & REHAB CENTER in JERSEYVILLE, IL inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

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

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 JERSEYVILLE, 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 JERSEYVILLE NSG & REHAB CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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