Avantara Joliet
Inspection Findings
F-Tag F0677
F 0677 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some
On December 21, 2025, at 12:08 PM, Resident R105 was sitting up in bed. Resident R105 had hair on her upper lip and chin, which were approximately 0.5 inches long. The hair on her chin was curled. Resident R105's hair looked disheveled, and she stated she does have knots in her hair. Resident R105 stated her facial hair really bothers her and she wanted it removed. Resident R105 further stated she wanted her hair and teeth brushed daily. Resident R105 stated for the past two months she had asked several staff members multiple times to remove her facial hair. Resident R105 stated her hair, and teeth were brushed only on shower days, usually once or twice per week, and she could not recall the last time her hair and teeth were brushed. Resident R105 stated she required staff assistance with these tasks.
On December 22, 2025, at 8:52 AM, Resident R105's hair was still disheveled with knots, and Resident R105 still had hair on her upper lip and chin. The hair on her chin was curled.
On December 22, 2025, at 9:37 AM, V2 stated Resident R105 should have her hair washed and have her facial hair removed. Resident R105 stated to V2 she also wants her teeth and hair brushed.
- 8. Resident R99's EMR shows Resident R99 was admitted to the facility on [DATE REDACTED], with multiple diagnoses including
congestive heart failure and malignant neoplasm of uterus. Resident R99's MDS dated [DATE REDACTED], shows Resident R99 is cognitively intact, and needs set up/clean up assistance with oral hygiene and substantial/maximal assistance with personal hygiene. Resident R99's care plan dated June 9, 2025, shows Resident R99 requires assistance with all ADLs.
On December 21, 2025, at 12:13 PM, Resident R99 was sitting up in bed. Resident R99 had disheveled hair with knots. Resident R99 stated she would like her hair and teeth brushed daily. Resident R99 stated she can feel the knots in her hair. Resident R99 stated she gets her hair and teeth brushed once or twice a week on shower days. Resident R99 continued to say she would like her hair and teeth brushed more frequently. Resident R99 stated her hair was brushed last week when she had to go to a doctor's appointment. Resident R99 stated it has been several days since that appointment, and she has not had her hair and teeth brushed. Resident R99 added she needs help from staff to brush her hair and teeth.
On December 22, 2025, at 8:53 AM, Resident R99 still had disheveled hair.
On December 22, 2025, at 9:42 AM, V2 stated Resident R99 should have her hair washed and brushed. V2 stated residents should have their hair and teeth brushed daily. On December 22, 2025, at 9:51 AM, V2 continued to say she expects her staff to check with residents about their grooming needs every morning and she expects the residents to get daily oral care.
The facility's policy titled General Care revised on June 30, 2025, shows under policy statement, the facility will provide care for every resident to meet their needs. The policy further shows under procedure, the facility will assist the resident to meet his/her ADL needs.
FORM CMS-2567 (02/99) Previous Versions Obsolete
Event ID:
Facility ID:
If continuation sheet
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
12/24/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Avantara Joliet
210 North Springfield Avenue Joliet, IL 60435
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 F0684
F 0684 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
the Resident R48's knee every shift, and the facility should have had a wound treatment order and TAR for documentation to prevent further worsening of the wound and infection control.
- 2. The EMR (Electronic Medical Record) showed Resident R123 was admitted to the facility on [DATE REDACTED], and
discharged home on October 17, 2025. Resident R123's documented diagnoses included a displaced fracture of the greater trochanter of the left femur, protein-calorie malnutrition, chronic obstructive pulmonary disease (COPD), nicotine dependence, dermatitis, and malignant neoplasm of the bronchus.
Review of the POS (Physician Order Sheet) for October 2025 showed a physician's order dated July 2, 2025, directing staff to cleanse the buttocks with mild soap and water and apply Zinc Oxide Ointment every shift. Resident R123's Skin assessments dated June 5, June 12, June 20, and June 25, 2025, documented that Resident R123 had incontinence-associated dermatitis to the buttocks, measuring 3.0 cm x 3.0 cm.
Review of Resident R123's Electronic Treatment Administration Record (ETAR) and POS for the months of July, August, September, and October 2025 showed that Zinc Oxide Ointment continued to be ordered and applied as a preventative measure for skin impairment. However, review of the ETAR for these months revealed multiple instances of missing nurse signatures indicating that the Zinc Oxide treatment had not been administered as ordered.
On December 22, 2025, at 2:45 p.m., V22, (Certified Nursing Assistant/CNA), stated that Resident R123 occasionally experienced skin irritation to the buttocks.
On December 23, 2025, at 2:59 p.m., V4, (Wound Care Certified Nurse), stated that Resident R123 developed moisture-associated dermatitis to the buttocks on June 12, 2025, which was identified as incontinence-associated dermatitis. V4 further stated that Zinc Oxide Ointment remained in use after the dermatitis healed as a preventative measure to reduce the risk of recurrence. V4 also confirmed that nurses are required to sign the ETAR to show the treatment was done.
On December 23, 2025, at 2:42 p.m., V2, (Director of Nursing, DON), stated that it is the facility's policy for nurses to sign the ETAR to document treatments were administered as ordered. V2 explained that if the ETAR was not signed, the treatment was considered not completed.
Review of the facility's Skin Care Regimen and Treatment Policy dated July 3, 2025, showed the facility is required to ensure prompt identification, documentation, and appropriate treatment of residents with skin breakdown. The policy further requires nurses to document all assessments and treatments in the EMR.
FORM CMS-2567 (02/99) Previous Versions Obsolete
Event ID:
Facility ID:
If continuation sheet
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
12/24/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Avantara Joliet
210 North Springfield Avenue Joliet, IL 60435
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 F0693
F 0693 Level of Harm - Minimal harm or potential for actual harm
On December 22, 2025, at 12:15 p.m., Resident R101 was lying in bed. Along with V3, the gastrostomy tube insertion site was assessed and there was no dressing at the G tube site. The insertion site had encrusted material present, which had seeped through Resident R101's facility gown. V3 stated that Resident R101 must have a dressing applied to the gastrostomy tube insertion site and that the site should be clean per physician order.
Residents Affected - Some
The facility's Enteral Tube Feeding Care revised on June 30, 2025, stated, Procedure . 8. Enteral tube stoma care: Site must be cleansed and covered with dry gauze daily. Dry gauze should be placed on top of
the G tube bumper, otherwise, a slim layer of light breathable gauze can be inserted under the disc.
FORM CMS-2567 (02/99) Previous Versions Obsolete
Event ID:
Facility ID:
If continuation sheet
Avantara Joliet in JOLIET, 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 JOLIET, 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 Avantara Joliet or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.