Sunny Hill Nursing Home Of Will County
Inspection Findings
F-Tag F0552
F 0552
Ensure that residents are fully informed and understand their health status, care and treatments.
Level of Harm - Minimal harm or potential for actual harm
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
interview and record review, the facility failed to honor the wishes of a POA (Power of Attorney) by not administering an antidepressant medication. This applies to 1 of 1 resident (Resident R3) reviewed for medications.The findings include: Resident R3's admission Record showed Resident R3 was admitted to the facility on [DATE REDACTED]. Resident R3 had multiple diagnoses which included congestive heart failure, cognitive communication deficit, major depressive disorder, and osteoarthritis.On 12/31/25 at 3:28 PM, V10 (RN/Registered Nurse) stated on 12/03/25, she received an order from the NP (Nurse Practitioner) to give Resident R3 Zoloft (Antidepressant medication). V10 stated the order was delegated to the next shift, and the order was carried out. V10 stated
she spoke with Resident R3's POA and he stated he did not want Zoloft administered to Resident R3. V10 stated she forgot to discontinue the medication from the EMR (Electronic Medical Record). V10 stated Resident R3's POA did not give consent for Zoloft, but the medication was started a few days later. On 12/31/25 at 4:02 PM, V2 (DON/Director of Nursing) stated V10 did not discontinue the order for Zoloft. V2 stated V10 forgot about it and the medication was still on the MAR (Medication Administration Record) and the LPN's (Licensed Practical Nurse) gave the medication without consent. V2 stated Resident R3's POA found out that Resident R3 had been taking Zoloft at the care plan meeting. Resident R3's Order Audit Report dated 12/31/25 showed Zoloft 25 mg (milligrams), give one tablet by mouth at bedtime was ordered on 12/03/25. The same report showed Zoloft 25 mg was discontinued on 12/18/25 per Resident R3's POA's request. The MAR (Medication Administration Record) for December 2025 showed Resident R3 was administered Zoloft 25 mg at bedtime on 12/05-12/17/25. Resident R3's Progress Notes dated 12/03/25 at 5:11 PM, showed Resident seen by (Name) NP this morning with new orders to start Zoloft 25 mg one tablet PO (by mouth) nightly. Progress Notes dated 12/04/25 at 11:00 AM, showed Spoke with resident's POA (Name) about the new order of NP (Name) Zoloft for depression. (Name) declined the new medication, he verbalized his uncle has been verbalizing negative/depressive thoughts for years. POA does not want additional medications now. Resident R3's Progress Notes dated 12/18/25 at 1:38 PM, showed During care plan meeting, while going over medication Zoloft, POA became upset stating
he declined this medication so it should not have been given. POA stated I do not want to attend these meetings any longer. These meetings are not effective, your staff just does the opposite of what I request.The facility's Psychotropic Medication Policy reviewed date 12/20/23 showed, Nursing: 1. Obtains all consent for as required by regulation from the POA.
Residents Affected - Few
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date
these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE
TITLE
(X6) DATE
FORM CMS-2567 (02/99) Previous Versions Obsolete
Facility ID:
If continuation sheet
Event ID:
SUNNY HILL NURSING HOME OF WILL COUNTY 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 SUNNY HILL NURSING HOME OF WILL COUNTY or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.