Miller Health Care Center
Inspection Findings
F-Tag F0550
F 0550 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
interview and record review, the facility failed to obtain consent prior to a wound procedure of a cognitively impaired resident. This failure resulted in the facility obtaining a wound biopsy without consent from Resident R2's family.This applies to 1 of 1 (Resident R2) resident reviewed for resident's rights.The findings include:Resident R2 was [AGE] years old. Resident R2 had multiple diagnoses which included hemiplegia and hemiparesis, aphasia, dysphagia, acute and chronic respiratory failure, and lobar pneumonia per the Face Sheet. Resident R2's MDS (Minimum Data Set) dated 06/06/25 showed Resident R2 had severe cognitive impairment.Resident R2's Specialty Physician Wound Evaluation & Management Summary dated 07/10/25 showed, Skin tear wound of the left shoulder, full thickness. Wound size 1.7 x 1.5 x 0.1 cm. Moderate serous exudate. 100% granulation tissue. Wound progress not at goal due to suspicious non healing lesion. Procedure: Biopsy of a skin tear wound of the left shoulder. Consent for procedure: The rationale for biopsy, alternative options, and procedure risks were explained on 07/10/2025 to the patient who indicated agreement to proceed with the procedure.On 08/22/25 at 12:40 PM, V2 (Registered Nurse/Wound Care) stated Resident R2 was admitted to the facility with a left shoulder skin tear. V2 stated on 07/10/25 the left shoulder skin tear was biopsied by the wound care doctor.
V2 stated Resident R2 shook his head and gave verbal consent for the procedure. V2 stated I don't recall if the biopsy was discussed with the family before it was done.On 08/22/25 at 1:55 PM, V3 (Social Worker) stated Resident R2 was not able to make decisions or give consents for care or procedures. V3 stated Resident R2's family also did not want decisions made without them being present. On 08/22/25 at 3:26 PM, V7 (family member) stated Resident R2 cognitively was unable to give verbal consent for biopsy. V7 stated verbal consent was not obtained from Resident R2's wife or daughter before the biopsy. Resident R2's EMR (Electronic Medical Record) was reviewed. There was no documentation of verbal consent for the biopsy of the left shoulder given by Resident R2's wife or daughter.
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:
MILLER HEALTH CARE CENTER in KANKAKEE, 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 KANKAKEE, 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 MILLER HEALTH CARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.