Tri-state Village Nrsg & Rhb
Inspection Findings
F-Tag F0686
F 0686 Level of Harm - Actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
10/26.Resident R1's TAR (treatment administration record), dated 9/30 to 11/17, was reviewed. There is no documentation Resident R1 received wound care treatment to sacral wound on 10/3, 10/7, 10/8, 10/22, 10/23, 10/24, 10/25, 10/28, 11/4, 11/7, 11/13, or 11/15.Resident R1's wound management documentation, dated 10/2 to 11/4, notes on 10/2 Resident R1's sacral wound measured 2.9cm x 0.6cm x 0.1cm with100% granulation tissue; on 10/7 wound measured 2.9cm x 0.6cm x 0.1cm with100% granulation tissue; on 10/28 wound measured 3.5cm x 1cm with100% granulation tissue; and on 11/4 wound measured 3.5cm x 4cm x 0.2cm with 50% slough (yellow tissue) and 50% granulation tissue.There is no further documentation under wound management
after 11/4/25.On 11/14/25, Resident R1's sacral wound was assessed by the new wound care physician. Resident R1's wound measures 3cm x 4,3cm x 0.4cm with 50% slough and 50% granulation tissue.
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TRI-STATE VILLAGE NRSG & RHB in LANSING, 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 LANSING, 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 TRI-STATE VILLAGE NRSG & RHB or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.