Village At Victory Lakes, The
Inspection Findings
F-Tag F0809
F 0809 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Based on interview and record review the facility failed to ensure a resident was served the noon meal at
the scheduled time. This applies to 1 of 5 residents (Resident R1) reviewed for dietary services in the sample of 5.
The findings include: On 10/30/25 at 10:20 AM, V9 (Resident R1's spouse) said on 10/26/25, Resident R1 did not fill out the meal ticket form and this was his 2nd time he missed a meal. She had to alert the staff Resident R1 did not receive
the lunch meal. On 10/30/25 at 12:02 PM, V6 (Certified Nursing Assistant-CNA) said on 10/26/25, she was Resident R1's CNA. That day it was really busy, V9 came up to her after the noon meal was served and said Resident R1 did not get a noon meal tray. V6 said she called the kitchen, and they said his tray should have gone out, she looked and looked and could not find his tray. She went to the kitchen between 1:00 PM to 1:30 PM to get a meal tray for Resident R1 and the kitchen had closed up and did not have any food remaining for the noon meal. V6 said she got Resident R1 a grilled cheese sandwich. V6 said PM staff delivers meal tickets for the following day, the residents choose their meals, and the tickets are picked up by a different shift. The day staff don't know if
the kitchen did not receive a meal ticket for a resident until the meals come, sometimes the kitchen will call and let us know if they did not receive a meal ticket for a resident, but she did not receive a call. Resident R1 needs staff assistance filling out his meal tickets. She is not sure what happened to Resident R1's meal tray and confirmed
he did not receive the scheduled noon meal. On 10/30/25 at 1:00 PM, V8 (Dining Service Director) said room trays for the noon meal are delivered between 11:00 AM to 12:00 PM. Meal tickets are printed the day
before for the following day, CNA's delivery the meal tickets and should assist the resident on making their selection and tickets are placed in a folder and picked up the following morning. Dietary should print out the census and count the meal tickets and confirm all meal tickets were received. We rely on the floor staff to pass the tickets, pick up the tickets, delivery trays and inform dietary of any missed meals. The kitchen closes down sometime after 1:00 PM, if a resident did not get their meal they have alternatives. He was not aware of Resident R1 not receiving his noon meal on 10/26/25, if the kitchen received a meal ticket the resident should receive a meal. Resident R1's Physician Order Sheets dated October 2025 shows orders for mechanical soft diet. The facility's Meal Service Times and Late Meals policy revised 2024 states, The community will provide three meals daily, at regular times comparable to standard mealtimes in the community or accordance with resident needs, preferences, requests and individualized plan of care.
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:
VILLAGE AT VICTORY LAKES, THE in LINDENHURST, 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 LINDENHURST, 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 VILLAGE AT VICTORY LAKES, THE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.