Alden Terrace Of Mchenry Rehab
Inspection Findings
F-Tag F0580
F 0580 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Based on interview and record review the facility failed to ensure a resident's representative was notified of
a resident's change in condition to 1 of 3 residents (Resident R1) reviewed for notification in the sample of 7.The findings include: Resident R1's electronic face sheet under contacts documents V9 (Resident R1's daughter) was: Resident Representative, emergency contact #1, care conference person, customer care representative V9's information included V9's address and phone number. On 9/26/25 at 10:10 AM, Resident R1 was in bed with oxygen
on at 2L via nasal cannula alert and able to verbalize her needs. Resident R1 said she wanted her daughter to be informed of whatever was going on with her. Resident R1 said she was hoping she will be able to speak to her soon, my daughter is the love of my life. Resident R1's physician order sheet dated 8/17/25 documents Azithromycin Tablet 250 MG, give 2 tablets by mouth one time only for pneumonia, then Give 1 tablet by mouth in the afternoon for pneumonia for 4 Days.Resident R1's medical record as confirmed with V2 (Director of Nursing) did not show that V9 Resident R1's daughter and representative was informed of Resident R1 with pneumonia and Resident R1 being treated with antibiotics due to pneumonia. V2 said Resident R1's daughter should have been informed of Resident R1 having pneumonia and being treated with antibiotics. V2 said Resident R1's updated her phone number prior to Resident R1 having pneumonia. Resident R1's electronic EMR has V9's updated phone also confirmed with V2 (DON), V2 said Families need to be informed so they know what was going on with their loved ones. On 9/26/25 at 1:45 PM V10 (Registered Nurse) said Resident R1's daughter (V9) was Resident R1's representative and emergency contact. V10 (RN) said V9 was the one to be called for any change in Resident R1's condition including new orders of meds and antibiotics and then document in the resident's medical record.The facility policy on Change of Condition (Resident) dated 9/20 show: to ensure that the resident's physician and responsible party is kept informed regarding the resident's change in condition- 5. place call to responsible party to notify them of the residents change in condition.
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:
ALDEN TERRACE OF MCHENRY REHAB in MCHENRY, 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 MCHENRY, 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 ALDEN TERRACE OF MCHENRY REHAB or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.