Ignite Medical Mchenry
Inspection Findings
F-Tag F0677
F 0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
Level of Harm - Minimal harm or potential for actual harm
Based on observation, interview, and record review, the facility failed to ensure residents were changed in a timely manner for 1 of 5 residents (Resident R5) reviewed for ADLs (activities of daily living) in the sample of 7.The findings include:On 8/11/25 at 10:22 AM, Resident R5 was lying in bed in her room. A strong, foul odor was immediately noted upon entering Resident R5's room. V6 and V7, Certified Nursing Assistants (CNAs) were in Resident R5's room to change her. Resident R5's brief, pad, and sheet were all saturated through to the mattress with dark, foul-smelling urine.On 8/11/25 at 10:39 AM, Resident R5 said no one changed her earlier.On 8/11/25 at 1044 AM, V7 said she did not change or help change Resident R5 earlier today and she doesn't know when Resident R5 was last changed as V4 was Resident R5's CNA.On 8/11/25 at 12:33 PM, V4 said Resident R5 is her resident today and she and V6 changed Resident R5 at about 7:30 AM today. V4 said residents should be changed every two hours.On 8/11/25 at 1:01 PM, V2, Director of Nursing/Chief Nursing Officer, said incontinent residents are supposed to be changed every two hours and as frequently as needed. V2 said staff are to prioritize the residents who cannot tell if they are wet or not, and they should be changed first. V2 said if a resident is changed and they are wet again in
an hour, then they must change them again.Resident R5's current care plan initiated on 10/18/21 shows Resident R5 is incontinent of urine. Resident R5's current care plan initiated on 12/28/23 shows Resident R5 has an ADL (activities of daily living) self-care performance deficit. Resident R5 is dependent on staff for toileting and toileting hygiene.The facility's Incontinence Care Policy (last reviewed 11/2024) shows incontinence care is provided to keep residents as dry, comfortable and odor free as possible. Incontinent residents are changed every two hours and more frequently if needed.
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:
IGNITE MEDICAL MCHENRY 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 IGNITE MEDICAL MCHENRY or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.