Thrive Of Lake County
Inspection Findings
F-Tag F0689
F 0689 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
11/19/25 at 12:14 PM, V2, Director of Nursing (DON), said that during care, the CNA (V7) had Resident R1 turned to her side and Resident R1 kept shifting herself. The CNA asked Resident R1 to stay still so she could clean her, but the resident shifted again and started to slowly slide down the bed. The CNA grabbed the sheet to keep the resident from falling, but couldn't stop the fall, so the CNA lowered Resident R1 slowly to the floor. V2 said the ADON (V3 -Assistant Director of Nursing) spoke to Resident R1 and they updated her care plan and added education on body position and alignment in bed.On 11/19/25 at 12:23 PM, V7 said she was changing Resident R1 and had Resident R1 turned to her right side, and she was behind her on the left side of the bed. V7 said Resident R1 was scooting toward
the edge of the bed, and she told Resident R1 to stop scooting because she was going to fall, but Resident R1 scooted a little and she could see Resident R1's legs going over the edge of the bed. She reached for Resident R1 to keep her from falling, but couldn't get her stopped in time, so she grabbed her by the waist and eased her down towards the floor and Resident R1 ended up on the floor. V7 said Resident R1 can help turn her upper body but needs help crossing her (left) leg over to turn her lower body. V7 said if there were two people in the room, it would have prevented the fall. V7 said after Resident R1 fell, she now uses two people to turn Resident R1. On 11/19/25 at 2:38 PM, V6 said V7 yelled for help from Resident R1's room. When she entered Resident R1's room, she noted Resident R1 on the floor. V6 said V7 told her she was changing Resident R1 and told Resident R1 to roll over to her side, then her legs went too far over the side and Resident R1 started to slide down, so V7 grabbed the sheet to stop the fall, but wasn't able to, so she guided Resident R1 and the sheet to the floor.
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THRIVE OF LAKE COUNTY in MUNDELEIN, 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 MUNDELEIN, 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 THRIVE OF LAKE COUNTY or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.