Norridge Gardens
Inspection Findings
F-Tag F0689
F 0689 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Based on observation, interviews and record review, facility failed to implement fall precautions to prevent falls with injuries. This applies to 2 out of 3 residents (Resident R2, Resident R3) reviewed for fall precautions.The findings include:1.On 8/19/25 at 10:25 AM, Resident R2 was lying in bed. Resident R2's left arm was in a bandage. Resident R2 was alert with some confusion. Bed was at average height and not at its lowest position. There were no landing pads next to the bed. Resident R2's call light was tied to the grab bar and was hanging downwards. Resident R2 searched for her call light and stated she cannot find her call light. Resident R2's table was towards the lower half of her body and she could not reach her cup of water. On 8/19/25 at 10:40 AM V6 (LPN-Licensed Practical Nurse) verified Resident R2's bed was not in the lowest position and her call-light was out of her reach. On 8/19/25 at 11:30 AM V10 (CNA- Certified Nursing Assistant) observed and stated Resident R2's water was out of her reach and bed was not
in lowest position. On 8/20/25 at 8:45 AM, Resident R2 was lying in bed. Resident R2's bed was at average height and not at
the lowest level. Resident R2's call light was under her upper back. Resident R2 stated she is not able to find her call light and stated the call light should have been where she can reach for it.On 8/20/25 at 10:00 AM, V13 (PTA-Physical Therapy Assistant) and V4 (Director of Rehab) stated Resident R2 need two people to transfer from bed to wheelchair and Resident R2 can move her legs out of the bed, not her upper body. V13 and V4 stated it is recommended for Resident R2 to have her bed in lowest position and have call lights within reach. Resident R2's 6/9/25 fall risk evaluation showed a score of 19 with a scale that showed a score of 10 or higher means at high risk for falls. Resident R2's care-plan dated 7/25/25 showed to ensure Resident R2's personal items and call light were within reach and to use her call light when assistance is needed. Resident R2's care-plan showed Resident R2 had falls in the facility on 11/15/24, 12/21/24, 6/3/25 and 7/5/25. On 8/19/25 at 2:42 PM V3 (Restorative Nurse) stated one of the post fall interventions for Resident R2 was to keep bed at lowest position. On 8/20/25 at 10:10 AM, V5 (NP - Nurse Practitioner) stated Resident R2 had the potential to fall again as Resident R2 does not follow the nursing instructions. V5 stated Resident R2 must have her call light within reach, her bed in the lowest position, and have landing pads to minimize injuries. 2.On 8/20/25 at 9:27 AM, Resident R3 was sitting on her bed with her feet on the floor on the left side of the bed. Resident R3 stated she wanted to use the bathroom and then go to the dining room for breakfast and needed to call for help, but her call light is out of her reach. Resident R3's call light was tied to the grab bar on the right side of the bed and hanging to the floor. V9 (CNA) verified Resident R3's call light was out of her reach.On 8/19/25 at 9:50 AM, V8 (RN-Registered Nurse) and V12 (RN) stated fall precautions include keeping bed at lowest position, having the call light and other personal items near resident, and frequent monitoring/rounding.On 8/19/25 at 10:40 AM V6 (LPN-Licensed Practical Nurse) stated anyone with history of previous falls must have their beds in the lowest position and their call lights within their reach.
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:
NORRIDGE GARDENS in NORRIDGE, 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 NORRIDGE, 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 NORRIDGE GARDENS or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.