The Haven Of Ridgeview
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
V8 (CNA) stated she had been working on 9/11/2025 when Resident R1 had caught her left leg on her bed. V8 stated her and V7 (CNA) were in Resident R1's room getting her ready for a transfer from her wheelchair to her bed with a mechanical lift. V8 stated she had been standing in front of the wheelchair and V7 had been standing behind the wheelchair. V8 stated V7 went to reposition Resident R1 when her left leg made contact with the right side of her bed frame. V8 stated Resident R1's bed frame on the right side did not have a black cap on the end of it and
the edges were sharp. On 9/24/2025 at 1:56 PM, V2 (Director of Nursing/DON) stated she had been notified by V6 (LPN) via phone that Resident R1 had been sent to the local emergency room for further evaluation because she had made contact with her left leg to her bed frame causing a laceration during a transfer. On 9/25/2025 at 9:49 AM, observed dressing change to Resident R1 completed by V14 (Registered Nurse/RN) with assistance from V15 (RN) and V16 (Physical Therapy Assistant/PTA). Observed left lower left leg laceration
in the process of healing. On 9/25/2025 at 10:44 AM, V1 (Administrator) stated, she had been notified via phone by V6 (LPN) that Resident R1 had been sent out to the local emergency room on the evening of 9/11/2025 because she had hit her leg on her bed frame. V1 stated the next day in the morning meeting it was discovered that there had been a black cap missing from the bed frame on Resident R1's bed and it was replaced. Resident R1's Progress Note by V4 (Wound Nurse) dated 9/11/2025 at 7:18 PM documents Resident R1 had been sent out to
the local emergency room for a skin tear to left lower leg related to resident's lymphedema. Resident R1's Local Emergency Physician Note dated 9/11/2025 documented Resident R1's chief complaint as patient stated that leg got caught in bed at facility and suffered a significant skin tear laceration. This same document under History of Present Illness documented wound was injected with lidocaine and epinephrine with successful cessation of bleeding and one stitch added to aid in trickle of bleeding. Pain scale documented a score of 2. The facility's Incident Report dated 9/11/2025 documented during transfer Resident R1 was being repositioned for mechanical lift and her leg came into contact with the side of the bed. The facility's Mechanical Lift policy (revised 11/1/2023) documented under PURPOSE: The purpose of this procedure is to establish the general principles of safe lifting using a mechanical lifting device.Under Steps in the Procedure.4. Prepare
the environment: b. Ensure there is enough room to pivot.
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If continuation sheet
The Haven of Ridgeview in OBLONG, 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 OBLONG, 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 The Haven of Ridgeview or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.