The Haven Of Paris
Inspection Findings
F-Tag F0689
F 0689 Level of Harm - Actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
on 10/27/2025 at 12:26 PM, V7 CNA stated (on 10/18/25) she was standing at the nurses' station and looked up and noticed Resident R1 coming out of Resident R1's neighbor's room, V7 CNA stated Resident R1 lost his balance and fell.
V7 CNA stated, I don't know what time the fall happened or the last time I saw (Resident R1), and I don't have anything else to tell you.On 10/272025 at 1:13 PM, V4 (Registered Nurse (RN)) stated she was taking care of Resident R1 the day of Resident R1's fall (on 10/18/25). V4 stated Resident R1 has dementia, was alert and oriented to person only and frequently would get up on his own. V4 RN stated the CNAs should have been checking Resident R1 every two hours if not more frequently.Resident R1's EMR (Electronic Medical Record) documents Resident R1 was last repositioned at 8:22 AM on 10/18/25. Resident R1's Progress Notes document Resident R1 fell on [DATE REDACTED] at 3:50 PM. On 10/27/2025 at 2:24 PM, V9 (Licensed Practical Nurse (LPN)/MDS Coordinator) stated, 15-minute checks (increased visuals) are implemented for those residents that have been determined to wander or who are at risk for elopement.
On 10/27/2025 at 11:39 AM, V6 (Certified Nurse Assistant (CNA)) stated that Resident R1 frequently gets up on his own without calling for help.On 10/28/2025 at 10:05 AM, V8 CNA stated that Resident R1 is oriented to person only and gets up on his own frequently to get coffee and that is how he fell the first time (8/30/25). On 10/28/2025 at 10:21 AM, V3 (LPN/Assistant Director of Nursing (ADON)) stated that CNAs are responsible for checking residents that are at increased risk for falls every two hours and that it is a task in the EMR where they document those checks. V3 LPN stated residents that are a high risk for falls or high elopement risk should be checked on every 15 minutes. V3 stated the CNAs should have been checking on Resident R1 at minimum every two hours and that it should be documented. V3 LPN could not provide documentation showing Resident R1 had been checked on appropriately on 10/18/25. On 10/27/2025 at 2:16 PM, V2 (Director of Nursing (DON)) stated staff are responsible for doing rounds every two hours unless a resident is a high fall risk and then they should be checked more frequently (every 15 minutes), and this should be on the Care Plan. On 10/27/2025 at 3:00 PM, V2 DON confirmed that staff were not checking on Resident R1 every 15-minutes even though he was a high fall risk.
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The Haven of Paris in PARIS, 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 PARIS, 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 Paris or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.