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Complaint Investigation

Lutheran Hillside Village

Inspection Date: October 15, 2025
Total Violations 1
Facility ID 145768
Location PEORIA, IL
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Inspection Findings

F-Tag F0689

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0689 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

Resident R3's Care Plan intervention for falls with creation date of 10/11/25 documents the following: place call don't fall sign in resident's room to remind resident to call for assistance. Resident R3's Clinical Notes Report does not contain documentation a fall occurred on 10/10/25 at 3:15 PM, a head to toe assessment was conducted by a nurse, required notifications were made or reason for transfer to the hospital.

On 10/15/25 at 1:39 PM Call, don't fall sign not in place in Resident R3's room.

On 10/15/25 at 11:14 AM, V14 (Certified Nursing Assistant) reports she is not aware of any new interventions since Resident R3's fall on 10/10/25.

On 10/15/25 at 1:45 PM, V13 (Registered Nurse) reports the facility's Call, don't fall signs are placed in resident rooms where residents can see the sign. V13 verified Resident R3 does not have a Call, don't fall sign in her room.

On 10/15/25 at 2:02 PM, V2 (Director of Nursing) confirmed Resident R3's fall on 10/10/25 at 3:15 PM is not documented in Resident R3's medical record and a Call, don't fall sign should be posted in Resident R3's room.

FORM CMS-2567 (02/99) Previous Versions Obsolete

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📋 Inspection Summary

LUTHERAN HILLSIDE VILLAGE in PEORIA, IL inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

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 PEORIA, 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 LUTHERAN HILLSIDE VILLAGE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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