Lutheran Hillside Village
Inspection Findings
F-Tag F0689
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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LUTHERAN HILLSIDE VILLAGE in PEORIA, 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 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.