Manor Court Of Peoria
Inspection Findings
F-Tag F0573
F 0573 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Based on record review and interview, the facility failed to provide Resident R1's medical record to the Power of Attorney (POA) in a timely manner after a request was made for one (Resident R1) of four residents reviewed for medical records requests in a sample of five.Findings include:The facility's Resident Rights Policy, dated 11/28/2017, documents Right to access/Purchase Copies of records. The resident has the right to access personal and medical records pertaining to him or herself. The facility must provide the resident with access to personal and medical records pertaining to him or herself, upon an oral or written request, in the form and format requested by the individual, if it is readily producible in such form and format (including in an electronic form or format when such records are maintained electronically), or, if not, in a readable hard copy form or such other form and format as agreed to by the facility and the individual, within 24 hours (excluding weekends and holiday); and the facility must allow the resident to obtain a copy of the records or any portions thereof (including in an electronic form or format when such records are maintained electronically) upon request and two working days advance notice to the facility.Resident R1's Illinois Statutory Short Form Power of Attorney for Health Care, dated 3/2/2004, documents V3 as Resident R1's Power of Attorney.A written correspondence dated 10/14/25 at 8:33 AM from V3/Resident R1's POA to V8/Business Office Manager documents Please provide an updated final billing statement through (Resident R1's) last date of service to reflect the total amount due. Additionally, we request copies of all admission documentation, care plans, and the complete medical chart for our records. Thank you for your assistance. V8/Business Office Manager forwarded this same written correspondence to V2/DON (Director of Nursing) on 10/14/25 at 9:37 AM.A written correspondence dated 10/21/25 at 10:53 AM from V8/Business Office Manager to V3/Resident R1's POA documents I gave your e (electronical) mail to (V2/DON) to get all that info for you.On 10/26/25 at 11:26 AM V3/Resident R1's POA stated she had requested medical records via email to V8/Business Office Manager on 10/14/25. On 10/21/25 V3 stated V8 responded via email on 10/21/25 stating V8 had forwarded V3's request to V2/DON, and that V2 would get all the medical records requested for V3. V3 stated, I still have not received any of (Resident R1's) medical records I have requested.On 10/29/25 at 12:50 PM V1/Administrator verified V3/Resident R1's POA has not yet received medical records for Resident R1 as requested. V1 stated, Our facility policy wasn't followed by (V8/Business Office Manager) and should have been. (V17/Medical Records) and I should have also been made aware of (V3) requesting (Resident R1's) medical records not just (V2/DON). (V3) should have received (Resident R1's) requested medical records within two business days of the request.
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:
MANOR COURT OF PEORIA 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 MANOR COURT OF PEORIA or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.