Pearl Of Rolling Meadows,the
Inspection Findings
F-Tag F0926
F 0926
Have policies on smoking.
Level of Harm - Minimal harm or potential for actual harm
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
observation, interview, and record review, the facility failed to implement its smoke policy by allowing residents to smoke near the main entry door and not having metal containers with self-closing cover devices in smoking areas. This applies to all four smokers (Resident R1, Resident R2, Resident R3, and Resident R4) reviewed for safe smoking
in a sample of 4.The findings include:On 12/19/25 at 9:12 AM, V2 (Director of Nursing/DON) stated that we have four smokers (Resident R1, Resident R2, Resident R3, and Resident R4) in the building, and our designated smoke area is on the left side of the building (50 to 60 feet away from the main entry door) with benches.Resident R1 is a [AGE] year-old male with intact cognition as per the Minimum Data Set (MDS). On 12/19/25 at 9:15 AM, observed Resident R1 coming from
the left side of the building after smoking. Resident R1 stated, I pretty much smoke here on the left side of the building. Sometimes I go to the right side of the building to smoke.On 12/19/25 at 9:15 AM, observed the designated smoke area with V2 and observed cigarette butts on the ground with no metal containers with self-closing cover devices in the smoking premises.On 12/19/25 at 11:10 AM, observed the facility's main entry door with V3 (Social Service Director). The main entry door was observed with benches on both sides, 10-15 feet away from the entry door. Observed numerous cigarette butts around both benches close to the main entry door.On 12/19/25 at 11:05 AM, observed the right side of the building (50 to 60 feet away from the entry door with V3 and observed two benches and cigarette butts on the ground, with no self-closing devices in the premises.On 12/19/25 at 11:00 AM, V3 stated, The smoking residents are supposed to smoke on the left side of the building. We are telling them, but they don't listen. If the residents are smoking near the entry door, the receptionist is supposed to redirect them to the designated area.
There should be self-closing devices in the designated smoking premises.On 12/19/25 at 11:20 AM, V1 (Covering Administrator) stated, I just came to cover for the administrator here. This facility used to be a non-smoking facility. Now they admit smokers, too. We will clean up the cigarette butts near the entry door and educate residents not to smoke there.A review of the facility presented a policy on smoking residents (reviewed on 4/18/24) document:2. Smoking is only permitted in designated resident smoking areas, which are located outside of the building.4. Metal containers, with self-closing cover devices, are available in smoking areas.
Residents Affected - Some
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:
PEARL OF ROLLING MEADOWS,THE in ROLLING MEADOWS, 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 ROLLING MEADOWS, 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 PEARL OF ROLLING MEADOWS,THE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.