Pavilion On Main Street, The
Inspection Findings
F-Tag F0689
F 0689 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
wheelchair while being pushed. On 10/9/25 at 2:01 PM, V2 (Director of Nurses) stated residents need wheelchair footrests when being pushed by staff. V2 said, It is important to ensure the feet don't get tangled up underneath them. Residents could tip forward in the chair without them. It is tiring for a resident to hold their feet up, off the ground. All residents need footrests when staff are pushing them, unless it is care planned that the resident prefers not to have them. Resident R1's care plan showed a focus area initiated 4/22/25 for
a high risk for falls related to deconditioning, gait, and balance problems. The care plan did not show any indication Resident R1 preferred not to have wheelchair footrests. Resident R1's local emergency room discharge summary report dated 5/19/25 showed diagnoses of a head injury, scalp abrasion, and scalp hematoma. The facility's undated Wheelchair Use and Positioning policy states: If the resident uses their feet to self-propel keep the footrests up otherwise lower the footrests and assist the resident to place their feet on the footrest placing legs and feet in proper alignment if possible.
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PAVILION ON MAIN STREET, THE in SANDWICH, 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 SANDWICH, 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 PAVILION ON MAIN STREET, THE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.