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Complaint Investigation

Tower Hill Healthcare Center

March 27, 2026 · South Elgin, IL · 759 Kane Street
Citations 2
CMS Rating 1/5
Beds 206
Provider ID 145795
Healthcare Facility
Tower Hill Healthcare Center
South Elgin, IL  ·  View full profile →
Inspection Summary

TOWER HILL HEALTHCARE CENTER in SOUTH ELGIN, IL — inspection on March 27, 2026.

Found 2 citations. Severity: Standard violations.

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

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Inspection Findings

FF0585
Resident Rights Deficiencies

establish a grievance policy and make prompt efforts to resolve grievances.

resolved for a resident's missing items.

This applies to 1 of 10 residents (R5) reviewed for grievances

(R5) stated he has clothes and money missing and no one is doing anything. On 3/27/26 at 1:45 PM, V12 (RN) said she documented the note on 3/30/25 regarding R5's missing clothes and money. If a resident reports missing items she reports the items to V9. V12 said she could not recall if she reported the missing items to V9. On 3/27/26 at 1:52 PM, V9 (Social Services) said when a resident reports missing money or clothes.

She takes 48 hours trying to find the item.

After 48 hours if she cannot locate the item, she will file a grievance form and replace the item. V9 said she was not aware of R5's reported missing items on 3/30/25.

She has educated staff to report to her if a resident reports missing items. If she doesn't know what's missing, she can't follow up.

The facility's Grievance Complaint Log dated January 2025 through October 2025 shows there was no grievance filed for R5's missing clothing or money reported on 3/30/25.

The facility's undated Grievance/Complaint Policy states, A resident has the right to voice grievances without discrimination or reprisal and prompt efforts by the facility to resolve the grievance.the disposition of grievances and/or complaints will be recorded on the grievance and complaint log.the grievance/complaint will have a disposition within in 7 working days of the filed grievance.

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 TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE

145795 03/27/2026

Tower Hill Healthcare Center 759 Kane Street South Elgin, IL 60177

and not to worry about it as they took care of it. V21 said she was told they thought R3 had bumped

discipline problem with R4, so it crossed her mind that maybe he had done something to R3. V21 said

right of his nose. V21 said R3 can not tell you what happened.

R3's admission Record dated 3/27/26 shows his diagnoses include, but are not limited to Alzheimer's disease, muscle weakness, anxiety, and restlessness and agitation. R3's current care plan initiated on 1/26/26 shows R3 is at risk for abuse related to a behavior problem and will be free from harm. R3 has impaired cognitive function/dementia or impaired thought processes related to dementia.

R4's admission Record dated 3/27/26 shows he resides in the Memory Care unit and his diagnoses include, but are not limited to, dementia.

The facility's Abuse Prevention Program Policy (reviewed 1/2019) shows the facility affirms the right of their residents to be free from abuse.

Abuse means any physical injury inflicted upon a resident other than by accidental means.

Physical abuse includes hitting, slapping, pinching, and kicking.

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 SOUTH ELGIN, 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 TOWER HILL HEALTHCARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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