Taylorville Care Center
Inspection Findings
F-Tag F0689
F 0689 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
still intact on the lift. Resident did not hit his head, has no c/o pain, alert, orientated to baseline. Resident has 3 skin tears to the left arm and discoloration. Resident has a red spot to the left cheek where he bumped this nurse's knee when going down. Pillow placed under resident's head and sheet under arm to stop bleeding. EMS (Emergency Medical Service) called and they assisted resident to stretcher with a blanket sling. Resident has been sent to (Hospital) for an evaluation. POA (Power of Attorney) & MD (Medical Doctor) has been notified. Resident R1's Progress Notes dated 7/31/2025 at 11:14 AM, Writer called to resident room and found resident on the floor. ADON (Assisted Director of Nursing) and CNA were getting resident up for lunch and using (mechanical lift) and sling broke causing resident to go to the floor. Resident skin tear on left arm resident also c/o (complained of) shoulder pain. Writer called 911 and also contacted son and left message. Ambulance here and transferred resident to (hospital) for evaluation. DON (Director of Nursing) and administrator aware of resident on floor.On 1/15/2025 at 10:07 AM, V2, Director of Nursing stated, When (Resident R1) fell during his transfer I was not working as the Director of Nursing. I only know there was something with the sling. I don't remember anything else and was not part of the management team at that time.On 1/13/2026 at 2:32 PM, V9, Licensed Practical Nurse stated, I was not working when (Resident R2) fell but I was working awhile back when they were transferring (Resident R1) and his (mechanical lift) strap broke and he fell but he was okay. The strap broke and he fell.Employee Witness Statement by V11, CNA dated 7/31/2025 documents, (V21, ADON) and myself were transferring (Resident R1) to his w/c (wheelchair) with the (mechanical lift) when 2 of the straps on the (mechanical lift) sling snapped and he landed on the floor fell mostly on his shoulder. On 1/14/2026 at 10:39 AM, V14, Laundry Supervisor stated, We in laundry are supposed to inspect every sling and throw away any sling that is damaged. I know we were not documenting in the log like we were supposed to and I did get written up for it. I guess it broke again and somebody fell during a (mechanical lift because the sling broke). I work five days a week. On 1/29/2026 at 1:33 PM, V1, Administrator stated (Resident R1) did fall during a transfer and the sling broke. After (Resident R1) fell from his sling we checked with laundry to make sure they were inspecting the slings, not using bleach on them and that they everyday they are supposed to check the slings, throw them out if they are damaged and document the sling condition. After (Resident R2) fell we re-educated laundry again. No other interventions were put
in place expect in-serving staff. The lift was a Invacare reliant 450.The (Mechanical Lift) Manufacture Instructions documents, Bleached, torn, cut, frayed, or broken slings[TRUNCATED]
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TAYLORVILLE CARE CENTER in TAYLORVILLE, 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 TAYLORVILLE, 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 TAYLORVILLE CARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.