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Complaint Investigation

Burgess Square Healthcare Ctr

Inspection Date: November 20, 2025
Total Violations 1
Facility ID 145219
Location WESTMONT, IL
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Inspection Findings

F-Tag F0760

Pharmacy Service Deficiencies
Harm Level: Actual Harm

F 0760 Level of Harm - Actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

deleted so she continued to receive the wrong dose for five days. That would explain the elevated INR results. The inaccurate administration of the Warfarin caused [Resident R1's] INR to rise to the level of 13.10, resulting in hospitalization and Vitamin K administration. V9 continued to say Resident R4 should not have received a total of 11 milligrams of Warfarin on October 31, 2025, and Resident R4's elevated INR result of 5.04 ratio on November 4, 2025 was a result of Resident R4 receiving the incorrect dose of Warfarin.

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📋 Inspection Summary

BURGESS SQUARE HEALTHCARE CTR in WESTMONT, IL inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

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

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 WESTMONT, 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 BURGESS SQUARE HEALTHCARE CTR or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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