Stay Ahead of Compliance with Monthly Citation Updates


In your State Survey window and need a snapshot of your risks?

Survey Preparedness Report

One Time Fee
$79
  • Last 12 months of citation data in one tailored report
  • Pinpoint the tags driving penalties in facilities like yours
  • Jump to regulations and pathways used by surveyors
  • Access to your report within 2 hours of purchase
  • Easily share it with your team - no registration needed
Get Your Report Now →

Monthly citation updates straight to your inbox for ongoing preparation?

Monthly Citation Reports

$18.90 per month
  • Latest citation updates delivered monthly to your email
  • Citations organized by compliance areas
  • Shared automatically with your team, by area
  • Customizable for your state(s) of interest
  • Direct links to CMS documentation relevant parts
Learn more →

Save Hours of Work with AI-Powered Plan of Correction Writer


One-Time Fee

$49 per Plan of Correction
Volume discounts available – save up to 20%
  • Quickly search for approved POC from other facilities
  • Instant access
  • Intuitive interface
  • No recurring fees
  • Save hours of work
F0689
J

Failure to Supervise Cognitively Impaired Resident and Monitor Exit Doors

Lansing, Illinois Survey Completed on 04-23-2025

Penalty

16 days payment denial
tooltip icon
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

A deficiency occurred when the facility failed to provide adequate supervision and monitoring for a cognitively impaired resident with a history of elopement. The resident, who had a BIMS score of 5 indicating severe cognitive impairment and required supervision with ambulation, was able to exit the facility through a locked dining room door without the door alarm sounding. The resident then accessed the patio/courtyard, exited through a gate, and did not return. Multiple staff members, including the DON, Assistant Administrator, and Activity Aides, reported not hearing any door alarms during the time the resident left, and surveillance footage confirmed the resident's exit without staff intervention or alarm activation. The resident had been admitted from an assisted living facility due to safety concerns related to wandering and medication management. Despite documentation of the resident's cognitive impairment and need for supervision, there was no evidence that staff had obtained a thorough history from the resident's family or the previous facility regarding elopement risk. Staff interviews revealed a lack of awareness of the resident's whereabouts, and there was no clear documentation of consistent monitoring or supervision, especially after the scheduled smoking time when the resident was last seen. The facility's policy required staff to know the whereabouts of assigned residents and to ensure that exit doors were secured and alarmed, but these procedures were not effectively implemented. The incident resulted in the resident being missing for an extended period, during which he was found wandering in another city and subsequently brought to a hospital. The failure to secure the exit doors, ensure alarm functionality, and provide adequate supervision for a resident with known cognitive impairment and elopement risk directly led to the deficiency. The facility's lack of effective communication, assessment, and monitoring contributed to the resident's unsupervised exit and subsequent absence.

An unhandled error has occurred. Reload 🗙