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F0561
D

Failure to Timely Assess Residents for Walking Pass Privileges

Galesburg, Illinois Survey Completed on 07-02-2025

Penalty

No penalty information released
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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

The facility failed to assess two residents for participation in the Walking Pass Program, which is designed to promote resident independence and self-determination. One resident, with diagnoses including depression, schizoaffective disorder, narcissistic and antisocial personality disorders, reported requesting a walking pass multiple times but had not been assessed for eligibility. The Social Service Director confirmed the resident's request was made months prior and acknowledged that no assessment had been initiated due to workload constraints. Another resident, with a history of schizoaffective disorder, depression, bipolar disorder, and suicidal ideations, experienced a significant delay in regaining walking pass privileges after they were rescinded due to a program violation. The resident stated that the process took a long time, and records showed a gap of several months between the request and reinstatement of privileges. The facility's administrator confirmed that assessments should be completed within thirty days of a resident's request, and acknowledged that a three-month delay was excessive.

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