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
F0600
D

Mental Abuse of Resident by Staff Through Derogatory Comparison

West Frankfort, Illinois Survey Completed on 09-16-2025

Penalty

No penalty information released
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 resident with multiple diagnoses, including COPD, depression, and anxiety disorder, was admitted with a care plan identifying a risk for abuse or neglect. The care plan included interventions such as assessing for abuse risk, educating the resident to report uncomfortable situations, and observing the resident during care and in the company of peers. Despite these measures, an incident occurred in which a Certified Nursing Assistant (CNA) showed other staff members a picture of a TV character on her cell phone, making a comparison to the resident's appearance and intelligence. The resident witnessed the CNA pointing at him and laughing, which caused him to feel humiliated. Multiple staff members confirmed that the CNA showed the image and made the comparison in the dining room, and some acknowledged that the comparison could be perceived as offensive. The resident reported feeling mocked and mortified by the incident, and a family member stated that the resident was upset and did not want to return to the facility. Written statements from staff corroborated the resident's account, with one CNA confirming that the comparison was made and the image was shown to others. The facility's policy affirms residents' rights to be free from abuse, neglect, and mistreatment, but the actions of the CNA constituted mental abuse, as determined by the facility's investigation.

An unhandled error has occurred. Reload 🗙