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F0677
E

Failure to Provide Timely Incontinence Care and Scheduled Bathing

Sullivan, Illinois Survey Completed on 08-15-2025

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 provide adequate assistance with activities of daily living, specifically bathing and timely incontinence care, for a resident who was dependent on staff for hygiene. Resident council meeting minutes over several months documented ongoing concerns from residents about staff not answering call lights promptly and issues with receiving showers. One resident, who was admitted with multiple diagnoses including muscle weakness, Parkinsonism, severe obesity, and was dependent on staff for all mobility and hygiene needs, reported waiting several hours for staff assistance after activating the call light for incontinence care. The resident also reported receiving only three showers over a 55-day period, despite being scheduled for two showers per week. Staff interviews confirmed the resident's reliability in reporting care issues and acknowledged the resident's dependence on staff for bathing and toileting hygiene. The resident expressed frustration with the delays, noting that staff often cited being busy with other residents as the reason for the lack of timely assistance. Documentation in the resident's care plan and assessments further supported the resident's need for substantial or maximal staff assistance for hygiene, which was not consistently provided as required.

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