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F0550
D

Resident Left Unattended and Undressed During Shower

Morris, Illinois Survey Completed on 12-18-2025

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

A resident with diagnoses including intervertebral disc disorder with radiculopathy, acute respiratory failure with hypoxia, generalized muscle weakness, chronic pain, and dizziness, who was cognitively intact and dependent on staff for showering, reported being left alone and naked in the shower room by a CNA. The resident stated that the CNA turned on the water and left to attend to another resident in a different shower room, returning approximately 15 minutes later to find the resident shivering and cold, unable to wash himself. Facility leadership confirmed that residents should not be left alone or naked in the shower room during care.

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