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F0628
D

Incomplete Involuntary Discharge Notice Lacking Advocacy and Appeal Information

Bement, Illinois Survey Completed on 03-13-2026

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 include required information regarding advocacy agencies and appeal rights in an emergency involuntary discharge notice for one resident. The resident was admitted with multiple psychiatric and substance use diagnoses, including Personality Disorder, Bipolar Disorder, Schizoaffective Disorder, Major Recurrent Depression, Anxiety, Stimulant Abuse, and Cannabis Use. Review of the resident’s emergency involuntary discharge notice dated 1/30/26 showed it did not contain the mailing and email address of the entity that would receive an appeal of the discharge, nor information on how to obtain, complete, and submit an appeal form. The notice also omitted the name, mailing address, email address, and phone number of the State LTC Ombudsman, as well as the mailing address, email address, and phone number of an agency responsible for protection and advocacy of individuals with mental illness. During an interview, the Administrator, with the DON/Regional Consultant present, confirmed that the required information was not included in the involuntary discharge notice and acknowledged that this was the Administrator’s first involuntary discharge and that she was not aware of all the requirements. The resident had already been discharged and was not expected to return.

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