What is the most cited F-tag in Illinois?

F689: “Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.” Illinois surveyors cited it 666 times at 400 of the 614 nursing homes they inspected in the 12 months from August 2025 through July 2026 (65%).

How many Illinois nursing homes were cited for infection control?

281 of the 614 inspected in the 12 months from August 2025 through July 2026 (46%) were cited for F880, infection prevention and control.

How many immediate jeopardy citations did Illinois nursing homes get?

169 in the 12 months from August 2025 through July 2026, out of 6,256 health citations, according to CMS's nursing home health citation file.

Illinois Nursing Home F-Tag Citations

What surveyors cited

Every F-tag Illinois surveyors cited, most cited first

August 2025 through July 2026. Source: CMS's nursing home health citation file, processed September 1, 2026.

Rank	Tag	Citations	Buildings cited	U.S. rank	Rank a year earlier	Immediate jeopardy	Actual harm
1	F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents	666	400 (65%)	#2	#1	63	257
2	F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody	398	238 (39%)	#7	#2	23	120
3	F684Provide appropriate treatment and care according to orders, resident’s preferences and goals	328	240 (39%)	#4	#4	14	79
4	F880Provide and implement an infection prevention and control program	314	281 (46%)	#1	#3	1	2
5	F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards	209	184 (30%)	#3	#7	0	0
6	F677Provide care and assistance to perform activities of daily living for any resident who is unable	209	166 (27%)	#11	#5	0	11
7	F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights	204	168 (27%)	#14	#11	0	13
8	F686Provide appropriate pressure ulcer care and prevent new ulcers from developing	198	161 (26%)	#15	#6	3	67
9	F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist	184	156 (25%)	#10	#8	0	4
10	F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities	184	141 (23%)	#8	#9	4	1
11	F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs	163	157 (26%)	#6	#10	0	0
12	F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely	147	115 (19%)	#12	#15	1	1
13	F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections	130	118 (19%)	#23	#12	2	13
14	F760Ensure that residents are free from significant medication errors	124	98 (16%)	#22	#18	3	26
15	F610Respond appropriately to all alleged violations	123	104 (17%)	#21	#13	8	3
16	F695Provide safe and appropriate respiratory care for a resident when needed	114	102 (17%)	#13	#14	7	1
17	F558Reasonably accommodate the needs and preferences of each resident	94	86 (14%)	#25	#19	0	5
18	F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident	92	81 (13%)	#20	#17	4	7
19	F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift	90	78 (13%)	#39	#23	0	1
20	F692Provide enough food/fluids to maintain a resident's health	84	80 (13%)	#26	#16	0	24
21	F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature	80	71 (12%)	#28	#41	0	0
22	F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public	66	55 (9%)	#30	#29	1	1
23	F759Ensure medication error rates are not 5 percent or greater	65	64 (10%)	#27	#31	0	0
24	F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason	65	63 (10%)	#37	#20	0	4
25	F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured	64	59 (10%)	#5	#26	0	2

Every other tag cited (136)

Rank	Tag	Citations	Buildings cited	U.S. rank	Rank a year earlier	Immediate jeopardy	Actual harm
26	F697Provide safe, appropriate pain management for a resident who requires such services	64	57 (9%)	#33	#22	1	34
27	F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals	60	56 (9%)	#16	#32	0	0
28	F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident	59	53 (9%)	#42	#24	1	0
29	F602Protect each resident from the wrongful use of the resident's belongings or money	58	55 (9%)	#57	#37	2	6
30	F727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis	54	42 (7%)	#60	#25	0	0
31	F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies	53	51 (8%)	#19	#74	1	0
32	F607Develop and implement policies and procedures to prevent abuse, neglect, and theft	53	50 (8%)	#41	#33	3	3
33	F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards	53	44 (7%)	#9	#43	0	0
34	F693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube	51	50 (8%)	#35	#27	1	4
35	F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function	50	50 (8%)	#24	#58	0	2
36	F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs	41	41 (7%)	#64	#46	1	0
37	F641Ensure each resident receives an accurate assessment	38	37 (6%)	#18	#44	0	0
38	F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests	38	31 (5%)	#56	#38	0	0
39	F645PASARR screening for Mental disorders or Intellectual Disabilities	37	37 (6%)	#45	#40	0	0
40	F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive	35	34 (6%)	#29	#34	0	1
41	F883Develop and implement policies and procedures for flu and pneumonia vaccinations	32	32 (5%)	#47	#28	0	0
42	F557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions	32	31 (5%)	#77	#77	0	3
43	F658Ensure services provided by the nursing facility meet professional standards of quality	32	29 (5%)	#17	#42	1	1
44	F919Make sure that a working call system is available in each resident's bathroom and bathing area	31	27 (4%)	#52	#56	1	0
45	F583Keep residents' personal and medical records private and confidential	30	30 (5%)	#38	#45	0	0
46	F627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge	30	29 (5%)	#48	#107	0	4
47	F809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times	30	29 (5%)	#94	#64	0	1
48	F732Post nurse staffing information every day	29	29 (5%)	#40	#47	0	0
49	F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed	29	28 (5%)	#43	#30	0	0
50	F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options	28	26 (4%)	#63	#63	0	0
51	F887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status	27	27 (4%)	#54	#51	0	0
52	F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician	26	22 (4%)	#79	#53	0	0
53	F908Keep all essential equipment working safely	25	24 (4%)	#55	#54	0	2
54	F585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances	24	23 (4%)	#44	#50	0	0
55	F814Dispose of garbage and refuse properly	23	23 (4%)	#51	#67	0	0
56	F881Implement a program that monitors antibiotic use	22	22 (4%)	#58	#35	0	0
57	F554Allow residents to self-administer drugs if determined clinically appropriate	21	21 (3%)	#49	#48	0	0
58	F744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia	19	19 (3%)	#91	#60	0	1
59	F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment	18	18 (3%)	#61	#59	1	3
60	F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason	18	18 (3%)	#68	#70	0	0
61	F678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives	18	18 (3%)	#88	#78	12	0
62	F679Provide activities to meet all resident's needs	18	16 (3%)	#53	#75	0	0
63	F694Provide for the safe, appropriate administration of IV fluids for a resident when needed	17	17 (3%)	#66	#49	0	0
64	F698Provide safe, appropriate dialysis care/services for a resident who requires such services	17	17 (3%)	#36	#52	1	5
65	F808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law	17	17 (3%)	#99	#57	0	0
66	F813Have a policy regarding use and storage of foods brought to residents by family and other visitors	16	16 (3%)	#93	#55	0	0
67	F552Ensure that residents are fully informed and understand their health status, care and treatments	14	14 (2%)	#31	#97	0	2
68	F757Ensure each resident’s drug regimen must be free from unnecessary drugs	14	14 (2%)	#32	#71	0	2
69	F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly	14	14 (2%)	#85	#68	0	0
70	F838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies	13	13 (2%)	#81	#83	0	0
71	F912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms	13	13 (2%)	#95	#65	0	0
72	F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention	13	12 (2%)	#78	#72	0	0
73	F687Provide appropriate foot care	12	12 (2%)	#90	#81	0	0
74	F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being	12	12 (2%)	#50	#82	0	2
75	F835Administer the facility in a manner that enables it to use its resources effectively and efficiently	12	11 (2%)	#70	#84	1	1
76	F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice	11	11 (2%)	#62	#88	0	0
77	F770Provide timely, quality laboratory services/tests to meet the needs of residents	11	11 (2%)	#87	#89	0	0
78	F577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies	10	10 (2%)	#84	#80	0	0
79	F745Provide medically-related social services to help each resident achieve the highest possible quality of life	10	9 (1%)	#92	#79	0	0
80	F569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death	9	9 (1%)	#105	#145	0	0
81	F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered	9	9 (1%)	#59	#85	0	0
82	F791Provide or obtain dental services for each resident	9	9 (1%)	#71	#102	0	2
83	F849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services	9	9 (1%)	#69	#92	0	0
84	F882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home	9	9 (1%)	#97	#61	0	0
85	F659Provide care by qualified persons according to each resident's written plan of care	9	8 (1%)	#145	#109	2	1
86	F568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home	8	8 (1%)	#113	#108	0	0
87	F576Ensure residents have reasonable access to and privacy in their use of communication methods	8	8 (1%)	#109	#121	0	0
88	F638Assure that each resident’s assessment is updated at least once every 3 months	8	8 (1%)	#100	#122	0	0
89	F700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail	8	8 (1%)	#67	#76	1	0
90	F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services	8	8 (1%)	#83	#66	1	2
91	F790Provide routine and 24-hour emergency dental care for each resident	8	8 (1%)	#106	#96	0	1
92	F944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program	8	8 (1%)	#115	#103	0	0
93	F807Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration	8	7 (1%)	#125	#146	0	0
94	F559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made	7	7 (1%)	#110	#104	0	0
95	F685Assist a resident in gaining access to vision and hearing services	7	7 (1%)	#80	#116	0	0
96	F800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs	7	7 (1%)	#111	#93	1	0
97	F825Provide or get specialized rehabilitative services as required for a resident	7	7 (1%)	#101	#110	0	2
98	F924Put firmly secured handrails on each side of hallways	7	7 (1%)	#141	#147	0	0
99	F940Develop, implement, and/or maintain an effective training program for all new and existing staff members	7	6 (1%)	#118	#164	0	0
100	F640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment	6	6 (1%)	#74	#94	0	0
101	F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted	6	6 (1%)	#46	#86	0	0
102	F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures	6	6 (1%)	#34	#62	0	0
103	F839Employ staff that are licensed, certified, or registered in accordance with state laws	6	6 (1%)	#135	#117	0	0
104	F914Provide bedrooms that don't allow residents to see each other when privacy is needed	6	6 (1%)	#137	#130	0	0
105	F551Give the resident's representative the ability to exercise the resident's rights	5	5 (1%)	#117	#165	0	0
106	F565Honor the resident's right to organize and participate in resident/family groups in the facility	5	5 (1%)	#72	#98	0	0
107	F567Honor the resident's right to manage his or her financial affairs	5	5 (1%)	#108	#99	0	0
108	F691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services	5	5 (1%)	#122	#123	0	1
109	F773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results	5	5 (1%)	#104	#111	1	0
110	F776Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them	5	5 (1%)	#143	#112	0	0
111	F802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service	5	5 (1%)	#96	#73	0	0
112	F850Hire a qualified full-time social worker in a facility with more than 120 beds	5	4 (1%)	#127	#137	0	0
113	F573Let each resident or the resident's legal representative access or purchase copies of all the resident's records	4	4 (1%)	#114	#90	0	0
114	F575Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency	4	4 (1%)	#132	#124	0	0
115	F603Protect each resident from separation (from other residents, his/her room, or confinement to his/her room)	4	4 (1%)	#140	#131	1	3
116	F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months	4	4 (1%)	#76	#105	0	0
117	F730Observe each nurse aide's job performance and give regular training	4	4 (1%)	#65	#148	0	0
118	F777Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results	4	4 (1%)	#156	#125	0	0
119	F949Provide behavior health training consistent with the requirements and as determined by a facility assessment	4	4 (1%)	#126	#132	0	0
120	F637Assess the resident when there is a significant change in condition	3	3 (0%)	#86	#138	0	0
121	F712Ensure that the resident and his/her doctor meet face-to-face at all required visits	3	3 (0%)	#116	#91	0	0
122	F810Provide special eating equipment and utensils for residents who need them and appropriate assistance	3	3 (0%)	#107	#118	0	0
123	F847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse	3	3 (0%)	#103	#87	0	0
124	F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action	3	3 (0%)	#75	#95	0	0
125	F909Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame	3	3 (0%)	#119	#126	0	0
126	F946Provide training in compliance and ethics	3	3 (0%)	#138	#139	0	0
127	F563Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing	2	2 (0%)	#158	#166	0	0
128	F635Provide doctor's orders for the resident's immediate care at the time the resident was admitted	2	2 (0%)	#133	#140	0	0
129	F646Notify the appropriate authorities when residents with MD or ID services has a significant change in condition	2	2 (0%)	#129	#127	0	0
130	F675Honor each resident's preferences, choices, values and beliefs	2	2 (0%)	#147	#149	0	0
131	F699Provide care or services that was trauma informed and/or culturally competent	2	2 (0%)	#73	#100	0	1
132	F711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit	2	2 (0%)	#102	#150	0	0
133	F826Provide specialized rehabilitative services by qualified personnel, when ordered for a resident by a doctor	2	2 (0%)	#163	#167	0	0
134	F865Have a plan that describes the process for conducting QAPI and QAA activities	2	2 (0%)	#82	#113	0	0
135	F923Have enough outside ventilation via a window or mechanical ventilation, or both	2	2 (0%)	#144	#168	0	0
136	F926Have policies on smoking	2	2 (0%)	#121	#151	0	0
137	F941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members	2	2 (0%)	#134	#152	0	0
138	F942Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents	2	2 (0%)	#148	not cited	0	0
139	F943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation	2	2 (0%)	#120	#128	0	0
140	F945Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program	2	2 (0%)	#139	#133	0	0
141	F906Provide enough power supply for lighting all entrances and exits; equipment for fire detection and alarm systems, and extinguishers	2	1 (0%)	#183	not cited	1	0
142	F553Allow resident to participate in the development and implementation of his or her person-centered plan of care	1	1 (0%)	#98	#134	0	0
143	F555Honor the resident's right to choose his or her attending physician	1	1 (0%)	#159	not cited	0	0
144	F564Inform each resident of his or her visitation rights and ensure that all visitors enjoy equal visitation privileges	1	1 (0%)	#179	#153	0	0
145	F570Assure the security of all personal funds of residents deposited with the facility	1	1 (0%)	#157	#169	0	0
146	F571Limit the charges against residents' personal funds for items or services for which payment is made under Medicare or Medicaid	1	1 (0%)	#166	#135	0	0
147	F572Give residents a notice of rights, rules, services and charges	1	1 (0%)	#142	#141	0	0
148	F620Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide	1	1 (0%)	#149	#142	0	0
149	F710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care	1	1 (0%)	#130	#154	0	0
150	F713Provide or arrange emergency care by a doctor 24 hours a day	1	1 (0%)	#172	#155	0	0
151	F728Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training	1	1 (0%)	#123	#170	0	0
152	F729Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining	1	1 (0%)	#150	#119	0	0
153	F741Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents	1	1 (0%)	#155	#156	0	0
154	F742Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder	1	1 (0%)	#112	#114	0	1
155	F774Help the resident with transportation to and from laboratory services outside of the facility	1	1 (0%)	#162	#157	0	0
156	F778Help the resident make transportation arrangements to and from radiology services	1	1 (0%)	#170	#171	0	0
157	F837Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility	1	1 (0%)	#128	#158	0	0
158	F915Ensure each resident room has a window to the outside that meets requirements	1	1 (0%)	#192	not cited	0	0
159	F916Ensure each resident has a room at or above ground level	1	1 (0%)	#193	#159	0	0
160	F920Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture	1	1 (0%)	#176	not cited	0	0
161	F845Submit a timely, acceptable plan for facility closure, including notification of the appropriate entities and ensuring residents are transferred in a safe and orderly manner	1	0 (0%)	#188	#160	0	0

A tag is ranked by how many times it was cited. “Buildings cited” counts the inspected buildings that drew the tag at least once, and its percentage is of every building inspected; we print a percentage only where 20 or more buildings were inspected. “Rank a year earlier” is the same ranking over August 2024 through July 2025. CMS publishes citations months after the survey, so the newest months are still filling in: compare ranks across the two years, not counts. Immediate jeopardy is CMS severity J, K or L; actual harm is G, H or I. No building is named on this page: open a building for its own inspections.

Illinois nursing home survey citations, by F-tag

Every F-tag Illinois surveyors cited, most cited first

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