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Facility profile · CCN 525552

Wheaton Franciscan Hc - Terrace At St Francis

84 federal citations on record , including 1 at the Immediate Jeopardy level, and 5 federal enforcement actions totaling $175,897.

1 Immediate Jeopardy

Record summary

Federal record · Q1 2026
84
Total citations
73
Last 3 years
11
Actual harm+
5
Federal penalties
$175,897
Total fines
1
Overall ★ rating

Most common violation categories here

Most common F-tags at this facility

Citation history

84 on record
SurveyF-TagViolationSeveritySource
Jan 6, 2026F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Jan 6, 2026F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Jan 6, 2026F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
Oct 29, 2025F880Provide and implement an infection prevention and control program.DComplaint
Oct 29, 2025F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint
Oct 29, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Oct 29, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Oct 29, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Oct 29, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Oct 29, 2025F610Respond appropriately to all alleged violations.DComplaint
Oct 29, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Oct 29, 2025F585Honor 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.DComplaint
Aug 20, 2025F759Ensure medication error rates are not 5 percent or greater.DComplaint
Aug 20, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.FComplaint
Aug 20, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Aug 20, 2025F610Respond appropriately to all alleged violations.DComplaint
Aug 20, 2025F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.EStandard
Aug 20, 2025F729Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.FStandard
Aug 20, 2025F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.CStandard
Aug 20, 2025F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Aug 20, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Aug 20, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EStandard
Aug 20, 2025F645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard
Aug 20, 2025F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.EStandard
Aug 20, 2025F583Keep residents' personal and medical records private and confidential.DStandard
Aug 20, 2025F552Ensure that residents are fully informed and understand their health status, care and treatments.EStandard
Jun 11, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint
Jun 11, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Apr 1, 2025F880Provide and implement an infection prevention and control program.FComplaint
Apr 1, 2025F773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.DComplaint
Apr 1, 2025F761Ensure 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.EComplaint
Apr 1, 2025F760Ensure that residents are free from significant medication errors.DComplaint
Apr 1, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
Apr 1, 2025F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.GComplaint
Apr 1, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Apr 1, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GComplaint
Apr 1, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EComplaint
Apr 1, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Apr 1, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Dec 18, 2024F759Ensure medication error rates are not 5 percent or greater.DComplaint
Aug 28, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
Aug 28, 2024F697Provide safe, appropriate pain management for a resident who requires such services.DComplaint
Jul 22, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Jul 22, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint
Jul 22, 2024F610Respond appropriately to all alleged violations.DComplaint
Jul 22, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Jul 22, 2024F553Allow resident to participate in the development and implementation of his or her person-centered plan of care.DComplaint
Jul 22, 2024F880Provide and implement an infection prevention and control program.FStandard
Jul 22, 2024F849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.DStandard
Jul 22, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Jul 22, 2024F810Provide special eating equipment and utensils for residents who need them and appropriate assistance.DStandard
Jul 22, 2024F791Provide or obtain dental services for each resident.DStandard
Jul 22, 2024F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DStandard
Jul 22, 2024F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.EStandard
Jul 22, 2024F697Provide safe, appropriate pain management for a resident who requires such services.DStandard
Jul 22, 2024F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Jul 22, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Jul 22, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GStandard
Jul 22, 2024F638Assure that each resident’s assessment is updated at least once every 3 months.EStandard
Jul 22, 2024F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.DStandard
Jul 22, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard
Feb 28, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
Jan 17, 2024F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.DComplaint
Jan 17, 2024F693Ensure 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.DComplaint
Jan 17, 2024F692Provide enough food/fluids to maintain a resident's health.DComplaint
Jan 17, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.GComplaint
Jan 17, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint
Jan 17, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GComplaint
Jan 17, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint
Jan 17, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.GComplaint
Oct 5, 2023F880Provide and implement an infection prevention and control program.DComplaint
Oct 5, 2023F759Ensure medication error rates are not 5 percent or greater.DComplaint
Oct 5, 2023F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
Apr 1, 2023F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
Apr 1, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Apr 1, 2023F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DComplaint
Apr 1, 2023F759Ensure medication error rates are not 5 percent or greater.DStandard
Apr 1, 2023F638Assure that each resident’s assessment is updated at least once every 3 months.DStandard
Apr 1, 2023F637Assess the resident when there is a significant change in conditionDStandard
Apr 1, 2023F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.DStandard
Apr 1, 2023F745Provide medically-related social services to help each resident achieve the highest possible quality of life.DComplaint
Apr 1, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Apr 1, 2023F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint
Apr 1, 2023F610Respond appropriately to all alleged violations.DComplaint

Federal enforcement history

Federal regulators have imposed 5 enforcement actions against this facility, including 3 civil money penalties totaling $175,897 and 2 payment-denial actions spanning 35 days.

DateTypeFinePayment denial
Apr 1, 2025Fine$71,799
Apr 1, 2025Payment DenialMay 2, 2025 · 4 days
Jul 22, 2024Fine$71,858
Jul 22, 2024Payment DenialAug 20, 2024 · 31 days
Jan 17, 2024Fine$32,240
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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