All citations for Wheaton Franciscan HC - Terrace at St Francis

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Wheaton Franciscan HC - Terrace at St Francis

Last standard health inspection on record

August 20, 2025

Showing 1 to 25 of 32 citations

  1. Harm to a resident

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Isolated (one or a few residents). CMS level G.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of October 29, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 20, 2025).

  2. No harm, with potential for more than minimal harm

    Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.

    Widespread (many residents). CMS level F.

    Health citation F-0729, Nursing and Physician Services Deficiencies. Inspection of August 20, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 17, 2025).

  3. No harm, with potential for more than minimal harm

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Widespread (many residents). CMS level F.

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of August 20, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (September 17, 2025).

  4. No harm, with potential for more than minimal harm

    List the names and contact information of those in the facility.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0030, Emergency Preparedness Deficiencies. Inspection of August 20, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 17, 2025).

  5. No harm, with potential for more than minimal harm

    Ensure that residents are fully informed and understand their health status, care and treatments.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0552, Resident Rights Deficiencies. Inspection of August 20, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 17, 2025).

  6. No harm, with potential for more than minimal harm

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0628, Resident Rights Deficiencies. Inspection of August 20, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 17, 2025).

  7. No harm, with potential for more than minimal harm

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of August 20, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 17, 2025).

  8. No harm, with potential for more than minimal harm

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0756, Pharmacy Service Deficiencies. Inspection of August 20, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 17, 2025).

  9. No harm, with potential for more than minimal harm

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0550, Resident Rights Deficiencies. Inspection of January 6, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 4, 2026).

  10. No harm, with potential for more than minimal harm

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of January 6, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 4, 2026).

  11. No harm, with potential for more than minimal harm

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of January 6, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 4, 2026).

  12. No harm, with potential for more than minimal harm

    Honor 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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0585, Resident Rights Deficiencies. Inspection of October 29, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 20, 2025).

  13. No harm, with potential for more than minimal harm

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of October 29, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 20, 2025).

  14. No harm, with potential for more than minimal harm

    Respond appropriately to all alleged violations.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0610, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of October 29, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 20, 2025).

  15. No harm, with potential for more than minimal harm

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of October 29, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 20, 2025).

  16. No harm, with potential for more than minimal harm

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of October 29, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 20, 2025).

  17. No harm, with potential for more than minimal harm

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of October 29, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 20, 2025).

  18. No harm, with potential for more than minimal harm

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0690, Quality of Life and Care Deficiencies. Inspection of October 29, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 20, 2025).

  19. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0880, Infection Control Deficiencies. Inspection of October 29, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 20, 2025).

  20. No harm, with potential for more than minimal harm

    Keep residents' personal and medical records private and confidential.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0583, Resident Rights Deficiencies. Inspection of August 20, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 17, 2025).

  21. No harm, with potential for more than minimal harm

    Respond appropriately to all alleged violations.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0610, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of August 20, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (September 17, 2025).

  22. No harm, with potential for more than minimal harm

    PASARR screening for Mental disorders or Intellectual Disabilities

    Isolated (one or a few residents). CMS level D.

    Health citation F-0645, Resident Assessment and Care Planning Deficiencies. Inspection of August 20, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 17, 2025).

  23. No harm, with potential for more than minimal harm

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of August 20, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 17, 2025).

  24. No harm, with potential for more than minimal harm

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of August 20, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (September 17, 2025).

  25. No harm, with potential for more than minimal harm

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0698, Quality of Life and Care Deficiencies. Inspection of August 20, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 17, 2025).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.