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 44 citations

  1. Harm to a resident

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

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

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of April 1, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 6, 2025).

  2. Harm to a resident

    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 G.

    Health citation F-0690, Quality of Life and Care Deficiencies. Inspection of April 1, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 6, 2025).

  3. Harm to a resident

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

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of July 22, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (August 19, 2024).

  4. Harm to a resident

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

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

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of July 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 19, 2024).

  5. 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 July 22, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (August 19, 2024).

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

    Provide and implement an infection prevention and control program.

    Widespread (many residents). CMS level F.

    Health citation F-0880, Infection Control Deficiencies. Inspection of April 1, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 6, 2025).

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

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of July 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 19, 2024).

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

    Provide and implement an infection prevention and control program.

    Widespread (many residents). CMS level F.

    Health citation F-0880, Infection Control Deficiencies. Inspection of July 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 19, 2024).

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

    Conduct risk assessment and an All-Hazards approach.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0006, Emergency Preparedness Deficiencies. Inspection of July 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 19, 2024).

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

    Conduct testing and exercise requirements.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of July 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 19, 2024).

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

    Install emergency lighting that can last at least 1 1/2 hours.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0291, Egress Deficiencies. Inspection of July 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 19, 2024).

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

    Install a fire alarm system that can be heard throughout the facility.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0341, Smoke Deficiencies. Inspection of July 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 19, 2024).

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

    Provide a written emergency evacuation plan.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0711, Miscellaneous Deficiencies. Inspection of July 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 19, 2024).

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

    Have simulated fire drills held at unexpected times.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of July 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 19, 2024).

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

    Have a battery powered remote alarm panel in a location accessible by operating personnel.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0916, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of July 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 19, 2024).

  16. 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 April 1, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 6, 2025).

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

    Ensure 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.

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

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of April 1, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 6, 2025).

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

    Assure that each resident’s assessment is updated at least once every 3 months.

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

    Health citation F-0638, Resident Assessment and Care Planning Deficiencies. Inspection of July 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 19, 2024).

  19. 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 July 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 19, 2024).

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

    Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction.

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

    Fire safety citation K-0132, Construction Deficiencies. Inspection of July 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 19, 2024).

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

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

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

    Fire safety citation K-0374, Smoke Deficiencies. Inspection of July 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 19, 2024).

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

    Install properly constructed and protected linen or trash chutes.

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

    Fire safety citation K-0541, Services Deficiencies. Inspection of July 22, 2024. Found during a standard inspection.

    A waiver was granted (November 8, 2024).

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

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

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

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of June 11, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 10, 2025).

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

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

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

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of June 11, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 10, 2025).

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

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

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

    Health citation F-0580, Resident Rights Deficiencies. Inspection of April 1, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 6, 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.