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 26 to 50 of 103 citations

  1. 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).

  2. 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).

  3. 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).

  4. 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).

  5. 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).

  6. 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).

  7. 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).

  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 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

    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).

  10. 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).

  11. 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).

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

    Provide properly protected cooking facilities.

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

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of April 1, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 4, 2023).

  13. 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 April 1, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 4, 2023).

  14. 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).

  15. 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).

  16. 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).

  17. 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).

  18. 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).

  19. 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).

  20. 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).

  21. 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).

  22. 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).

  23. 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).

  24. 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).

  25. 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).

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.