F0609

D

Failure to Report Allegation of Potential Sexual Abuse to Authorities

Kewanee, Illinois Survey Completed on 01-13-2026

Penalty

No penalty information released

Summary

The facility failed to report a potential allegation of sexual abuse to the state agency or local law enforcement as required by its Abuse Prevention and Reporting policy. The policy, effective 12/2025, states that any allegation of abuse will be reported to the state agency immediately and that local law enforcement will be contacted in situations involving sexual abuse of a resident by a staff member. A Resident Grievance form dated 12/8/25, signed by the Assistant Administrator, documents that a CNA reported attempting to enter a resident’s room and finding the transportation driver behind the door while the resident had her shirt up and bra exposed, with the driver allegedly giving the resident a sub sandwich over a football bet.

During an interview on 01/10/2026, the Administrator stated she was aware of the situation between the resident and the transportation aide, who is her brother. She reported being called at home by the DON, with the CNA present, and was informed that the CNA had witnessed the transportation aide in the resident’s room with the door closed, the resident with her shirt up covering her face and exposing her bra, and the aide behind the door facing the resident. The Administrator stated that when the CNA entered the room, the aide raised his arms and repeatedly said, “don’t say anything.” The Administrator further stated that after conferring with corporate staff, it was decided that the CNA was making trouble because she knew the aide was the Administrator’s brother, and the Administrator concluded the situation was not potential abuse. Based on this conclusion, she did not report the situation to the state agency and did not notify local law enforcement, contrary to facility policy.