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F0725
F

Insufficient RN and LPN Coverage on Multiple Shifts

Danville, Illinois Survey Completed on 01-21-2026

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to ensure sufficient licensed nursing staff were present for each shift in each building, including required RN coverage, affecting the South Building where 54 residents resided. The Facility Assessment Tool for 12/2024 through 12/2025 documented that staffing for licensed nurses (RNs and LPNs) should follow the facility assessment and CMS minimum staffing rule and specified that staffing should include one RN on each shift and three LPNs on the night shift. Daily Nurse Staffing Sheets from 1/1/2026 through 1/20/2026 showed there was no RN coverage for at least 8 consecutive hours on four separate days (1/3/2026, 1/4/2026, 1/11/2026, and 1/17/2026). On 1/17/2026, the same records documented that there were no RNs or LPNs working the 11 p.m. to 7 a.m. shift in the South Building, while two LPNs were working the night shift in the North Building. The Assistant DON confirmed the lack of RN coverage for at least 8 consecutive hours on the identified dates and stated that nursing management staff are on-call on weekends if needed. The DON reported being notified by the Administrator at 8 p.m. on 1/17/2026 that there was no nursing coverage for the 11 p.m. to 7 a.m. shift in the South Building and stated that the DON personally worked from 3 a.m. to 5 a.m. during that shift.

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