Average — CMS composite of the measures below.
A standard survey is most likely before around August 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Arc At Kankakee during CMS and state inspections, most recent first.
Surveyors identified multiple failures in food safety and sanitation, including improper sanitizer concentration, unlabeled and expired food items, dented and moldy cans, and improper storage of perishable items. Additionally, staff did not follow proper procedures for cleaning food thermometers between uses, increasing the risk of cross-contamination. These deficiencies affected all residents receiving dietary services.
Two residents with cognitive impairment and multiple medical conditions were transferred to the hospital for urgent medical needs, but neither they nor their representatives received written notification of the reason for transfer, and the ombudsman was not notified as required. The facility administrator confirmed these notifications were not provided, contrary to facility policy.
A resident with severe cognitive impairment and significant weight loss was not given the dietician-recommended large portions, fortified pudding, or fortified ice cream during a meal. The care plan and meal ticket indicated these interventions, but staff failed to provide them or monitor the resident's intake, despite clear documentation and facility policy requirements.
A resident with an infection requiring IV antibiotics did not receive the prescribed dose of Meropenem as ordered, due to staff mixing the medication in a 100 ml IV bag instead of the ordered 50 ml, and only infusing half the volume. The DON confirmed the deviation from the order and there was no documentation that the physician was notified of the change or that the altered administration was approved.
Staff failed to follow Enhanced Barrier Precautions and proper hand hygiene during high-contact care activities. For example, a CNA emptied a resident's catheter bag without a gown, an LPN handled a catheter and linens without a gown, and nurses did not change gloves or perform hand hygiene after incontinence care before wound care. These actions did not comply with facility protocols for infection prevention.
A facility failed to investigate and report an allegation of rough handling involving a resident within the required timeframes. The incident was initially reported by the resident's daughter, who witnessed staff being rough during ADL care. Despite immediate attention to the resident's bleeding wound, the rough handling allegation was not investigated until seven months later. The facility's policy required prompt reporting and investigation of abuse allegations, but the former administrator was unaware of the incident until December, and the CNA involved was not suspended.
A resident with a peri-prosthetic right hip fracture had a stat ultrasound order to rule out a DVT, but the ultrasound was delayed and not completed until several days later. The DON was aware of the delay but did not notify the physician, contrary to facility policy.
The facility failed to properly label and date refrigerated items and remove expired food in the kitchen, affecting all 16 residents who receive oral nutrition. Expired and unlabeled items, including processed turkey breast, ground beef, cheeses, hot dogs, ham, tomatoes, lactose-free milks, hard-boiled eggs, and shredded cheeses, were found in the walk-in cooler. The Dietary Manager confirmed that it is the cook's responsibility to check for expiration dates and discard expired items as part of their daily checklist.
Failure to Maintain Food Safety and Sanitation Standards in Dietary Services
Penalty
Summary
The facility failed to maintain proper food safety and sanitation practices in the kitchen, affecting all 22 residents receiving dietary services. Surveyors observed that the sanitizing solution used for cleaning food contact surfaces was above the facility's policy limit, with a red sanitization bucket testing at 500 ppm instead of the required 200-400 ppm. The Dietary Manager confirmed that excessive sanitizer levels could cause chemical reactions and contaminate food, potentially leading to illness. Additionally, the facility's policy required sanitizer solutions to be within the specified range. Multiple food storage violations were identified in both refrigerated and dry storage areas. Items such as barbeque sauce, hot dogs, turkey, vinaigrette, and various cheeses were found without proper labeling, including missing opened-on or use-by dates. Several cans in storage were dented or showed visible mold growth, and some food items that required refrigeration were stored inappropriately in dry storage. Opened and unsealed food items were also found exposed to air, and some products lacked content labels, increasing the risk of contamination and allergen exposure. The Dietary Manager acknowledged that outdated, improperly stored, or unlabeled food could be spoiled or contaminated, posing a safety risk to residents. Further deficiencies included improper handling of food thermometers during meal service. The cook was observed using the same probe wipe between different food items without changing it, contrary to facility policy, which requires cleaning and sanitizing the thermometer between uses. The Dietary Manager confirmed that not following this procedure could result in cross-contamination, especially affecting individuals with food allergies. These findings collectively demonstrate a failure to adhere to professional standards for food procurement, storage, preparation, and service.
Failure to Provide Required Written Notification and Ombudsman Notification for Hospital Transfers
Penalty
Summary
The facility failed to provide written notification to residents and/or their representatives regarding the reason for transfer to the hospital, and also failed to notify the ombudsman of these transfers. This deficiency was identified for two residents. One resident with severe cognitive impairment and multiple diagnoses, including cerebral infarction and vascular dementia, was transferred to the hospital on several occasions due to changes in mental status, physical and verbal aggression, and symptoms suggestive of a stroke. Despite these transfers, there was no documentation in the electronic medical record of written notice being provided to the resident or their representative, nor was there evidence of ombudsman notification for the relevant period. Another resident with moderate cognitive impairment and multiple diagnoses, including encephalopathy and diabetes, was transferred to the hospital after a significant bleeding event. The medical record similarly lacked documentation of written notification to the resident or their representative regarding the reason for transfer. The facility administrator confirmed that written notifications were not provided and that the ombudsman was not notified of the hospital transfers, stating unawareness of the requirement. The facility's own policy requires written notice and ombudsman notification as soon as practicable in cases of urgent medical need, but this was not followed.
Failure to Provide Dietician-Recommended Nutritional Interventions for Resident with Weight Loss
Penalty
Summary
A resident with severe cognitive impairment and a history of significant weight loss was not provided with the dietician-recommended nutritional interventions during a lunch observation. The resident, who had lost 14.5% of body weight over six months and had a pressure ulcer, was supposed to receive large portions, fortified pudding at lunch, and fortified ice cream with lunch and dinner, as documented by the dietician. However, during the observed lunch, the resident received regular-sized portions and did not receive the fortified pudding or fortified ice cream. No staff were seen monitoring the resident's food intake or encouraging eating during the meal. The resident's care plan and facility policies required the provision of supplements as ordered, monitoring and documentation of food intake, and communication of significant weight changes. Despite these requirements, the dietary interventions were not implemented as recommended. The Food Service Director confirmed that the meal ticket indicated the need for large portions and fortified pudding, but these were not provided, and there was confusion regarding the inclusion of fortified ice cream. Both the Director of Nursing and Food Service Director acknowledged the failure to provide the recommended supplements and recognized the importance of weight maintenance for the resident's health.
Failure to Follow Physician Order for IV Antibiotic Administration
Penalty
Summary
The facility failed to follow a physician's order for the administration of intravenous (IV) antibiotics for a male resident admitted with an infection and inflammatory reaction due to an indwelling urethral catheter. The physician's order specified Meropenem 1 gram in 50 milliliters of 0.9% sodium chloride to be administered intravenously every 8 hours. However, during observation, the resident was found receiving Meropenem mixed in a 100 ml bag of 0.9% sodium chloride, with the infusion pump set to deliver only 50 ml at 50 ml/hr, which would result in the resident receiving only half the prescribed dose. The Director of Nursing acknowledged that the correct 50 ml IV bag was not available and that the medication was instead mixed in a 100 ml bag. There was no documentation that the physician was notified about the unavailability of the 50 ml bag, the change in volume, or whether infusing 100 ml over one hour was acceptable. Additionally, the facility's policy required confirmation of the medication dose, volume, and rate, but this was not followed as per the physician's order.
Failure to Follow Enhanced Barrier Precautions and Hand Hygiene During Resident Care
Penalty
Summary
The facility failed to adhere to Enhanced Barrier Precautions (EBP) and proper hand hygiene protocols during high-contact resident care activities for three residents. In one instance, a female resident with a urinary tract infection and neuromuscular bladder dysfunction was observed with an indwelling catheter bag on the floor, which had not been emptied as required. A CNA emptied the bag without wearing a gown, despite EBP signage indicating the need for both gloves and a gown during such care. The CNA was also unaware of when the bag was last emptied. In another case, a male resident with an infection related to an indwelling urethral catheter was cared for by an LPN who touched the resident's linen and catheter tubing without wearing a gown, contrary to EBP requirements. The DON confirmed that staff are expected to wear gowns and gloves for high-touch care activities involving residents on EBP, and that catheter bags should not be placed on the floor. Additionally, during incontinence and wound care for another resident, a wound care nurse practitioner and a registered nurse failed to perform appropriate hand hygiene. After removing stool from the resident's buttocks with a wipe, the RN did not change gloves before assisting with wound measurement, resulting in contact with clean areas of the resident while still wearing soiled gloves. The DON stated that gloves should be removed and hands washed after incontinence care and before touching clean areas, in accordance with the facility's hand hygiene policy.
Failure to Investigate and Report Alleged Rough Handling
Penalty
Summary
The facility failed to investigate and report an allegation of potential abuse involving a resident, identified as R1, within the required timeframes. The incident was initially reported by the resident's daughter on 05/20/24, who witnessed staff being rough during ADL care, which was noted in the grievance log. Despite the immediate attention given to the resident's bleeding wound, the allegation of rough handling was not investigated until seven months later, in December 2024, when a consultant audit brought it to light. The resident, who had multiple diagnoses including metabolic encephalopathy and dementia, experienced excessive bleeding from a wound on the left hip on 05/20/24. The bleeding was attributed to new blood thinners, and the resident was sent to the hospital for evaluation. The Director of Nursing (DON) focused on the bleeding wound and did not address the rough handling complaint. The grievance was signed off by the Social Services Director on 05/28/24, but the rough handling allegation was not communicated to the abuse coordinator, who was the administrator at the time. The facility's policy required all allegations of abuse to be promptly reported and investigated, with the administrator or designee responsible for suspending any accused employee pending investigation. However, the former administrator was unaware of the incident until December 2024, and the alleged rough handling was not reported to the State Agency. The CNA involved, identified as V10, was not suspended and left the facility voluntarily for another job. The new administrator, who started in December 2024, found no evidence of rough handling upon reviewing the completed investigation.
Failure to Notify Physician of Delayed Stat Ultrasound
Penalty
Summary
The facility failed to notify the physician of the inability to complete ordered testing in a timely manner for a resident who was admitted after a peri-prosthetic right hip fracture. The resident had an order for a stat ultrasound of his right leg to rule out a deep vein thrombosis (DVT) on 5/9/2024. However, the ultrasound was not completed until 5/13/2024, which did not meet the stat criteria. The Director of Nursing (DON) was aware of the delay but did not contact the physician to determine the next steps, as required by the facility's policy for stat orders. The resident was cognitively intact and had been taking medications to prevent blood clots since admission. Despite the resident's condition and the urgency of the stat order, the facility's contracted radiology service was unable to complete the ultrasound on the same day or over the weekend. The delay in completing the ultrasound and the failure to notify the physician of this delay were identified as deficiencies during the survey. The facility's policy mandates that medical care problems be communicated to the healthcare provider efficiently and effectively, which was not adhered to in this case.
Failure to Properly Label and Date Refrigerated Items and Remove Expired Food
Penalty
Summary
The facility failed to properly label and date refrigerated items and remove expired food items in the kitchen, affecting all 16 residents who receive oral nutrition and foods prepared in the facility kitchen. During a tour of the facility kitchen, several expired and unlabeled food items were found in the walk-in cooler, including a quarter of a large processed turkey breast, thawed ground beef with leaking juices, Swiss cheese, provolone cheese, hot dogs, a large processed ham, tomatoes, lactose-free low-fat milks, hard-boiled eggs, and shredded mozzarella and cheddar cheese. These items were either expired or lacked proper labeling with received-on, opened, and expiration dates. The Dietary Manager (V3) acknowledged that it is the cook's responsibility to check for expiration dates and discard expired items as part of their daily checklist. V3 confirmed that expired items should be thrown away immediately and that all food items should be labeled with at least a received-on date, an opened date, and an expiration date. The facility's policy on food and supply storage mandates that all food items be covered, labeled, and dated to prevent contamination and ensure safety. The failure to adhere to these procedures poses a risk of expired food being accidentally fed to residents, potentially causing illness.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Kankakee
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Citadel Care Center-kankakee | 0.5 mi | ★★★★★ | 0 | 0 |
| Miller Health Care Center | 1 mi | ★★★★★ | 7 | 1 |
| Arc At Bradley | 1.7 mi | ★★★★★ | 3 | 0 |
| Citadel Of Bourbonnais,the | 2.1 mi | ★★★★★ | 9 | 0 |
| Momence Meadows Nursing & Rehab | 11 mi | ★★★★★ | 14 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.