Average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
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 Streator during CMS and state inspections, most recent first.
A resident with COPD, type 2 DM, hypertensive heart disease, major depressive disorder, and anxiety, who was ordered metformin ER and weekly tirzepatide but no insulin, was mistakenly given another resident's insulin by an LPN. After preparing one resident's medications and insulin and setting them aside on the med cart when that resident went to the bathroom, the LPN pulled medications for a different resident and inadvertently took the first resident's insulin pens, administering 4 units of lispro and 35 units of Lantus to the wrong resident. The resident questioned the number of injections, and review of orders confirmed there was no insulin order, indicating failure to follow the facility's five rights of medication administration and proper handling of medications when a resident is not available.
A resident with CKD, HTN, epilepsy, prior CVA with left-sided weakness, and severe osteopenia was being transferred from bed to wheelchair with a full mechanical lift by a CNA and an RN at the family’s request. Staff reported that the sling loops were attached and checked, but the lift became caught on a cord under the bed, causing a jerk that led to the left upper sling loop coming unhooked. The resident, who had a known tendency to grab or fidget with the sling during transfers, fell quickly to the floor, landing on the head and left shoulder while the right leg remained in the sling. The resident sustained a displaced right distal femur fracture and multiple spinal compression fractures as a result of this unsafe transfer.
The facility failed to provide a palatable meal consistent with the planned menu when roasted turkey was replaced by ground turkey mixed with gravy to stretch limited portions for over 100 residents, including some receiving double portions. Several residents reported that the turkey appeared like "slop," was inedible, and that few, if any, residents in the dining room ate it. A family member stated that a resident who normally enjoyed turkey refused to eat the ground version. Residents also reported that when they requested grilled cheese as a substitute, kitchen staff stated they were not making multiple grilled cheese sandwiches.
An LPN pre-poured bedtime and pain medications for two residents into separate cups, then left the cart to assist another resident. On returning, the LPN failed to verify the five rights of medication administration and gave one resident’s Carbamazepine, Phenobarbital, and Tramadol to a cognitively impaired resident with dementia and Alzheimer’s disease. This practice conflicted with facility policy, which required no pre-pouring and preparation/administration for only one resident at a time, and contributed directly to the wrong-resident medication error.
Two residents who were cognitively intact and care planned to need staff assistance with toileting reported that staff did not answer call lights within a reasonable time, leading to prolonged waits to use the bathroom. One resident stated they waited about 30 minutes for help to toilet and feared having a bowel movement in their chair, while another reported repeatedly waiting so long that they defecated in their incontinence brief and sometimes walked to the bathroom alone despite being told not to ambulate independently. Resident council minutes also reflected residents’ requests for more CNA help.
A resident who required one-person assist for transfers and use of a gait belt was being transferred from a recliner to a wheelchair when a CNA locked only one wheelchair brake and did not apply a gait belt. While the CNA was attempting to lock the second brake, the resident turned and sat on the armrest/wheel, causing the chair to tip and the resident to fall, resulting in skin tears to the elbow and lower leg and a reported head impact with headache. An RN and a PTA confirmed that the resident typically needed assisted transfers and that a gait belt should be used, and the resident’s care plan and the facility’s fall prevention policy called for proper brake locking and gait belt use, which were not followed during this event.
Two residents with severe cognitive impairment were involved in an incident where one resident struck another on the face without provocation, as witnessed by a CNA. The resident who committed the act had a history of agitation with staff but no prior incidents involving other residents. Both residents were assessed and found to have no injuries, but the event demonstrated a failure to protect residents from abuse as required by facility policy.
The facility did not follow its policy for sanitizing dishware, as the Quaternary ammonia solution used was found to be above the required strength, with staff confirming the solution exceeded the policy's specified range. This issue could impact all residents receiving meals prepared with this dishware.
Multiple residents were left without hot water in their rooms for an extended period, requiring CNAs to transport hot water from other areas to assist with hygiene and bathing. Staff confirmed the issue was ongoing, and the Maintenance Director had not checked water temperatures in the affected rooms. The Administrator was unaware of the problem despite recent water heater replacements.
Staff did not consistently follow Enhanced Barrier Precautions (EBP) policies for residents with wounds or indwelling devices, including not wearing required PPE during wound care and not posting EBP signage as required. Additionally, a mechanical lift and slings were used for two residents during toileting without being sanitized between uses, contrary to facility policy. Leadership and staff provided inconsistent information about when and how EBP should be implemented.
A resident's signed POLST indicating do-not-resuscitate and selective treatment preferences was scanned into the EHR but not entered as a physician's order, resulting in the absence of code status information in the electronic record. Staff relied on an outdated CPR list at the nurse's station, and a nurse confirmed that the EHR did not display the resident's code status due to the missing order.
A resident at high risk for falls experienced multiple falls and a hip fracture due to inadequate supervision and failure to implement new fall interventions. Despite being identified as a high fall risk, the resident was often left unsupervised, leading to injuries. Staffing issues, such as breaks and shift changes, contributed to the lack of supervision, as confirmed by the Director of Nursing.
The facility failed to maintain a sanitary food preparation environment, with observations of unclean ovens and knife storage units, and a staff member entering the kitchen without a hair net. The facility also lacked a cleaning schedule.
The facility failed to perform PASARR Level I or Level II screenings for two residents admitted with severe mental and behavioral disorders. Despite the facility's policy requiring these screenings for all admissions, the Social Service Director and Administrator confirmed the omission, citing a specified payer source as the reason.
The facility failed to update care plans for three residents, resulting in outdated and inaccurate documentation of their care needs, including fall interventions, wound care, and fluid restrictions.
The facility failed to maintain water temperatures within a safe range, with temperatures recorded between 115-124 degrees Fahrenheit over several months. This was confirmed by the Maintenance Director, who acknowledged the need for adjustment to prevent scalding burns.
The facility failed to ensure that survey results were readily available for residents and their family representatives to review. During an inspection, it was found that no survey results were posted, and several residents were unaware of their availability. A binder containing the results was later found out of reach and without proper signage.
Medication Error: Insulin Administered to Wrong Resident
Penalty
Summary
The deficiency involves a resident receiving another resident's insulin due to a medication administration error. The resident had diagnoses including COPD, type 2 diabetes, hypertensive heart disease, major depressive disorder, and anxiety, and had physician orders for metformin ER and weekly tirzepatide, with no orders for insulin. On the morning in question, an LPN prepared one resident's morning medications and insulin, but when that resident was in the bathroom, she placed the medication cup and insulin pens on top of the medication cart set to the side. She then proceeded to pull medications for a different resident and mistakenly grabbed the first resident's insulin pens. The LPN administered the insulin to the wrong resident, who questioned receiving “three shots today.” The LPN then checked the resident's orders and confirmed that this resident did not have any insulin orders and was only ordered one injectable medication. Documentation shows that the resident received 4 units of lispro (short-acting insulin) and 35 units of Lantus (long-acting insulin) that were intended for another resident. The DON confirmed that the wrong medications were administered. The facility's medication administration policy required adherence to the five rights of medication administration (right resident, right medication, right dosage, right route, right time), and the LPN acknowledged that medications should be discarded if the resident is not available and should not be left on the cart.
Unsafe Mechanical Lift Transfer Resulting in Resident Fall and Fractures
Penalty
Summary
The deficiency involves the facility’s failure to safely transfer a resident using a full mechanical lift, resulting in the resident falling from the sling during a bed-to-wheelchair transfer. According to the incident report, the resident, who was alert with some baseline confusion, was being transferred with two-person assist when the sling became unhooked and the resident fell out of the mechanical lift sling. Staff interviews indicated that the resident had a tendency to fidget with or grab the sling or crossbar, and the care plan (developed the day after the incident) later identified a behavior of grabbing at the sling due to anxiety during mechanical lift transfers. On the day of the incident, the resident’s family requested that he be transferred to a wheelchair for a visit. A CNA whose usual partner was on lunch asked an RN to assist with the transfer. Both staff reported that they hooked the sling to the mechanical lift and checked the loops on the hooks before raising the resident. During the transfer, the RN pulled the lift away from the bed while the CNA positioned herself between the resident’s feet and bottom to guide him toward the chair. The CNA reported that the lift became caught on a cord under the bed, causing the lift to jerk, after which the left upper loop of the sling came unhooked and the resident fell rapidly to the floor. As a result of the fall, the resident landed on his head and left shoulder while his right leg remained stuck in the sling still attached to the lift. Staff observed a bump on the left lateral side of the resident’s head, and the resident complained of pain to the left shoulder, right knee, and back. Hospital documentation later confirmed that the resident, who had a history of CKD, HTN, epilepsy, prior stroke with left-sided weakness, and severe osteopenia, sustained a displaced right distal femur fracture and multiple acute/subacute spinal compression fractures following the fall from the mechanical lift.
Unpalatable Ground Turkey Meal Served Instead of Planned Roasted Turkey
Penalty
Summary
The deficiency involves the facility’s failure to provide palatable meals as planned on the menu, specifically related to a turkey meal served to multiple residents. The facility’s Food Purchasing policy requires that food and supplies be purchased according to the planned menus, which called for roasted turkey. Instead, on the identified Sunday, the cook prepared only two turkeys of approximately 8–10 pounds each for 103 residents, plus 10 residents who receive double portions. To make the turkey go farther, the cook rough chopped (ground) the turkey and added gravy, resulting in a ground turkey dish rather than the roasted turkey specified on the menu. Multiple residents and a family member reported that the ground turkey meal was unpalatable and visually unappealing. One concern form documented that everyone’s turkey was ground up at lunch and that nobody really wanted to eat, and that the kitchen declined to prepare multiple grilled cheese sandwiches as an alternative. Another concern form documented that the food was inedible. One resident stated the turkey was “nasty,” looked like “slop,” and that he did not eat it, and another resident reported that she did not think anyone in the dining room ate it and that the kitchen said they were not making a bunch of grilled cheeses as substitutes. A family member stated that ground turkey was served instead of roasted turkey and that the resident, who loved turkey, absolutely refused to eat it.
Medication Error from Pre-Pouring and Wrong-Resident Administration
Penalty
Summary
The deficiency involves a failure to ensure a resident was free from significant medication errors when one resident was given another resident’s medications. The cognitively impaired resident had dementia and Alzheimer’s disease. Another resident had diagnoses including epilepsy and chronic pain and physician orders for Carbamazepine 400 mg at bedtime, Phenobarbital 97.2 mg at bedtime, and Tramadol 50 mg three times daily for pain. Progress notes showed that on the evening in question, an LPN administered this anticonvulsant and opioid medication regimen, which was ordered for the resident with epilepsy and chronic pain, to the cognitively impaired resident in error. According to the LPN’s interview, she prepared evening medications for both residents by placing each resident’s medications into separate medication cups. She was then abruptly called to another resident’s room and locked both cups in the medication cart. When she returned, she took the wrong cup and administered the medications intended for the resident with epilepsy and chronic pain to the cognitively impaired resident, stating she was in a hurry and did not verify that she had the correct medications for the correct resident. The Assistant DON stated that nurses are required to double check medications using the rights of medication administration and to administer medications immediately after preparation, and the facility’s Medication Administration policy specified that medications must be given to the right resident, with the right medication, dose, route, and time, and that medications may not be pre-poured and should be prepared and administered for only one resident at a time.
Delayed Call Light Response and Inadequate Toileting Assistance Undermine Resident Dignity
Penalty
Summary
The facility failed to honor residents’ rights to dignity and self-determination by not responding to call lights within a reasonable time for two residents who required staff assistance with toileting. One resident with no cognitive impairment, care planned as needing extensive assistance with transfer and ambulation to the bathroom using a rolling walker, reported that call lights take a long time to be answered and stated that on the morning of 2/6/26 they waited 30 minutes for help to use the bathroom, fearing they would have a bowel movement in their chair and feel embarrassed. Another resident, also with no cognitive impairment and care planned as requiring assistance with toileting, reported that when they need to use the bathroom they sometimes have to defecate in their incontinence brief because staff take so long to respond, or they attempt to walk to the bathroom independently. This resident described sitting on the edge of the bed for 30 minutes that morning waiting to use the bathroom, ultimately walking to the bathroom and finding their brief full of stool because they could not wait any longer, while their son reminded them they were not supposed to walk alone and the resident replied that they have to if staff do not come. Resident Council minutes from January 2026 documented a request from residents for more help from CNAs.
Failure to Safely Transfer Resident Resulting in Fall and Injuries
Penalty
Summary
The facility failed to ensure a safe transfer for a resident during a move from a recliner to a wheelchair, resulting in a fall with injuries. The resident, who had no cognitive impairment and was care planned as needing one-person assistance for transfers with a gait belt, reported that a CNA brought in her wheelchair, locked only one side, and did not apply a gait belt. As she attempted to sit, the unlocked side allowed the wheelchair to flip, causing her to fall onto her left side, sustaining cuts to her elbow and left leg and reporting that she hit her head. The resident stated that staff had not used a gait belt with her prior to this incident, that she was very scared by the fall, and that she now insists on checking that the wheelchair is locked and keeps a gait belt on because she does not trust staff. Staff interviews and documentation corroborated that the wheelchair was not fully secured and that a gait belt was not used during the transfer. The CNA stated she had locked one wheel and was in the process of locking the other when the resident, already standing after having her pants pulled up, turned and sat on the armrest/wheel, causing the chair to tip; the CNA acknowledged not using a gait belt, explaining that the resident frequently refused it. An RN described the same sequence, noting skin tears to the resident’s left elbow and lower leg and that the resident reported hitting her head and having a headache, with neuro checks performed throughout the day. A PTA stated the resident was typically a one-person moderate assist and that staff should always use a gait belt for transfers. The resident’s care plan included instructions for staff to assist with transfers using a gait belt and to instruct the resident to lock wheelchair brakes, and the facility’s fall prevention policy required implementation of appropriate interventions and use of transfer conveyances in accordance with the plan of care, which were not followed during this transfer.
Failure to Prevent Resident-to-Resident Abuse
Penalty
Summary
The facility failed to protect two residents with severe cognitive impairment from abuse by another resident. According to staff interviews and record reviews, one resident approached another seated resident and struck her on the left cheek with an open hand. The incident was witnessed by a CNA, who reported that the resident had his hand raised and, despite being told to stop, proceeded to slap the other resident. The event was described as unprovoked, and the resident who was struck showed no visible injuries or emotional distress, but did react by holding her face. Both residents were noted to have severe cognitive impairment on their Minimum Data Set assessments. Prior to this incident, there was documentation in the progress notes that the same resident had previously walked down the hallway and hit the same resident on the face, with no explanation for his actions. Staff noted that the resident who committed the act had a history of agitation and irritability, particularly with staff, but had not previously been known to hit other residents. The facility's abuse prevention policy affirms residents' rights to be free from abuse, but the events described indicate a failure to ensure this protection.
Improper Sanitizing Solution Strength for Dishware
Penalty
Summary
The facility failed to ensure that dishware was sanitized according to its own policy, which requires the use of a Quaternary ammonia sanitizing solution at a strength of 200 parts per million (ppm). During an observation, a dietary cook demonstrated the procedure for testing the sanitizing solution and the result was greater than 400 ppm, exceeding the facility's policy range. The dietary cook confirmed the result was above 400 ppm and acknowledged that the solution should be between 200 and 400 ppm. The dietary manager also stated that the correct reading for the sanitizing solution should be 200 ppm. This deficiency has the potential to affect all 96 residents who consume meals prepared by the facility.
Failure to Provide Hot Water for Resident Care
Penalty
Summary
The facility failed to provide hot water to six residents in one of its halls, resulting in a lack of a safe, clean, comfortable, and homelike environment. Resident Council Meeting Minutes over a three-month period documented ongoing complaints about the absence of hot water, with residents having to go to another hall to shower and reporting that water remained cold even after running it for extended periods. Multiple residents confirmed during interviews that only cold water was available in their rooms, making it difficult to perform basic hygiene tasks such as washing their faces or taking showers. Certified Nursing Assistants (CNAs) corroborated these reports, stating that they had to bring buckets of hot water from other areas to assist residents with their morning care routines. The Maintenance Director acknowledged that water temperatures were not checked in the affected rooms, particularly during the early morning hours when the issue was most pronounced. The Administrator was unaware of the ongoing problem, despite the water heaters having been replaced a few months prior. The deficiency persisted for at least six months, as evidenced by repeated documentation in Resident Council Meeting Minutes and consistent staff and resident reports.
Failure to Follow Enhanced Barrier Precautions and Equipment Sanitization
Penalty
Summary
The facility failed to follow its own Enhanced Barrier Precautions (EBP) policy and procedures for residents with chronic wounds or indwelling medical devices, as well as failed to sanitize shared equipment between resident use. For one resident with a coccyx wound, the care plan did not document the need for EBP, and there was no EBP sign posted on the door. Staff, including an LPN and the Infection Control Preventionist, performed wound care without wearing gowns, despite the wound exhibiting significant drainage. The Infection Control Preventionist stated that full PPE was not required unless the wound was chronic, repeat, or infected, which was inconsistent with the facility's policy. Another resident with multiple comorbidities, including peripheral vascular disease and chronic kidney disease, had significant lower leg edema and weeping wounds. Although an EBP sign was posted on the door, staff entered the room and performed wound care without donning protective gowns. The wound nurse and DON provided conflicting statements about when EBP should be implemented and what PPE was required, indicating a lack of consistent understanding and application of the policy among staff. Additionally, staff failed to sanitize a mechanical lift and slings between use for two residents during toileting and personal care. The same lift and slings were used for both residents without cleaning or sanitizing in between, despite the facility's policy requiring equipment used by more than one resident to be cleaned and sanitized between each use. The administrator confirmed that equipment should be sanitized between uses, but this was not done in these observed instances.
Failure to Document Life-Sustaining Treatment Orders in EHR
Penalty
Summary
The facility failed to ensure that a resident's Physician Order for Life Sustaining Treatment (POLST) was properly entered as a physician's order in the electronic health record (EHR). Although the resident's signed POLST, indicating a desire not to be resuscitated and to avoid certain life-sustaining interventions, was scanned into the EHR under a miscellaneous tab, there was no corresponding physician's order for life-sustaining treatment in the system. The resident confirmed having provided the signed POLST to the facility and expressed her wishes regarding resuscitation and life-sustaining measures. The Director of Nursing stated that staff typically refer to a CPR list posted at the nurse's station to determine code status, but acknowledged that the list was not the most current version. A registered nurse demonstrated that code status should be visible in the EHR, generated by a physician's order, but confirmed that for this resident, no such order was present and the code status was not displayed, indicating a failure to accurately document and communicate the resident's advance directives.
Failure to Implement Fall Interventions for High-Risk Resident
Penalty
Summary
The facility failed to provide adequate supervision and implement fall interventions for a resident at risk for falls, resulting in multiple falls and a displaced fracture of the left lesser trochanter. The resident, identified as R1, was assessed as being at risk for falls, yet no new interventions were implemented after several incidents. On multiple occasions, R1 was found on the floor after attempting to move without assistance, leading to injuries including skin tears and bruises. Despite being identified as a high fall risk, the facility's staff did not consistently implement measures to prevent further falls. On one occasion, R1 was found lying on her back in the hallway, experiencing pain in her left hip, which was later diagnosed as a fracture. Interviews with staff revealed that R1 was often left unsupervised due to staffing issues, such as breaks and shift changes, which left only one CNA on the floor. The Director of Nursing acknowledged inaccuracies in R1's fall risk assessment, confirming that R1 was indeed a high risk for falls. The lack of adequate supervision and failure to implement effective fall prevention strategies directly contributed to the resident's injuries.
Failure to Maintain Sanitary Food Preparation Environment
Penalty
Summary
The facility failed to prepare food in a sanitary manner/environment for all residents residing in the facility. Observations revealed that the top oven of the dual oven system was not working, and the working bottom oven had a moderate amount of built-up dried debris/food on the oven handles, yellow/brown/black grease build-up on the bottom of the oven, and debris/food on the bottom of the oven and handles. Additionally, the exterior door and door handle on the bottom oven had a moderate amount of dried debris/food. The knife storage wall mounts also had a moderate amount of debris/dust on the interior and exterior base of the storage unit. These unsanitary conditions were observed on multiple occasions, and the facility could not provide cleaning schedules when requested by the surveyors. Furthermore, it was observed that a Laundry Aide entered the kitchen without hair protection/hair net, walked past unprepared food on the preparation table, retrieved soiled dish towels and resident clothing protectors, and exited the kitchen, again passing the food preparation table. The Dietary Cook confirmed that the top oven had been fixed a week ago but was broken again and that the ovens and knife wall mounts had not been cleaned in a long while. The cook also mentioned that there had not been a cleaning schedule in the past, but a new one was supposed to be starting. All staff entering the kitchen are required to wear hair nets, which was not adhered to in this instance.
Failure to Perform PASARR Screenings
Penalty
Summary
The facility failed to perform PASARR (Preadmission Screening and Annual Resident Review) Level I or Level II screenings for two residents, R10 and R55, out of three reviewed for PASARR in a sample of 43. According to the facility's policy, all potential admissions must undergo a Level I screen to determine if they meet the criteria for severe mental illness, severe mental disorder, intellectual disability, or a related condition. If the criteria are met, a Level II screening is required. However, the facility did not complete these screenings for R10 and R55, who were admitted with diagnoses including Major Depressive Disorder, Psychosis, Bipolar Disorder, Dementia with Behavioral Disturbance, Post-Traumatic Stress Disorder, Vascular Dementia, and Anxiety Disorder. Their electronic health records did not contain any PASARR Level I or Level II screenings. The Social Service Director confirmed that the facility does not perform PASARR screenings for residents with a specified payer source, and the Administrator acknowledged that all residents should have these screenings completed upon admission. The deficiency was identified through observation, interview, and record review. The facility's policy, dated March 2024, clearly outlines the requirement for PASARR screenings for all potential admissions, regardless of payer source. Despite this, the facility failed to adhere to its own policy, resulting in the omission of necessary screenings for R10 and R55. The Social Service Director and the Administrator both confirmed the lack of PASARR screenings for these residents, highlighting a significant lapse in compliance with federal regulations designed to ensure appropriate care for individuals with mental disorders or intellectual disabilities.
Failure to Update Comprehensive Care Plans
Penalty
Summary
The facility failed to revise comprehensive care plans to reflect the current condition and care needs of three residents. For Resident 53, the care plan did not include interventions for multiple falls or the monitoring and treatment of wounds on the right elbow, left second toe, and bridge of the nose. Despite having detailed physician orders and incident fall assessments, these were not reflected in the care plan, indicating a significant oversight in updating the resident's care needs. Resident 58's care plan was also found lacking. The resident, who has multiple diagnoses including Chronic Congestive Heart Failure and Stage 3 Chronic Kidney Disease, was on a 1500 ml fluid restriction. However, the care plan did not document the resident's non-compliance with this restriction or the need for ongoing education for the resident and their family. Additionally, the care plan did not address the resident's current skin issues, which included moisture-associated skin damage (MASD) and the need for specific treatments and monitoring. For Resident 45, the care plan was outdated and incorrect. The resident had wounds on the mid-right upper back and left coccyx, but the care plan still documented an area on the left gluteal fold, which was no longer accurate. The wound nurse acknowledged the discrepancy and indicated the need to update the care plan and physician orders to reflect the correct wound sites. This failure to maintain accurate and current care plans for residents highlights significant deficiencies in the facility's care planning processes.
Failure to Maintain Safe Water Temperatures
Penalty
Summary
The facility failed to maintain water temperatures within a safe range to prevent scalding burns for one of four residents reviewed for accidents/supervision. The facility's policy directed staff to ensure water temperatures between 100-110 degrees Fahrenheit. However, observations on two consecutive days revealed that the water in the resident's room was very hot to the touch. A subsequent check by the Maintenance Director confirmed the water temperature at 113 degrees Fahrenheit. Additionally, a review of the facility's Hot Water Log Temperatures showed that water temperatures in resident rooms on the 200 hall ranged between 115-124 degrees Fahrenheit over several months, which was confirmed by the Maintenance Director as being too hot and needing adjustment to prevent scalding burns.
Failure to Make Survey Results Readily Available
Penalty
Summary
The facility failed to ensure that survey results were readily available for residents and their family representatives to review. This deficiency was identified through observation, interview, and record review. The facility's Resident Rights policy, dated February 2024, mandates that residents have the right to examine survey results. Additionally, the Residents' Rights for People in Long-Term Care Facilities document from November 2018 states that residents have the right to see reports of all inspections from the last five years. However, during an inspection on May 28, 2024, no survey results were posted in the facility, and no prior survey results were readily available for residents or their representatives to review. Several residents confirmed during a group meeting that they were unaware of the survey results being available in the facility. On May 29, 2024, a white binder containing the survey results was found on top of the receptionist desk, face down, and out of reach of residents, with no signage indicating its location. The facility's administrator admitted to just placing the binder at the front desk after finding it in a cabinet and acknowledged that it should be accessible to residents. The facility's Long-Term Care Facility Application for Medicare and Medicaid, dated May 28, 2024, confirmed that 91 residents currently reside in the facility.
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What surveyors actually found near you
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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.
Illustrative
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Illustrative
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Nursing homes near Streator
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Parker Nursing & Rehab Center | 2.1 mi | ★★★★★ | 14 | 0 |
| Pleasant View Luther Home | 14.6 mi | ★★★★★ | 3 | 0 |
| Pavilion Of Ottawa | 14.9 mi | ★★★★★ | 11 | 0 |
| Goldwater Care Marseilles | 15.2 mi | ★★★★★ | 12 | 0 |
| La Salle County Nursing Home | 15.2 mi | ★★★★★ | 0 | 0 |
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