Heartland Nursing & Rehab: Resident Assault Failures - IL
A witness at the table, identified in inspection records as R4, watched both kicks land on R3. He stood up and told R2 to stop. That was when staff came and removed R2 from the dining room. The date was August 7, 2025.
R4's cognition is not in question. His mental status assessment scored 15 out of 15, the highest possible, on a standardized test used to screen for cognitive impairment.
The following day, R2 was back in the dining room. The supervision, R4 told inspectors, had not changed.
R4 also described a separate incident he said occurred roughly two and a half to three months earlier. He said he watched R2 walk up behind a resident identified as R6 and smack R6 in the back of the head. R6 wasn't doing anything. There was no staff around at the time.
The Director of Nursing, identified as V2, told inspectors on August 20 that she had not seen the kicking incident directly but watched it on the dining room camera. She confirmed what R4 described: R2 standing near a window, then crossing the room to R3 and kicking her. V2 said she had known R2 and her family for about 40 years. She said she believed R3 bore some resemblance to R2's mother, a woman R2 had a history of acting violently toward. V2 described R2 as being on the autism spectrum and said her behavior was like that of a small child who wants what she wants immediately. V2 said she had not heard any report about R2 smacking R6 in the head.
The MDS Coordinator, V3, also watched the kicking incident on camera. She told inspectors she had known R2 and her family for a long time. She said she had spoken with R2's sister, who had raised the question of whether R2 was regressing to an earlier age. V3 noted that R2's behavior had been getting worse, connected not only to her autism but also to her dementia. V3 also said she had not heard anything about R2 and R6.
The administrator, V1, confirmed he had reported the kicking incident, first on August 7 and then again on August 13. He told inspectors he had watched the video himself and saw R2 walk up to R3 and kick her. As he said it, he demonstrated with his own leg. He confirmed R4 was alert, oriented, and accurate. He said he had not heard any reports about R2 and R6.
R4 had explained to inspectors why supervision in the dining room was thin at the moment of the first kick: staff were in the middle of transporting residents from their rooms to the dining room, walking back and forth between the two. The dining room, during that window, was not fully watched.
Sitting on the windowsill of the business office during the August 20 inspection visit was a purple quart-sized drinking mug with a broken raised edge along the rim. A note was attached to it. The note documented that R2 had thrown the cup at a certified nursing assistant, identified as V4, and broken it.
The staff who watched the dining room video knew R2's history before the kick on August 7. They knew about her violence toward her mother. They had spoken with her sister about regression. The MDS Coordinator and the Director of Nursing both said, separately, that they had known this woman and her family for years. That knowledge did not result in a change to how the dining room was supervised the next morning when R2 came back to eat.
R3 was kicked. R6 was smacked in the back of the head, with no staff in sight, and the people running the facility told inspectors they had never heard about it at all.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Heartland Nursing & Rehab from 2025-08-27 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: July 1, 2026 · Our methodology
HEARTLAND NURSING & REHAB in CASEY, IL was cited for violations during a health inspection on August 27, 2025.
A witness at the table, identified in inspection records as R4, watched both kicks land on R3.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.