Arc at Normal: Medicare Record Filing Failure - IL
Federal inspectors cited the Normal, Illinois facility following a complaint inspection completed September 5, 2025. The violation centered on a single resident, identified in inspection records only as R1, who was pending admission to an ICU bed when the paperwork problem began. The harm level was listed as minimal, but the lapse stretched well past the window that Medicare's own record-keeping manual sets as the outer limit.
The specific failure involved a Minimum Data Set assessment, the standardized form nursing homes submit to Medicare to document a resident's status and care needs. When a resident leaves a facility temporarily, such as for a hospital stay with the expectation of returning, the correct form is a Discharge with Return Anticipated assessment. Arc at Normal did not file that form for R1.
Instead, the error went uncorrected from 12:45 p.m. on the day of the transfer until 9:40 p.m. the following day. Inspectors calculated that gap at something over 32 hours, more than the 24-hour window referenced in the Minimum Data Set manual.
A CMS consultant identified in the inspection report as V16 reviewed the situation with facility staff and confirmed the misstep directly. V16 agreed the appropriate assessment for R1 would have been the Discharge with Return Anticipated form and told the facility it would need to submit a corrected Minimum Data Set for R1.
The inspection was triggered by a complaint, not a routine survey cycle. Inspectors did not document additional deficiencies in the pages available from this report.
The Minimum Data Set is not a formality. Medicare uses the assessments to determine payment rates, track resident outcomes, and flag facilities where care quality may be slipping. A missing or incorrect assessment for a resident transferred to an ICU means that resident's record does not accurately reflect what happened to them or when. For a resident sick enough to need intensive care, that gap in the official record can matter if questions arise later about the timeline of their decline or the appropriateness of their treatment.
Arc at Normal is a nursing facility located at 509 North Adelaide in Normal, Illinois. The facility's identification number with the Centers for Medicare and Medicaid Services is 145732.
The inspection report does not describe what happened to R1 after the ICU transfer, whether the corrected Minimum Data Set was ultimately filed, or what the facility's plan of correction included. CMS directs anyone seeking that information to contact the facility or the Illinois state survey agency directly.
What the record does show is a window of more than a day during which a resident's transfer to intensive care was not properly documented in the federal system that exists to track exactly that kind of event. R1 was pending an ICU admission, the clock was running, and the right form was not filed.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Arc At Normal from 2025-09-05 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 24, 2026 · Our methodology
ARC AT NORMAL in NORMAL, IL was cited for violations during a health inspection on September 5, 2025.
Federal inspectors cited the Normal, Illinois facility following a complaint inspection completed September 5, 2025.
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.