Arcadia Care Toulon: Resident's Jacket Confiscated - IL
The resident, identified in inspection records only as R2, complained constantly of being cold. He always wanted to wear a jacket. For several weeks spanning June and July of 2025, he didn't have one. Staff gave him a blanket instead.
The CNA, identified as V6, told inspectors she made no secret of what she had done. During a shift change sometime in the middle of June, she told a coworker she had taken the jacket and hung it in the shower room. That coworker, a CNA identified as V15, confirmed seeing the jacket hanging there. V15 told inspectors that R2 always complained of being cold and always wanted to wear his jacket.
V6 was direct with inspectors about her reasoning. "I did take R2's jacket from him because of wandering behaviors," she said. "When R2 has his jacket on, R2 exit seeks more and makes attempts to leave the unit through the inner doors and doors to the outside." She added that she didn't think R2 should have his jacket, since it caused him to have behaviors.
The Director of Nursing, identified as V2, learned about the jacket in July. She received an email on July 18 from another staff member flagging the concern. She called V6 to get her side of the story.
That was the end of the investigation.
V2 confirmed to inspectors on September 16 that she had not looked into the matter any further after that call. She acknowledged that V6 had taken the jacket and said staff shouldn't take personal items from residents to address behaviors. She did not explain why, having confirmed the jacket was taken and knowing R2 had been left without it, she had closed the matter with a single phone call to the employee who took it.
The administrator, identified as V1, confirmed the same basic facts the following morning. V6 took the jacket because of wandering behaviors. That was confirmed. The inspection was completed September 17.
What the records don't explain is how many weeks passed between when V6 first took the jacket in mid-June and when the Director of Nursing received that email in late July. They don't say when R2 got his jacket back, or whether the blanket staff substituted for it kept him warm enough. They don't say whether anyone asked R2 what he thought about the arrangement, or whether his care plan was ever updated to reflect a different approach to his wandering.
V6's logic, stated plainly to inspectors, was that the jacket triggered the behavior, so the jacket had to go. It is the kind of reasoning that can feel practical in the moment and look like something else entirely on paper. A resident who is cold asks for his jacket. The jacket is in the shower room. He is given a blanket. Weeks pass.
The Director of Nursing knew. The administrator confirmed it. R2 spent part of his summer without his own jacket because a staff member decided his behavior didn't entitle him to it, and the people responsible for oversight made one phone call and moved on.
CMS cited the deficiency under F0600, abuse and neglect, at a level of minimal harm or potential for actual harm, affecting few residents. R2 said he didn't want to walk anymore because he was cold.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Arcadia Care Toulon from 2025-09-17 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: June 28, 2026 · Our methodology
Arcadia Care Toulon in TOULON, IL was cited for violations during a health inspection on September 17, 2025.
The resident, identified in inspection records only as R2, complained constantly of being cold.
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.