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Cass County Senior Living: No Qualified Infection Preventionist - IL

Healthcare Facility
Cass County Senior Living & Rehabilitation Llc
Virginia, IL  ·  1/5 stars

Inspectors visited the 27-resident facility on September 19, 2025, and found the gap running straight through the chain of command.

The administrator, identified in the inspection report as V1, told inspectors that the Director of Nursing, V2, was serving as the facility's infection preventionist and was responsible for the infection control program. Two regional staff members, a regional nurse and a regional infection preventionist, provided oversight but came on-site only once or twice a month, the administrator said.

Then came the admission. V1 confirmed that V2 had not completed infection preventionist education.

When inspectors spoke with V2 directly at 2:00 PM that same day, the Director of Nursing didn't dispute it. "I have enrolled in infection preventionist class," V2 said. "I have not taken the classes yet."

Enrolled. Not completed. Not in progress. Not even started.

The facility's own job description for the infection preventionist role, written in October 2020, spells out what the position requires: specific training in infection prevention and control through an accredited continuing education program. The person holding the title didn't have it. The facility's 2025 assessment of its staffing needs didn't list a qualified infection preventionist as part of the plan at all.

That assessment covers what the facility needs based on its current census and resident needs. Infection prevention didn't make the list.

Infection control programs in nursing homes exist for a reason that becomes obvious whenever one fails. Residents in long-term care are among the most vulnerable to infections, often because of age, underlying illness, compromised immune systems, shared spaces, shared staff, and the close physical contact that comes with daily care. An infection that a healthy person shakes off in a week can kill a nursing home resident. The person responsible for preventing that from happening needs to know what they're doing.

At Cass County Senior Living, the person in that role was working toward the knowledge she needed. She hadn't gotten there yet.

The regional infection preventionist, V5, came through once or twice a month. That's the backstop the facility was relying on for a program that operates every day, with every resident, during every shift.

Inspectors cited the deficiency under F0882, which covers the requirement to designate a qualified infection preventionist. The level of harm was listed as minimal harm or potential for actual harm. The finding was noted as affecting all 27 residents currently living at the facility.

The facility's census report, dated two days before the inspection, confirmed those 27 residents were present when the gap was found.

There is no indication in the inspection report that the Director of Nursing's enrollment in the course was recent. There is no indication of when she enrolled, how long the course takes, or when she expected to finish. What the report documents is a snapshot: a facility with a written job description requiring specific credentialed training, a staff member in that role without it, an administrator who knew, and a staffing plan that hadn't accounted for the problem.

The Director of Nursing is taking the class. She hasn't taken it yet.

Full Inspection Report

The details above represent a summary of key findings. View the complete inspection report for Cass County Senior Living & Rehabilitation LLC from 2025-09-21 including all violations, facility responses, and corrective action plans.

Additional Resources

Editorial Standards & Data Disclosure

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 14, 2026  ·  Our methodology

Quick Answer

CASS COUNTY SENIOR LIVING & REHABILITATION LLC in VIRGINIA, IL was cited for violations during a health inspection on September 21, 2025.

Inspectors visited the 27-resident facility on September 19, 2025, and found the gap running straight through the chain of command.

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.

Frequently Asked Questions

What happened at CASS COUNTY SENIOR LIVING & REHABILITATION LLC?
Inspectors visited the 27-resident facility on September 19, 2025, and found the gap running straight through the chain of command.
How serious are these violations?
Violation severity varies from minor documentation issues to serious safety concerns. Review the inspection report for specific deficiency codes and scope. All violations must be corrected within required timeframes and are subject to follow-up verification inspections.
What should families do?
Families should: (1) Ask facility administration about specific corrective actions taken, (2) Request to see the follow-up inspection report verifying corrections, (3) Check if this represents a pattern by reviewing prior inspection reports, (4) Compare this facility's ratings with other nursing homes in VIRGINIA, IL, (5) Report any new concerns directly to state authorities.
Where can I see the full inspection report?
The complete inspection report is available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request a copy directly from CASS COUNTY SENIOR LIVING & REHABILITATION LLC or from the state Department of Health. The report includes specific deficiency codes, facility responses, and correction timelines. This facility's federal provider number is 146100.
Has this facility had violations before?
To check CASS COUNTY SENIOR LIVING & REHABILITATION LLC's history, visit Medicare.gov's Care Compare and review their inspection history, quality ratings, and staffing levels. Look for patterns of repeated violations, especially in critical areas like abuse prevention, medication management, infection control, and resident safety.