Clark-Lindsey Village: Abuse and Neglect Violations - IL
The aide's own account, recorded by inspectors, was direct about the reason. She didn't want feces on her shoe.
The resident, identified in the report as R7, was left in her room after the incident. A second aide, identified as V11, was also present. Both left together. A third staff member, identified as V16 and described as R7's power of attorney, was also in the room and kept yelling at the two aides. The aides said they were done with V16. One of them said that V16 could finish getting R7 cleaned up.
CMS rated the violation at the level of actual harm, affecting a few residents. The citation was filed under F0600, the federal tag covering abuse, neglect, and exploitation.
What the camera showed was worse than the account alone.
R7's power of attorney had installed a camera in the room. On October 14, 2025, at 4:00 PM, V16 turned over the footage to inspectors. The recording showed that at 6:01 AM, an unidentified nursing aide had provided perineal care for R7. At 8:00 AM, a speech therapist came in and conducted a therapy session while R7 lay in her bed. After that, nothing. No staff entered R7's room from 8:00 AM until 3:10 PM, when a CNA identified as V9 finally answered R7's call light.
Inspectors conducting direct observations confirmed what the camera showed. From 10:30 AM to 3:10 PM, no staff entered R7's room.
That is more than four and a half hours.
The inspection report does not describe R7's diagnosis, mobility level, or what she needed during those hours. It does not say whether she had eaten, whether she needed medication, or whether she called out during that time. What it records is that she had been crying and screaming when the aides left, and that no one came back for the better part of a working day.
The account from the aides themselves, as recorded by inspectors, describes the sequence with a kind of flat matter-of-factness that makes it harder to read, not easier. R7 was having a bowel movement. One of the aides, V10, let her finish into the trash can so it wouldn't get on her shoe. When R7 was done, V10 and V11 transferred her back to her bed and left the room. R7 kept crying and screaming. V16 kept yelling at them. The aides said they had had enough of it, and they left.
The report does not describe what R7 said, or whether she could speak clearly, or what she understood about what was happening to her. It records that she was crying and screaming when the aides walked out.
Clark-Lindsey Village is located at 101 West Windsor Road in Urbana. The inspection was a complaint investigation, meaning someone had contacted regulators before inspectors arrived. The report does not identify who filed the complaint, though the timeline suggests V16, who was present during the incident and turned over camera footage the same day inspectors were on site, had been in contact with the facility or regulators.
The facility's own abuse prevention policy, dated February 20, 2025, states that all residents have the right to be free from verbal, sexual, physical, and mental abuse, corporal punishment, involuntary seclusion, neglect, misappropriation of resident property, and exploitation. The policy defines neglect as the failure to provide goods and services necessary to avoid physical harm, mental anguish, mental illness, or deterioration of a resident's physical or mental condition. It states that mental abuse includes humiliation and harassment.
The policy was eight months old when the incident occurred.
The inspection report does not describe any immediate investigation by facility management after the incident, any disciplinary action taken against V10 or V11, or any response to R7 during the hours her room went unvisited. It does not say whether anyone checked on her between 8:00 AM and 3:10 PM by any means other than physically entering the room. It does not say what condition she was in when V9 finally answered her call light at 3:10 PM.
What it says is that a woman was left crying and screaming in her bed, that the staff members responsible said they were done, and that for the next several hours, the camera recorded an empty doorway.
The report covers a single deficiency tag, F0600, at the actual harm level. It does not describe additional violations, additional residents, or a pattern of prior citations from this inspection. The statement of deficiencies runs to twelve pages total; this article is drawn from the narrative portion made available.
For information on the facility's plan to correct the deficiency, CMS directs readers to contact Clark-Lindsey Village or the Illinois state survey agency directly.
R7 was still in that room when inspectors arrived. The report does not say what she told them, or whether she was able to.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Clark-lindsey Village from 2025-10-15 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 25, 2026 · Our methodology
CLARK-LINDSEY VILLAGE in URBANA, IL was cited for abuse-related violations during a health inspection on October 15, 2025.
The aide's own account, recorded by inspectors, was direct about the reason.
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.