Sharon Health Care Elms: Broken Window Left Unrepaired - IL
Nobody reported it.
Not the nurses who came to her room to administer care. Not the aides who helped her with daily living. Not the housekeepers who cleaned around the broken ledge. The maintenance director at Sharon Health Care Elms, located at 3611 North Rochelle in Peoria, told inspectors he had no idea the window was broken.
The resident, identified in inspection records only as R23, told inspectors she could feel wind coming through the gap. She said her room got cold in the wintertime. She said the ledge had been broken since she was admitted, roughly nine months before inspectors arrived on September 16, 2025.
R23 has no cognitive impairment. Her mental status score placed her at the highest range of intact cognition. She knew what was wrong with her room. She knew how long it had been that way.
What she apparently lacked was anyone on staff who thought to do something about it.
The inspection was a complaint survey, meaning someone had raised a concern before inspectors walked through the door. During an initial tour of 24 resident rooms, inspectors identified R23's room as the one with the maintenance failure. At 9:40 that morning, they observed the broken window ledge themselves — the sharp hard edges, the exposed wood, the heat from outside coming through the damaged area.
Two days later, on September 18, the facility's Maintenance Director acknowledged he had never been told. He noted that resident rooms had been renovated over the past year or so, with windows replaced throughout the building. R23's room, apparently, had been overlooked, or the damage had happened after the renovation work was done. Either way, the broken ledge remained. He agreed that housekeeping, nursing staff, or any other employee who provided care to R23 should have identified the problem and reported it.
Should have. Didn't.
The violation was cited under the federal standard requiring facilities to maintain a safe, clean, comfortable, and homelike environment for residents. Inspectors rated the harm level as minimal, or potential for actual harm, with few residents affected. The citation covered one resident out of 28 in the inspection sample.
That framing is technically accurate. One room. One broken ledge. One woman.
But R23 has a malignant neoplasm of the right lung. She is living in a facility because she needs care. The room she was given had a broken window with sharp edges and a gap that let in cold air, and for nine months, through at least one winter, she felt the wind come through while every person responsible for her well-being walked past it.
The maintenance director's renovation work replaced windows across the building over the past year. R23's broken ledge either predated that work or came after it. The inspection report does not say. What it says is that when inspectors asked, the man in charge of the building's upkeep had never heard of the problem.
Sharon Health Care Elms did not respond to a request for comment by publication time.
R23 told inspectors she expected her room would get cold again this winter.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Sharon Health Care Elms from 2025-11-18 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 21, 2026 · Our methodology
SHARON HEALTH CARE ELMS in PEORIA, IL was cited for violations during a health inspection on November 18, 2025.
Not the nurses who came to her room to administer care.
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.