Sharon Health Care Elms: Infection Tracking Failures - IL
For four consecutive months, June through September 2025, the facility's designated Infection Preventionist maintained no infection control logs. No tracking of which residents were on isolation precautions. No record of who required enhanced barrier precautions, contact isolation, or droplet isolation. When federal inspectors arrived in September and asked to see the documentation, there was nothing to show them.
Sixty-nine residents were living at the facility during that period.
The Infection Preventionist, identified in inspection records only as V2, holds a certificate of completion from an Infection Prevention Program. She completed that training in 2023. On September 17, at around 3 in the afternoon, she told inspectors directly that she did not have the infection control and tracking logs for June, July, August, or September. She said she knew the monthly logs should have been completed. Her own facility's policy said so, in writing.
The facility's Infection Control Protocol and Antibiotic Stewardship policy, which inspectors reviewed, states that the Infection Preventionist and Antibiotic Stewardship Leader will track all facility infections and produce monthly laboratory organism reporting. V2 was that person. The logs were not produced.
What infection tracking is supposed to do is straightforward. When a resident develops an infection, or carries a drug-resistant organism, or requires precautions to prevent spread to other residents, that information gets recorded and monitored. Staff know who needs what precautions. Patterns get spotted. An outbreak in one wing doesn't quietly spread to another because nobody was watching the data.
When the logs don't exist, none of that happens.
On September 18, V2 and the facility's Director of Nursing were asked together to provide a complete list of residents currently on isolation precautions. They could not. The inspection report does not record what explanation, if any, was offered for that gap beyond what V2 had already said the day before.
The facility's administrator, identified as V1, had provided inspectors with a resident roster dated September 16 showing 69 residents in the building. That number is what makes the paperwork failure concrete. These weren't hypothetical residents whose infections might theoretically go untracked. There were 69 people living there across those four months, any of whom could have developed an infection, required isolation, or been exposed to something another resident was carrying, with no systematic record that any of it was being watched.
Federal inspectors cited the violation under F0881, which covers antibiotic stewardship program requirements, and rated the level of harm as minimal harm or potential for actual harm. The residents affected were listed as many.
That rating sits at the lower end of the federal harm scale. It reflects what inspectors could document, which was the absence of records, not a documented outbreak or a resident who became sick because the logs weren't kept. The absence of records is also, by definition, the reason it would be difficult to know whether something had gone wrong.
V2 did not dispute what the inspectors found. She confirmed it. She knew the logs were required. She knew they hadn't been done. She said so, on two separate days of the inspection.
The facility's own written policy described exactly what her role required. The certificate on file showed she had been trained for it two years earlier. What happened between that training and September 2025, across those four missing months, is not something the inspection report explains.
Sharon Health Care Elms had 69 residents and a written commitment to track every infection among them. For a third of the year, nobody did.
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: 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: August 30, 2026 · Our methodology
SHARON HEALTH CARE ELMS in PEORIA, IL was cited for violations during a health inspection on November 18, 2025.
For four consecutive months, June through September 2025, the facility's designated Infection Preventionist maintained no infection control logs.
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.