Loft Rehab of Normal: Medication Error Failures - IL
The administrator at Loft Rehab & Nursing of Normal discovered the woman, identified in inspection records as Resident 3, on the floor of her room at around 6:55 AM on November 20, 2025. She was partially on a fall mat, not covered, with a pillow behind her back and her head leaning against the wall. She was not arousable.
The night nurse had known. An unwitnessed fall had been reported during the overnight shift, and the nurse never assessed the resident, never got her up, never put her back in bed.
The administrator confronted staff loudly that morning. A nursing assistant who overheard it told inspectors the administrator said, "What if this was your family member that was left lying on the cold floor?"
When the incoming morning nurse arrived, the administrator had to tell her what had happened. The night nurse had said nothing during the shift handoff.
The resident's husband spoke to inspectors on November 25, tearfully. He said that if his wife had been able to communicate when she was found that morning, "R3 would have been anxious, pissed off and questioning how she got on the floor and why she was left there."
Inspectors cited the facility for an actual harm violation of resident dignity and rights. The deficiency, tagged F0550, reflects a finding that the harm was not theoretical.
His wife could not speak for herself that morning. He spoke for her instead, in a conference room, five days later, crying.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Loft Rehab & Nursing of Normal from 2025-12-01 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: August 6, 2026 · Our methodology
LOFT REHAB & NURSING OF NORMAL in NORMAL, IL was cited for violations during a health inspection on December 1, 2025.
She was partially on a fall mat, not covered, with a pillow behind her back and her head leaning against the wall.
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.