The Haven of Tuscola: RN Staffing Failures Span 3 Months - IL
The inspection was a complaint visit, conducted December 28, 2025. By 10:14 that morning, the Director of Nursing, identified in the report as V2 DON, had already handed over the nursing schedules for October, November, and December. She told inspectors directly that the facility was not meeting the requirement to have a registered nurse on duty for eight consecutive hours each day, seven days a week.
The schedules confirmed it in detail.
In October, the facility went without a qualifying RN shift on fifteen days: the 4th, 5th, 6th, and 7th — four consecutive days to open the month — then the 11th, 12th, 15th, 16th, 17th, 20th, 21st, 22nd, 23rd, 28th, and 31st.
November was worse. Twenty-one days that month had no registered nurse scheduled for eight consecutive hours. The gaps ran nearly unbroken through the middle of the month: the 7th, 8th, 9th, 10th, 11th, 12th, and 13th — a full week. Then the 17th through the 20th. Then the 22nd, and every day from the 24th through the 30th, closing out the month with a seven-day stretch that carried directly into December.
December offered no improvement. Inspectors counted sixteen more days without a qualifying RN shift: the 1st through the 4th, the 6th through the 8th, the 11th, 12th, 15th through the 18th, and then the 20th through the 26th — a run that included Christmas Eve, Christmas Day, and the days before and after. The 29th, 30th, and 31st rounded out the year.
The facility's own midnight census report, dated December 27, 2025, placed 47 residents inside the building on the eve of the inspection.
A registered nurse carries clinical authority that licensed practical nurses and certified nursing assistants do not. An RN can assess a change in a resident's condition, initiate certain interventions, and make the kind of clinical judgment calls that the chain of care depends on. When a nursing home goes without one for a shift, the gap does not disappear — it falls onto whoever is present, regardless of their training or licensure.
The inspection report classified the level of harm as minimal harm or potential for actual harm. That language reflects the regulatory floor, not a finding that nothing happened to residents during those fifty-two days. It means inspectors did not document a specific injury tied directly to the staffing gap. It does not mean the gap carried no risk.
Inspectors noted the violation had the potential to affect all 47 residents.
What stands out in the record is the duration. A single missed shift can reflect a call-out, an emergency, a scheduling error that slipped through. Fifteen days in October is a pattern. Twenty-one days in November is a policy. By December, with gaps running through Christmas week and into New Year's Eve, the schedules show a facility that had stopped solving the problem.
The Director of Nursing did not dispute any of it. She provided the schedules, she reviewed them with inspectors, and she stated plainly that the facility was out of compliance. There is no indication in the report of any corrective action already underway, no interim staffing plan described, no explanation offered for why October looked the way it did or why November was worse.
The Haven of Tuscola sits in Tuscola, a city of roughly 4,500 people in Douglas County, in the flat middle of Illinois. For a small facility in a small city, recruiting and retaining registered nurses is a recognized challenge across the industry. That context does not appear in the inspection report, and inspectors were not asked to weigh it. Their job was to look at the schedules and count the days.
They counted fifty-two.
For the 47 people who lived at The Haven of Tuscola through those months, the fall of 2025 passed largely without a registered nurse in the building during the hours the law requires one to be there. Most of them almost certainly did not know it.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for The Haven of Tuscola from 2025-12-28 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 17, 2026 · Our methodology
THE HAVEN OF TUSCOLA in TUSCOLA, IL was cited for violations during a health inspection on December 28, 2025.
The inspection was a complaint visit, conducted December 28, 2025.
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.