Arcadia Care Morris: Bruise Hidden From Family After Fall - IL
When inspectors visited Arcadia Care Morris on March 23, 2026, they assisted a resident identified in records as R5 to stand up so they could conduct a full body assessment. What they found was a large, dark purple bruise that covered nearly his entire right buttock. His wife, who held power of attorney and was standing at his bedside at the time, appeared surprised. She told inspectors she had never been notified about it.
At 3:05 that afternoon, the nurse caring for R5 told inspectors she was not aware of the bruise at all.
That statement did not hold.
On March 26, the same nurse told inspectors a different version of events. She said she had, in fact, noticed the bruise and had reported it to the Director of Nursing. A certified nursing assistant named V17, who had worked the evening shift on March 22, said she had spotted the bruise covering R5's whole right buttock and immediately told the nurse. A second CNA, V21, said she knew about it too, because V17 had passed the information along during shift change and told her the nurse had already been notified.
By the time inspectors arrived on March 23, at least three staff members knew. The nurse knew. The Director of Nursing had been told. R5's wife, who had power of attorney over her husband's care, had not heard a word.
Neither had his physician.
R5 is documented as a high fall risk. An incident report dated March 20, 2026, shows he fell near the nurses' station three days before inspectors found the bruise. Staff noted no injury at the time, and the family and physician were contacted. But the follow-up assessment conducted on March 23, the same morning inspectors arrived, contains no documentation that anyone notified the physician or family about the bruise that had since appeared across his buttock.
This was not the first time.
An earlier incident report, dated February 23, 2026, documents an unwitnessed fall that left R5 with yellow discoloration to his left hip and an abrasion on the back of his head. His progress notes from that period show no record of the physician or family being notified about those injuries either.
Two falls. Documented injuries both times. No record of the family being told about either set of injuries after the fact.
The facility's own policy, revised as recently as December 2025, states that staff must notify the attending physician and family or legal representative when a resident experiences a significant change in physical condition. The Assistant Director of Nursing told inspectors on March 26 that when staff observe bruising or any unusual change in a resident's condition, they must immediately notify the physician and family.
That is what the policy says. That is what the Assistant Director of Nursing said out loud to inspectors.
What actually happened is documented in the same report: a wife standing at her husband's bedside, learning for the first time about a bruise the size of his entire buttock, because inspectors happened to ask him to stand up.
She had not been called. His doctor had not been called. The nurse initially said she did not even know about it, then, three days later, said she had known and had told her supervisor.
The inspection, classified as a complaint survey, was completed March 30, 2026. CMS rated the harm to R5 as actual harm, affecting a small number of residents.
R5's wife had been coming to see him. She was there the day inspectors arrived. She found out the way she found out, standing in the room, watching a stranger help her husband to his feet.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Arcadia Care Morris from 2026-03-30 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 18, 2026 · Our methodology
ARCADIA CARE MORRIS in MORRIS, IL was cited for violations during a health inspection on March 30, 2026.
What they found was a large, dark purple bruise that covered nearly his entire right buttock.
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.