Arcadia Care Havana: MRI Ignored for Months - IL
Federal inspectors cited Arcadia Care Havana following a complaint inspection on April 27, 2026, finding the facility had failed to follow through on a physician-ordered MRI for a resident identified in records only by number. The violation was cited at a level of minimal harm or potential for actual harm.
The resident, whose age was redacted in inspection records, had been seen at a pain clinic on March 19, 2026. The pain specialist documented that her pain was predominantly in the left side of her neck and her right knee, that stenosis had been noted in the cervical region, and that her pain ranged from a four to a ten, with ten being where she placed it that day. She described it as interfering with her general activity, her mood, her ability to walk, her sleep, her enjoyment of life, and her relationships with other people. It worsened when she sat, when she lay down, and when she moved. The specialist ordered an MRI of the cervical spine.
She came back to the pain clinic on April 16. The MRI had not been done.
The pain specialist's medical assistant told inspectors on April 24 that the facility simply had not completed the scan as ordered nearly a month earlier.
What emerged next was a picture of a scheduling failure that nobody caught. An X-ray technician at the hospital where the MRI was to be performed told inspectors that the resident had been scheduled twice, once for April 9 and once for April 23, and had not shown up for either appointment. The technician said that just minutes before speaking with inspectors, the facility's Social Service Director had called asking for the MRI results, and had to be told the scan had never been taken. The Social Service Director then rescheduled it for April 28.
The Social Service Director told inspectors she had not known the resident missed the April 9 appointment. There was no documentation in the facility's records explaining why the resident did not go. She said she was also unaware the appointment had been rescheduled for April 23, meaning she had no reason to follow up when that date passed as well.
She is the scheduler.
Arcadia Care Havana's own policy, documented in a Physician Notification of Laboratory/Radiology/Diagnostic Results form from December 2025, states that a licensed nurse is responsible for making sure the lab or imaging center is notified of physician orders and for monitoring whether results come back. The policy describes the purpose as ensuring that diagnostic tests are actually performed and that results reach the physician so that prompt action can be taken.
Between March 19 and April 27, more than five weeks passed. The MRI was ordered. It was scheduled. The resident did not appear. It was rescheduled. The resident did not appear again. No one at the facility documented why, and the Social Service Director said she was unaware any of this had happened until the day inspectors were already on site.
The pain specialist's notes from April 16 confirm the absence of the scan in writing. The facility had that documentation. Nobody appears to have acted on it.
The resident's pain, in her own words as recorded by her specialist, was penetrating and miserable. It kept her from sleeping. It interfered with her relationships. It worsened no matter how she positioned herself. The MRI was the next step in figuring out what to do about it.
As of the inspection date, she was still waiting.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Arcadia Care Havana from 2026-04-27 including all violations, facility responses, and corrective action plans.
Download the official CMS inspection PDF from Medicare.gov
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: September 19, 2026 · Our methodology
ARCADIA CARE HAVANA in HAVANA, IL was cited for violations during a health inspection on April 27, 2026.
The violation was cited at a level of minimal harm or potential for actual harm.
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.