The Haven of Arcola: Privacy Violations Found - IL
At The Haven of Arcola, a small nursing facility on East Fourth Street, a cognitively impaired woman who needs help with every basic task, including incontinence care provided at least every two hours, shared a room with another resident who staff had documented as nearly impossible to redirect. That combination played out the same way, repeatedly, over weeks: the roommate would walk over and pull the curtain open while staff were in the middle of providing intimate personal care. Staff would stop what they were doing, try to redirect her, and she would come back.
The Director of Nurses said she had no idea any of this was happening.
Federal inspectors visited the facility on August 17, 2025, following a complaint. What they found was not a complicated system failure or a lapse buried in paperwork. Three staff members, a certified nursing assistant and two licensed practical nurses, each described the same pattern independently, in interviews conducted within about a half hour of each other.
The certified nursing assistant, identified in the inspection report as V9, was direct about it. She said the resident, identified as R1, has a lot of anxiety and needs constant attention and reassurance, will follow staff into other residents' rooms, and will not listen when asked to stop. She said R1 gets into staff and residents' faces while asking repetitive questions. And she confirmed that R1 will often open the curtain to talk to staff while they are providing personal care for her roommate, identified as R2. Staff have to stop what they are doing to redirect R1, V9 said, and R1 continues to invade R2's privacy.
The first licensed practical nurse, V7, told inspectors R1 is constantly invading others' privacy and personal space. The second, V6, said R1 bothers other residents and invades their privacy.
None of this was a secret on the floor.
R1's own care plan, updated just three days before the inspection, documents the behaviors in detail: attention seeking, repetitive questions, invading the personal space of others, pacing, inappropriate comments, and what the record calls false allegations and manipulation. The plan instructs staff to intervene as necessary to protect the rights and safety of others. R1 had entered other residents' rooms or personal space 17 times in the 30 days before the inspection.
R2, the roommate, is cognitively impaired and has short-term memory deficits. She requires substantial to full assistance with daily activities and is incontinent, meaning staff provide perineal care on a regular schedule. That is precisely the care that was being interrupted.
When inspectors spoke with the Director of Nurses at 4:45 in the afternoon, she said she was not aware of R1 continually opening R2's privacy curtain while staff are providing care. Then she confirmed that it is a violation of R2's right to privacy.
The facility's own resident rights policy, dated October 2023, states that residents have certain rights and protections under federal law and that the facility will always protect these rights. Privacy and confidentiality are listed as examples.
The inspection was classified as minimal harm or potential for actual harm, the lowest tier on the federal scale. Two of the four residents reviewed for rights violations were affected.
What the record does not show is any indication that anyone above the floor staff had connected the documented behavior pattern to what was happening in that shared room, or that any specific plan had been put in place to prevent R1 from opening the curtain during R2's care. The care plan said to intervene. Staff were intervening, and then R1 came back.
R2, who cannot reliably remember what happened to her from one moment to the next, had no way to report it herself.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for The Haven of Arcola from 2025-08-17 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 22, 2026 · Our methodology
THE HAVEN OF ARCOLA in ARCOLA, IL was cited for violations during a health inspection on August 17, 2025.
Staff would stop what they were doing, try to redirect her, and she would come back.
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.