Heartland Nursing & Rehab: Resident Assault Failures - IL
The incident happened on August 8, 2025. The Director of Nursing, the administrator, and the Minimum Data Set Coordinator all confirmed they watched the dining room footage and saw Resident 2 cross the room and kick Resident 3. The administrator demonstrated the kick with his own leg as he described it to inspectors.
That wasn't the only incident. A cognitively intact resident, Resident 4, told inspectors he had personally witnessed Resident 2 walk up behind Resident 6 roughly two to three months earlier and smack Resident 6 in the back of the head without provocation, with no staff anywhere nearby. None of the three managers had heard a word about it.
A broken purple drinking mug sitting on the windowsill of the business office told a third story. A note attached to it documented that Resident 2 had thrown the cup at a certified nursing assistant and shattered it.
The Director of Nursing told inspectors she had known Resident 2 and her family for about 40 years. She said Resident 2's worsening behavior, driven by both autism and dementia, reminded her of how the resident used to act violently toward her own mother. The MDS Coordinator said Resident 2's sister had wondered whether her sibling was regressing to an earlier age.
The administrator told inspectors he had reported the kicking incident on August 7 and then again on August 13. He confirmed Resident 4 was alert, oriented, and accurate.
By August 20, when inspectors conducted interviews, supervision in the dining room had not changed.
Resident 3, who was kicked. Resident 6, who was struck from behind without warning. A nursing assistant whose broken mug sat labeled on an office windowsill. The facility knew about all of it.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Heartland Nursing & Rehab from 2025-08-27 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 22, 2026 · Our methodology
HEARTLAND NURSING & REHAB in CASEY, IL was cited for violations during a health inspection on August 27, 2025.
The incident happened on August 8, 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.