ARC at Normal: IV Antibiotic Doses Go Undocumented - IL
The resident, identified in inspection records only as R14, had been hospitalized between August 9 and August 25, 2025, with a Klebsiella infection resistant to multiple drugs. Hospital progress notes from that period document the simultaneous diagnoses: sepsis, the drug-resistant UTI, and an infection in the hardware of his left knee, all treated with the intravenous antibiotics Cefepime and Ceftriaxone. When he was discharged on August 26, his orders required Ceftriaxone to continue daily beginning the following morning.
The medication administration record for August shows blank spaces where a nurse's initials should appear for August 27, 28, and 29. The September record shows the same blank for September 3.
The Director of Nursing, identified as V2, told inspectors on September 3 that he was the nurse responsible for administering R14's intravenous medications and that he had given the antibiotic that day. He said he had not gone into R14's record to document it. When inspectors returned on September 5, he said the same thing again, word for word.
He did not explain the August gaps.
Four of seven days between August 27 and September 3 carry no documentation that a man recovering from sepsis received the antibiotic his hospital discharge orders required. Whether the doses were given on those days, or whether they were simply not charted, the inspection record does not resolve. What it does show is that the person responsible for administering the medication acknowledged, twice, that he had not been recording what he gave.
R14's condition during those undocumented days is not described in the inspection findings.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Arc At Normal from 2025-09-05 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
ARC AT NORMAL in NORMAL, IL was cited for violations during a health inspection on September 5, 2025.
When he was discharged on August 26, his orders required Ceftriaxone to continue daily beginning the following morning.
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.