Bethany Rehab: Fractured Clavicle Left Untreated - IL
The resident, identified in inspection records as R60, fell at Bethany Rehab & Health Care Center on July 26, 2025. The agency nurse on duty ordered the X-ray for Monday rather than immediately. Nobody followed up to check whether imaging had been completed. Nobody placed a sling order. R60 spent Sunday in pain, with visible bruising, unable to move her left arm normally, while staff treated her discomfort without knowing what they were treating.
The previous Director of Nursing told inspectors she didn't begin her investigation until Monday morning, when she called radiology herself because the X-ray team still hadn't come. "Just because she is on hospice doesn't mean we don't treat people," she said.
The facility's nurse practitioner reviewed the chart afterward and was direct about what should have happened. "If she fell directly on her left side and complained of pain, an X-ray order should have been entered to be done immediately," she told inspectors on September 4. "They shouldn't have waited until Monday. That's a delay of care." She said the X-ray should have been completed within 24 hours and that a displaced fracture carries the risk of puncturing surrounding tissue, making timely imaging critical.
The sling wasn't ordered until after the X-ray results came back Monday. R60 had been without it for two days.
CMS cited the deficiency as causing actual harm to a small number of residents. The inspection was conducted September 5, 2025, following a complaint.
R60 was on hospice. Her nurse practitioner said treatment would be conservative given the injury. What it would not include, by the time anyone confirmed the fracture, was the two days already lost.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Bethany Rehab & Hcc 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
BETHANY REHAB & HCC in DEKALB, IL was cited for violations during a health inspection on September 5, 2025.
The resident, identified in inspection records as R60, fell at Bethany Rehab & Health Care Center on July 26, 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.