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The Haven of Arcola: Resident-on-Resident Assault - IL
The incident at The Haven of Arcola is the subject of a federal complaint inspection completed November 18....
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The incident at The Haven of Arcola is the subject of a federal complaint inspection completed November 18....
The resident, identified in inspection records as R4, has morbid obesity, muscle weakness, reduced mobility, and altered mental status....
She did the best she could, she later told inspectors....
That was the finding of a complaint inspection completed November 18, 2025....
That's what inspectors found when they walked through the kitchen at Bostick Nursing Center on the morning of September 22, 2025....
He had just been lowered to the floor of a shower room at Monterey Park Rehabilitation & Health Care Center after a fall....
The problem was straightforward and the facility knew about it....
The resident, identified in inspection records as R3, had no care plan warning that he was at risk for skin breakdown before May 19, 2025....
The people it houses are not simply elderly....
Not the nurses who came to her room to administer care....
The resident, identified only as Resident R1, has lived at the facility since December 2021....
The facility's own licensed practical nurse and interim director of nursing confirmed it....
What happened after the attack took weeks to sort out, and some of it never got documented at all....
The unit had been pulled from the wall and was dangling....
The deficiency, cited under federal tag F0755, was classified as posing minimal harm or potential for actual harm, affecting a small number of residents....
R3 carries diagnoses of unspecified dementia, cognitive communication deficit, major depressive disorder, and essential hypertension....
Inspectors who visited the facility on November 18, 2025, reviewed nursing schedules, resident census data, and staff interviews covering a two-week window....
Federal inspectors were there to see it....
No entry appeared in the resident's progress notes....
The incident happened on November 8, 2025, at Serenity Estates of Lena, a nursing facility in this small town in the far northwestern corner of Illinois....