Benton Rehabilitation And Health Care Center
Benton Rehabilitation and Health Care Center in BENTON, IL — inspection on September 30, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
provided this surveyor R16's Pulmonary Function Test results dated 3/20/25. R16's undated Care Profile does not document a physician order for PFT testing to be performed on or around 3/20/25. On 9/29/25 at 2:39 PM, R16 stated she doesn't remember if she had PFT tests done. On 9/29/25 at 10:43 AM, V6 (MDS Coordinator) stated Pulmonary Function Tests (PFT's) have been done on residents without physician orders in the past. V6 stated the respiratory therapist showed up this week to do more and they didn't have the orders, so they didn't do them. On 9/29/25 at 11:26 AM, V12 (Registered Nurse) stated they have an outside company who sends a respiratory therapist to the facility to perform PFT testing on the residents.
V12 stated they had done testing twice as far as she knew, and they were testing everyone in the facility.
When asked why they were doing the test on all of the residents, V12 stated she didn't know. V12 stated they didn't have a physician order for them and when they came in the last time, V21 (Physician) wouldn't sign the orders to do them. On 9/29/25 at 2:50 PM, V20 (Licensed Practical Nurse) stated she didn't think V21 (Physician) felt the PFT tests were necessary and didn't want all of the residents to have them. V20 stated V1 asked the nurses to get V21 to sign the orders and he refused.On 9/29/25 at 12:29 PM, V1 (Administrator) stated the oxygen supply company sends the respiratory therapist to the facility to do the PFT's. V1 stated V21 (Respiratory Therapist) came to the facility last week and wouldn't do the tests because the physician had not given the orders. V1 stated they are doing the tests to see if residents have chronic obstructive pulmonary disease (COPD) to make sure they are treating everything they need to. V1 stated according to her regional with corporate it is the gold standard of care and anyone who doesn't have a diagnosis of COPD should be screened upon admission. On 9/29/25 at 4:04 PM, V22 (Registered Respiratory Therapist) stated she went to the facility in 3/2025 and performed PFT tests on residents.
When asked if there were physician orders in place prior to performing those tests, V22 stated the facility told her there were but she didn't see the actual orders. On 9/29/25 at 4:18 PM, V5 (Director of Nurses) stated there should be physician orders in place prior to performing PFT tests on residents and she wasn't sure why there weren't orders documented in the medical records for the tests performed on 3/20/25. On 9/30/25 at 11:21 AM, V1 (Administrator) stated the facility was owned/operated by a different company in 3/2025 and there was no policy available for physician orders for that time frame.On 9/30/25 at 3:00 PM, V21 (Physician) stated he didn't remember if he gave orders for the PFT to be administered in 3/2025.
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