White County Rehab And Nursing
Inspection Findings
F-Tag F0584
F 0584 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
come in and looked at it. Resident R3 stated he had not reported it to anyone personally and didn't remember who reported it to him.On 8/20/25 at 1:54 PM, Resident R1 stated he was concerned about becoming sick or getting an infection in the open wound of his foot when they discovered the mold like substance in his previous room
on the 200 hall. On 8/20/25 at 2:05 PM, V9 (LPN) stated she had seen something that resembled mold in R1s old room. V9 stated she had heard from a night nurse there was also a substance in the closet of Resident R2's room that resembled mold. V9 stated she had reported it to the maintenance man (that is no longer employed at the facility). V9 stated she would not feel comfortable staying in a room that had something that looked like mold in it.On 8/20/25 at 3:50 PM, V1 and V2 visualized the black, green, furry splotches, smears, and spots on the ceilings of the unoccupied room that Resident R1 use to reside in as well as the rooms where Resident R2 and Resident R3 reside. V1 and V2 described the spots as mildew, but stated they are unsure as to what it is for positive. V1 and V2 both denied being aware of these areas of concern prior to this time. The Facility's Environmental/Homelike Environment Policy dated 12/27/23 states, Housekeeping and maintenance services necessary to maintain a sanitary, orderly, and comfortable interior.
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
08/25/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Carmi Manor Rehab & Nrsg Ctr
615 West Webb Street Carmi, IL 62821
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0921
Federal health inspectors cited CARMI MANOR REHAB & NRSG CTR in CARMI, IL for a deficiency under regulatory tag F-F0921 during a complaint investigation conducted on 2025-08-25.
Category: Environmental Deficiencies
The facility was found deficient in the following area: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Scope/Severity Level C: pattern, no actual harm with potential for minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 2 deficiencies cited during this inspection of CARMI MANOR REHAB & NRSG CTR.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-19.
White County Rehab and Nursing in CARMI, IL inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in CARMI, IL, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from White County Rehab and Nursing or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.