Carrier Mills Nsg & Rehab Ctr
CARRIER MILLS NSG & REHAB CTR in CARRIER MILLS, IL — inspection on May 26, 2026.
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
a gait belt. V2 stated that if it says on the care plan to assist with transfers and ambulation then the staff should assist the resident with transfer and ambulation with a gait belt.The Facility's Gait Belt Policy with a revision date of 4/2014 documents under purpose to aid in resident ambulation and transfers and to promote optimal balance and safety.The Facility's undated Falls Prevention Strategies & Interventions Policy documents under Staff Actions information gathering: read history of ambulation and transfers and review investigation and implementation of interventions and evaluations-look at what the surveyor reviews, staff education and supervision specify what supervision is needed; do not just write provide supervision, assist with ambulation, Ambulation Care plan.
Prior to the survey date of 5/26/26, the facility had taken the following actions to correct the non-compliance: 1. A Quality Assurance and Performance Improvement meeting was held on 05/06/26 to discuss identifying hazards and risks, evaluating them, implementing interventions to reduce them and to monitor for effectiveness and to modify interventions when necessary. In attendance - V1 (Director of Operations), V2 (Director of Nursing/Former MDS/Care plan Nurse), V8 (Registered Nurse), V4 (Medical Doctor), V21 (Regional Nurse), V22 (Business Office Manager), and V7 (Director of Therapy). 2.
Process/Steps to identify others having the potential to be impacted by the same deficient practice: All residents have the potential to be affected. 3.
Measures put into place/systematic changes to ensure the deficient practice does not recur: In-services were provided to nursing staff on ADL (Activities of Daily Living) care, transfers, proper supervision during adl care, focus on transfers and ambulation, fall prevention, proper supervision during adl's, focus on transfers and ambulation, falls, and fall management and prevention.
All in-services were completed on 05/06/26. 4.
Plan to monitor that the resident environment remains as free of accidents as is possible; and each resident receives adequate supervision and assistance devices to prevent accidents.
Review all new risk management reports daily 5 days per week x 4 weeks to ensure that all fall managements protocol is followed and proper supervision during ADL's was maintained.
The first audit completed on 05/07/26.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.