Heartland Nursing & Rehab
HEARTLAND NURSING & REHAB in CASEY, IL — inspection on August 27, 2025.
Found 2 citations. 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
again when R2 kicked R3. R4 then stated R2 kicked R3 again and he got up and said stop kicking her and that was when staff came and took R2 out of the dining room. R4 continued to state that there was not a lot of staff supervision in the dining room at the time because staff were bringing residents from their rooms to the dining room and then returned back to pick up other residents to bring to the dining room. R4 then stated R2 was back in the dining room the following day (8/8/25) and the staff supervision had not changed.
R4 concluded by stating he had witnessed R2 walk up behind a resident (R6) about two and a half or three months ago and smack R6 in the back of the head when R6 wasn't doing anything, but there was no staff around at that time. R4's Minimum Data Set, dated [DATE] documents R4 received a score of 15 out of a possible 15 during a Brief Interview for Mental Status, indicating R4 is cognitively intact. On 8/20/25 at 2 PM, V2, Director of Nursing, stated she had not seen the actual event but did watch the video from the dining room and did see R2 standing by the window, then walk over to R3 who was several tables away and kick R3. V2 stated she had known R2 and her family for about 40 years and thought R3 had some resemblance to R2's mother who R2 used to act violently towards. V2 further stated R2 was on the Autism scale and often acted like whatever she wants, she wants right now, like a small child. V2 stated she had not heard any kind of report about R2 smacking R6 in the head. On 8/20/25 at 2:15 PM, V3, Minimum Data Set Coordinator, stated she had watched the kicking incident between R2 and R3 on the camera. V3 stated she had known R2 and her family for a long time. V3 stated R2 used to be violent with her mother and had talked with R2's sister (V10) who had questioned if R2 was having some regression to an earlier age. V3 stated R2's behavior had been getting worse not just with the Autism but also with her Dementia. V2 stated she had not heard anything about any event between R2 and R6. On 8/20/25 at 2:20 PM, V1, Administrator, stated he had reported the incident initially on 8/7/25 and finally on 8/13/25. V1 stated he had watched the kicking incident between R2 and R3 on video and saw R2 walk up to R3 and kick R3. V1 made a kicking motion with his leg as he made this statement. V1 confirmed R4 was alert and oriented and accurate in his statements. V1 stated he had not heard any reports about R2 smacking R6 on the back of the head. On 8/20/25 at 2:20 PM, there was a purple quart-sized drinking mug on the windowsill of the business office with a broken raised edge in the drinking rim.
There was a note affixed to the drinking mug which documented R2 had thrown the cup at a staff member (V4, Certified Nursing Assistant) and broke the mug.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
08/27/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Heartland Nursing & Rehab
410 Northwest Third Casey, IL 62420
SUMMARY STATEMENT OF DEFICIENCIES
side of the bed and was out of R3's reach. V3 stated R3 could hold the call light in her hand but would not realize what the device was to be used for, and R3 might accidentally push the button. V3 noted and confirmed there was not any non-skid strip on the floor in front of R3's recliner and stated that R3 had not attempted to stand up in months. On 8/22/25 at 11::25 AM, V2, Director of Nursing, stated the skin tear observed on R3's right lower leg was not from a resident-to-resident incident from 8/7/25 but rather was from when R3 fell out of bed on 8/20/25. V2 stated R3 often has wounds on both legs due to bumping into things when mobile in her wheelchair because she isn't aware of her own safety needs. V2 confirmed R3's fall on 8/20/25 was unwitnessed. V2 further stated she had personally gone around the facility to check for the non-skid strips for each resident who used them because there had been several residents who changed rooms and R3 was one of those residents. V2 nodded in confirmation that R3 was supposed to be wearing the protective leggings and protective sleeves.
Facility ID: