Three Springs Sr Living & Rhab
THREE SPRINGS SR LIVING & RHAB in CHESTER, IL — inspection on November 18, 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
even a minute late and is concerned that he is not getting meds at exactly at 8 AM and 8 PM. On 11/17/2025 at 12:32 PM, V19 (Medical Doctor) stated (R6) has had the seizure/epilepsy diagnosis for years. It is important that his orders are being followed, and if (R6) did not receive his medication on time or as ordered it could cause (R6) to have seizures/harm and would not be good to miss or have delayed medications. On 11/18/2025 at 9:57 AM, V22 (Pharmacist) stated normally as long as they have a prescription for the medicine and for (R6) convulsion would fit the bill for a diagnosis for those medications.
They do not have a diagnosis for seizures and or epilepsy for (R6).
Taking medications late for seizures may or could contribute to a seizure. It would depend on if a seizure occurred as to whether it would be a significant medication error. If a seizure occurred, then yes. On 11/18/2025 at 10:07 AM, V18 (LPN) stated, I know that day I got a call from the (Facility) because they were down a nurse. It was about an hour a drive to the facility by the time I got there and started passing out medications the medications were late.
Unfortunately, I did not notify the physician and let him know my medications were late. A lot of the medications were late being passed out that day I did the best I could do under the circumstances. On 11/18/2025 at 12:45 PM, V9 (LPN) stated I know (R6's) wife told me that he had been having some seizure activities and the day before he had gotten his seizure medication late.
They are very particular about his seizure medication.
When I saw (R6) he was experiencing small twitches movements, so I sent him out.
The Facility Medical Policy with a revision date of 2012 documents, Medications shall be administered in a safe and timely manner, and as prescribed. If a drug is withheld, refused, or given at a time other than the scheduled time, the individual administering the medication shall initial and circle the MAR space provided for that drug and dose.
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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.