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Complaint Investigation

Hawthorne Inn Of Danville

August 13, 2025 · Danville, IL · 3222 Independence Drive
Citations 2
CMS Rating 4/5
Beds 80
Provider ID 146090
Healthcare Facility
Hawthorne Inn Of Danville
Danville, IL  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

HAWTHORNE INN OF DANVILLE in DANVILLE, IL — inspection on August 13, 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

FF0686
Quality of Life and Care Deficiencies

bordered foam dressings changed every five days is R4's current/active treatment order. V8 stated

hygiene and glove changes after each step of the wound treatment, including after cleaning the

146090 08/13/2025

Hawthorne Inn of Danville 3222 Independence Drive Danville, IL 61832

in accordance with accepted professional standards.

interview and record review, the facility failed to ensure medical records are complete and accurate

Nursing Notes document R1 admitted to the facility from the hospital on 7/10/25. R1's Nursing Notes, dated 7/10/25, do not document an assessment of R1's skin or if R1 had any skin issues or bruising.

R1's Nursing Note, dated 7/13/25 at 3:39 PM, documents R1's incisions to left thigh, right groin, and chest are closed.

There is no documentation in R1's nursing notes between 7/10/25 and 7/16/25 that R1 had any bruising. R1's admission Observation, dated 7/10/25, documents there were no alterations in R1's skin. R1's Skin Assessment, dated 7/16/25, documents, Incisions & bruising. No new areas of concern.

This assessment does not document the location of R1's bruising. On 8/13/25 at 8:31 AM, V10, Registered Nurse, stated R1 admitted to the facility five weeks post Coronary Artery Bypass Grafting (CABG). V10 stated R1 had closed incisions to the groin, leg, and chest that were left open to air and no treatment needed. V10 stated R1 also had bruising to her hip or rib area. V10 stated nurses document weekly skin assessments and admission skin assessments under the observations section of the resident's electronic medical record, and this may also be noted in a nursing note. At 9:26 AM, V10 stated the bruising V10 documented in R1's skin assessment note 7/16/25 was the bruising V10 previously mentioned. V10 stated V10 did not consider the bruising to be a new issue since it was previously reported on R1's admission. V10 stated V10 had received report from the hospital the day R1 admitted and was told R1 had hip bruising. On 8/13/25 at 9:11 AM, V2, Director of Nursing, stated R1 admitted with bruising following CABG. V2 confirmed R1's admission assessments, skin assessments, and notes do not document R1 admitted with incisions or bruising. V2 stated V2 has requested R1's provider progress notes and is waiting on V29, Nurse Practitioner, to send R1's notes to the facility and obtain documentation that R1 had hip bruising on admission. R1's Progress Note, dated 7/11/25, recorded by V29 documents R1 was hospitalized on [DATE] and underwent left heart catheterization; R1 underwent two vessel CABG on 6/5/25 and developed a right femoral arterial sheath hematoma.

This note documents R1 had a midsternal incision that was dry and open to air, with no drainage or inflammation noted.

This note documents R1's left medial thigh incision from vein graft site was open to air, healed, and dry.

This note was included in R1's provider progress notes, provided by V2, with a facsimile cover sheet documents R1's notes were sent to the facility from V29 on 8/13/25 at 8:56 AM.

The facility's Job Description Medical Records, dated May 2013, documents responsibilities includes tracking and monitoring physician visits/notes, uploading documentation into the resident's electronic medical record, conducting audits of resident medical records and reporting discrepancies to the Director of Nursing.

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 DANVILLE, 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 HAWTHORNE INN OF DANVILLE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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About This Inspection Report

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.