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Complaint Investigation

Imboden Creek Senior Living

Inspection Date: November 6, 2025
Total Violations 6
Facility ID 145945
Location DECATUR, IL
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Inspection Findings

F-Tag F0580

Resident Rights Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited IMBODEN CREEK SENIOR LIVING in DECATUR, IL for a deficiency under regulatory tag F-F0580 during a complaint investigation conducted on 2025-11-06.

Category: Resident Rights Deficiencies

The facility was found deficient in the following area: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 6 deficiencies cited during this inspection of IMBODEN CREEK SENIOR LIVING.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-11-19.

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F-Tag F0658

Resident Assessment and Care Planning Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited IMBODEN CREEK SENIOR LIVING in DECATUR, IL for a deficiency under regulatory tag F-F0658 during a complaint investigation conducted on 2025-11-06.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Ensure services provided by the nursing facility meet professional standards of quality.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 6 deficiencies cited during this inspection of IMBODEN CREEK SENIOR LIVING.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-11-19.

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F-Tag F0678

Quality of Life and Care Deficiencies
Harm Level: Immediate Jeopardy

Federal health inspectors cited IMBODEN CREEK SENIOR LIVING in DECATUR, IL for a deficiency under regulatory tag F-F0678 during a complaint investigation conducted on 2025-11-06.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Scope/Severity Level J: isolated, immediate jeopardy to resident health or safety.

This represents an immediate jeopardy situation, the most serious level of deficiency.

This was one of 6 deficiencies cited during this inspection of IMBODEN CREEK SENIOR LIVING.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-11-19.

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F-Tag F0689

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited IMBODEN CREEK SENIOR LIVING in DECATUR, IL for a deficiency under regulatory tag F-F0689 during a complaint investigation conducted on 2025-11-06.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 6 deficiencies cited during this inspection of IMBODEN CREEK SENIOR LIVING.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-11-19.

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F-Tag F0842

Resident Assessment and Care Planning Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited IMBODEN CREEK SENIOR LIVING in DECATUR, IL for a deficiency under regulatory tag F-F0842 during a complaint investigation conducted on 2025-11-06.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 6 deficiencies cited during this inspection of IMBODEN CREEK SENIOR LIVING.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-11-19.

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F-Tag F0882

Infection Control Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited IMBODEN CREEK SENIOR LIVING in DECATUR, IL for a deficiency under regulatory tag F-F0882 during a complaint investigation conducted on 2025-11-06.

Category: Infection Control Deficiencies

The facility was found deficient in the following area: Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Scope/Severity Level F: widespread, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 6 deficiencies cited during this inspection of IMBODEN CREEK SENIOR LIVING.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-11-19.

πŸ“‹ Inspection Summary

IMBODEN CREEK SENIOR LIVING in DECATUR, IL inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

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 DECATUR, 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 IMBODEN CREEK SENIOR LIVING or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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