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Complaint Investigation

Loft Rehab Of Decatur

October 9, 2025 · Decatur, IL · 500 West Mckinley Avenue
Citations 2
CMS Rating 1/5
Beds 150
Provider ID 145965
Healthcare Facility
Loft Rehab Of Decatur
Decatur, IL  ·  View full profile →
Inspection Summary

LOFT REHAB OF DECATUR in DECATUR, IL — inspection on October 9, 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.

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Inspection Findings

FF0573
Resident Rights Deficiencies
Potential for More Than Minimal Harm

Based on interview and record review the facility failed to provide a copy of resident's medical records in a timely fashion following a request by resident's Power of Attorney for one of three residents (R1) reviewed for medical records requests on the sample list of five.Findings Include:R1's electronic medical record documents R1 resided at the facility from 4/16/25 until 4/23/25 when R1 was transported to the local hospital emergency department and R1 has not returned to the facility since that time.On 10/8/25 at 3:00PM V5, R1's family member stated (R1) is at (a different facility) now. I have asked and signed for (R1's) medical record from the facility, but I haven't gotten anything but the runaround.On 10/9/25 at 10:00AM V8, Medical Records stated (V5) did request (R1's) medical record in May.

Since the request came from a lawyer I had to send it to corporate and I can verify that the record has not been sent to (V5's) lawyer.On 10/9/25 at 2:00PM V1, Administrator stated (R1's) medical record has now been sent out. It would be my expectation that it should have been sent some time ago.

Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.

For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE

TITLE

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

10/09/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Loft Rehab of Decatur

500 West McKinley Avenue Decatur, IL 62526

SUMMARY STATEMENT OF DEFICIENCIES

facility) to inspect and repair a wheelchair securement system.

What I found in the front row of seating was that both shoulder belts were malfunctioning.

One would not pull out and the other would not retract.

One of the two seat belts was completely missing.

Employees securing residents should have known it wasn't in safe working order.

The occupant securement system was not fully functioning and that van should not have been in service. We recommend the securement system be inspected every six months.

The last inspection we did was dated May of 2024.R5's Minimum Data Set MDS dated [DATE] documents R5 is cognitively in tact. On 10/9/25 at 2:00PM R5 was seated in her room in a wheelchair. R5 was agreeable to be interviewed. R5 stated Boy do I ever remember that wreck.

The first I knew (V9) screamed out and I went flying forward. I didn't get tossed out of my chair because I got trapped between my wheelchair and the back of (R2's) wheelchair. (R2) went flying right out of her wheelchair and she hollered 'OUCH Help me Help me.' Then the cops (police) and ambulance guys came. I wasn't hurt, but I was lucky and I was sure shook up. (R2) was hurt and I haven't seen her back.

That kind of worries me. (R2's) seat belts were real loose and I didn't have the lap belt or the shoulder belt on. I guess it could have been worse, but I was scared. On 10/9/25 at 2:30 V14, Nurse Practitioner verified the 9/16/25 accident caused the fractures of (R2's) humerus, fibula, and tibia.

Facility ID:

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 LOFT REHAB OF DECATUR or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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