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Complaint Investigation

Effingham Healthcare & Senior Living

November 26, 2025 · Effingham, IL · 1610 North Lakewood Drive
Citations 2
CMS Rating 1/5
Beds 62
Provider ID 145514
Healthcare Facility
Effingham Healthcare & Senior Living
Effingham, IL  ·  View full profile →
Inspection Summary

EFFINGHAM HEALTHCARE & SENIOR LIVING in EFFINGHAM, IL — inspection on November 26, 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

FF0584
Resident Rights Deficiencies
Potential for More Than Minimal Harm

Based on observation, interview and record review, the facility failed to keep resident rooms clean for 1 (R5) of 3 residents reviewed for homelike environment out of the sample of 7.

Findings Include:R5's admission Record documented an admission date of 11/21/2025.

This same record documented diagnosis including cerebral infarction due to unspecified occlusion or stenosis of bilateral cerebellar arteries, ST-elevation myocardial infarction of unspecified site, and presence of aortocoronary bypass graft. On 11/22/25 at 11:51 AM, an observation in R5's room revealed the following: 5 separate fecal matter smeared areas on the floor between bed 1 and bed 2.On 11/22/2025 at 12:00PM, an observation of 5 separate areas of fecal matter still smeared on the floor in R5' room between bed 1 and bed 2 after observing V3 (Housekeeping) clean R5's room including sweeping and mopping the floor.On 11/22/2025 at 12:10 PM, V3 (Housekeeping) stated she had swept and mopped R5's room.On 11/22/2025 at 12:18 PM, V1 (Administrator) stated her expectations would be for the housekeeping staff to clean resident rooms per the facility policy, including cleaning the fecal matter off the floor.On 11/24/2025 at 11:15 AM, R5 who was alert and oriented stated he had been in the facility for a few days. R5 stated, the facility does not clean very well and does not clean his room daily. On 11/24/2025 at 11:16 AM an observation in R5's room revealed fecal matter in the same area as noted on 11/22/2025 between bed 1 and bed 2 still smeared on the floor.

The facility policy titled Homelike Environment (revised February 2021) documents under Policy Statement: Residents are provided with a safe, clean, comfortable and homelike environment and encouraged to use their personal belongings to the extent possible.

This same document under Policy Interpretation and Implementation documents under step 2, the facility staff and management maximize, to the extent possible, the characteristics of the facility that reflect a personalized, homelike setting.

These characteristics included: a. clean, sanitary and orderly environment.

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

11/26/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Effingham Healthcare & Senior Living

1610 North Lakewood Drive Effingham, IL 62401

SUMMARY STATEMENT OF DEFICIENCIES

trained. V13 stated she should have applied the enhanced barrier precautions prior to starting R1's care.On 11/24/2025 at 2:10 PM, V2 (Director of Nursing/DON) stated her expectation for perineal and bowel incontinence care is all staff to follow policy and procedure.On 11/24/2025 at 2:30 PM, V1 (Administrator) stated her expectation is for all staff to follow policy and procedure for perineal and bowel incontinence care.The facility policy titled Perineal Care (revised February 2018) documents Purpose: The purpose of this procedure is to provide cleanliness and comfort to the resident, to prevent infections and skin irritation, and to observe the resident's skin condition.

This same document under Equipment and Supplies documented, the following equipment and supplies will be necessary when performing this procedure: 1.

Wash basin, 2.

Towels, 3.

Washcloth, 4.

Soap (or other authorized cleaning agent) and 5.

Personal protective equipment (e.g. gowns, gloves, mask, etc., as needed).

Steps in the Procedure documented 1.

Place the equipment on the bedside stand.

Arrange the supplies so they can be easily reached. 2.

Wash and dry your hands thoroughly. 3.

Fill the wash basin one-half full of warm water.

Place the wash basin on the bedside stand within reach.The Centers for Disease Control guidance for Implementation of Personal Protective Equipment (PPE) Use in Nursing Homes to Prevent Spread of Multidrug-resistant Organisms (MDROs) updated 4/2/24 found at www.cdc.gov/long-term-care-facilities/hcp/prevent-mdro/PPE.html documents under Enhanced Barrier Precautions The use of gown and gloves for high-contact resident care activities is indicated, when Contact Precautions do not otherwise apply, for nursing home residents with wounds and/or indwelling medical devices regardless of MDRO colonization as well as for residents with MDRO infection or colonization.

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 EFFINGHAM, 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 EFFINGHAM HEALTHCARE & SENIOR LIVING or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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