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Complaint Investigation

Arc At El Paso

September 5, 2025 · El Paso, IL · 555 East Clay
Citations 3
CMS Rating 2/5
Beds 65
Provider ID 145319
Healthcare Facility
Arc At El Paso
El Paso, IL  ·  View full profile →
Inspection Summary

ARC AT EL PASO in EL PASO, IL — inspection on September 5, 2025.

Found 3 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 maintain resident rooms in a clean and safe manner for four residents (R6, R8, R12, and R13) of four reviewed for safe, clean and homelike environment in a sample of 15.Findings Include:Facility's Maintenance Director Job Description dated 3/2024 documents: The primary purpose of the Maintenance Director is to plan, organize, develop, and direct the overall operation of the Maintenance Department in accordance with current, federal, state and local standards, guidelines, and regulations governing our facility, and as may be directed by the Administrator, to assure that our facility is maintained in a safe and comfortable manner.On 9/3/25 at 1:30 PM V1 stated he is unable to locate a policy for cleaning the air conditioner units in resident rooms.On 9/3/25 at 9:35 AM The AC (Air Conditioner) units in R6 and R13's room is located in the wall under the window.

There are foam tubes around AC unit with a quarter sized hole where daylight can be seen.

The vent slats of AC unit have multiple pinpoint black spots on them. V3 (Maintenance Director) stated probably mildew.

Units are cleaned two times per season to prevent mildew build up, but he is unsure if there is a policy. On 9/3/25 at 10:21AM R6 and R13's AC unit has multiple black pinpoint spots on vent slats.

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

09/05/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Arc at El Paso

555 East Clay El Paso, IL 61738

SUMMARY STATEMENT OF DEFICIENCIES

Based on interview and record review the facility failed obtain physician ordered weekly weights for one resident of three residents (R1) reviewed for weights in a sample of 15.

Findings Include:The facility's Significant Weight Gain or Loss Policy dated 02/2025 documents, All residents will be weighed monthly unless physician order indicates differently.R1's physician's orders, dated 9/5/25, document weekly weights were ordered to begin for R1 on 6/23/25. R1 also has orders to receive the following medications for the diagnosis of congestive heart failure: Torsemide 20mg (milligrams) by mouth daily, Diltiazem 300mg by mouth daily, Metoprolol Succinate ER 50mg by mouth daily, and Aldactone 12.5mg by mouth.On 9/3/25 at 11:17 AM, R1 stated she has not been getting weighed because the machine used to weigh her has been broken.R1's Weight and Vitals Summary dated 9/3/25 documents from 6/23/25 to 8/17/25 weights were only obtained on the following dates: 6/23/25 (419.8 pounds), 7/1/25 (416 pounds), and 7/7/25 (415 pounds).On 9/3/25 at 9:38 AM, V1 (Administrator) verified the facility has three mechanical lifts, and the mechanical lift with the scale attached has not been functioning since 7/10/25.On 9/3/25 at 11:15 AM, V2 (Director of Nursing) confirmed R1 had not been weighed from 7/8/25 through 9/3/25.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

09/05/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Arc at El Paso

555 East Clay El Paso, IL 61738

SUMMARY STATEMENT OF DEFICIENCIES

Federal health inspectors cited ARC AT EL PASO in EL PASO, IL for a deficiency under regulatory tag F-F0689 during a complaint investigation conducted on 2025-09-05.

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 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 3 deficiencies cited during this inspection of ARC AT EL PASO.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-08.

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 EL PASO, 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 ARC AT EL PASO or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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