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Complaint Investigation

El Paso Rehabilitation And Health Care Center

October 9, 2025 · El Paso, IL · 850 East Second Street
Citations 1
Beds 123
Provider ID 146097
Healthcare Facility
El Paso Rehabilitation And Health Care Center
El Paso, IL  ·  View full profile →
Inspection Summary

El Paso Rehabilitation and Health Care Center in EL PASO, IL — inspection on October 9, 2025.

Found 1 citation. 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

FF0600
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Potential for More Than Minimal Harm

Based on observation, interview, and record review, the facility failed to protect a resident from sexual abuse for one of four residents (R1) reviewed for abuse in a sample of four.Findings include:The facility's Abuse Prevention and Prohibition Policy, dated 03/2025, documents that each resident has the right to be free from abuse, corporal punishment, and involuntary seclusion.

Residents must not be subjected to abuse by anyone, including, but not limited to, facility staff, other residents, consultants, or volunteers, staff of other agencies serving the residents, family members or legal guardians, friends, or other individuals.

This form also documents that sexual abuse is defined as non-consensual sexual contact of any type with a resident.The facility's Initial Reportable, dated 10/6/25, documents that R2 was observed to have his hand on the breast of R1. R1 reported this contact as unwanted.The facility's Interview Template: Post-Altercation Event, dated 10/6/25, documents that R1 reported that while in the common area of the facility near the front door, resident 2 (R2) approached her and touched her chest with out her permission or consent.

The facility's Interview Template: Post-Altercation Event, dated 10/6/25, documents that R2 reported that he approached the other resident (R1) and he touched her chest. V3, Social Service Aide/Certified Nursing Assistant, progress notes, dated 10/6/25, documents a one-on-one session following an incident involving another resident in the common area. It was observed that the other resident (R2) engaged in nonconsensual physical contact with the resident (R1).

This note documents that R1 confirmed that the contact was nonconsensual. On 10/8/25 at 10:00am, R1 stated that another resident (R1) grabbed her breast when he was walking by her. R1 stated that she did not ask him to touch her, and it made her feel uncomfortable. R1 verified that she did not like the contact. On 10/8/25 at 10:45am, V4, Activity Aide, stated that he observed R2 reach out and grab R1's breast in the common area. V4 verified that he separated the two and reported the incident.On 10/8/25 at 1:00pm, V1, Administrator, stated that it was reported to him that R1 and R2 were passing each other, and R2 reached over and touched R1's chest. V1 stated that R2 told him that he did not know that the incident was wrong because R1 did not tell him to stop.:

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

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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 El Paso Rehabilitation and Health Care Center or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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