Arcadia Care Havana
ARCADIA CARE HAVANA in HAVANA, IL — inspection on August 11, 2025.
Found 6 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.
Inspection Findings
nursing home.
residents and residents' representatives.
This failure has the potential to affect all 44 residents
Guidelines: 5.
The resident and/or resident representative is provided with a quarterly accounting report of his or her funds on deposit with the facility, and upon request.The Business Office Manager policy dated 7/2023 documents, Job duties: Prepare and mail statements.On 8/6/25 at 8:45 AM V7 (R1's Power of Attorney) stated, I have never received a copy of (R1's) financial statement from the facility.On 8/6/25 at 11:02 AM V6 (Prior Business Office Manager) stated, I worked for the facility from the day the company took over on 11/1/24 until I was terminated on 6/12/25.
While I was there, I never provided the residents or residents' representatives with quarterly financial statements. I used to mail those for the prior company, but since I started with this company I did not have time to as I was doing three different jobs there.On 8/6/25 at 11:30 AM V3 (Business Office Manager) stated, I just started a little over a month ago. I have not had a chance to send out quarterly financial statements to the residents or residents' representatives.On 8/6/25 at 1:55 PM R2 stated, I don't think I have every received a financial statement.On 8/6/25 at 2:30 PM V1 (Administrator) stated, One of the reasons (V6) was terminated was due to (V6) not doing her job. (V6) knew she should have been sending out quarterly financial statements to the residents and families and was not.The facility's Daily Census Report dated 8/6/25 documents 44 residents currently reside within the facility.
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 TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE
145774 08/11/2025
Arcadia Care Havana 609 North Harpham Street Havana, IL 62644
reviewed for resident funds in the sample of three.Findings include:The Illinois Department on Aging
document, Your financial rights: The nursing home must return funds with a final statement to the person or court handling your estate within 30 days after your death. R1's Hospital Record documents:R1 was transferred to the hospital from the facility on 6/21/25 and passed away while in the hospital on 6/23/25.R1's Resident Statement Landscape dated 11/5/24 through 6/12/25 documents R1 had 60.00 dollars each month deposited by SSA (Social Security Administration) into the facility's trust fund account for R1's personal use. R1's Resident Statement Landscape dated 8/1/25 documents R1 had 420.00 personal dollars left in the facility's trust fund account that R1 had not spent or used since 11/5/24.On 8/6/25 at 8:45 AM V7 (R1's Power of Attorney) stated, I have been asking since 7/8/25 for the facility to refund (R1's) remaining funds.
The facility has yet to refund the funds, and I feel like I am getting the run around.On 8/8/25 at 11:30 AM V15 (Regional Director of Operations) stated, The facility does not have a policy on when remaining trust funds are distributed to the residents' representatives, however we (the facility) follow CMS (Centers for Medicare and Medicaid Services) guidelines. (V7/R1's Power of Attorney) should have received (R1's) remaining 420.00 dollars left in the facility's trust fund within 30 days after (R1's) death (6/23/25).
The facility has not sent out the 420.00 dollars yet.
145774 08/11/2025
Arcadia Care Havana 609 North Harpham Street Havana, IL 62644
According to this list, none of the 34 residents residing within the facility on 11/1/24 received the facility's admissions agreement within 30 days.On 8/6/25 at 1:38 PM V8 (R3's Guardian) stated, I did not sign (R3's) admission contract until months after (the facility) took ownership.On 8/7/25 at 11:30 AM V1 (Administrator) verified none of the residents' admission contracts were signed or given to the residents or residents' representatives immediately, or within 30 days, upon the facility taking over ownership on 11/1/24.
145774 08/11/2025
Arcadia Care Havana 609 North Harpham Street Havana, IL 62644
funds were suspended.9. On 8/8/25 V1 contacted The Guardian Life Insurance Company of America
jeopardy to resident health or exploitation of finances by (V8/R3's Guardian).10. R2 no longer requires a Guardian, and the facility is safety currently working with R2 to appoint R2 a power of attorney in the event R2 is no longer able to make her own healthcare decisions. 11.On 8/8/25 V1 contacted the facility's legal department and Office of
Manager) sent all residents and residents' representative current financial statements by certified mail.13. On 8/8/25 V3 (Business Office Manager) reported all discrepancies of residents' payments not being made to V1, and V1 reported all discrepancies of resident payments not being made to the local police and state agency.Completion Date: 8/8/25.
145774 08/11/2025
Arcadia Care Havana 609 North Harpham Street Havana, IL 62644
never made V1 aware of V6's suspicion that V8 was exploiting R3's funds. V1 verified V6 should have
jeopardy to resident health or V1 confirmed she was not made aware, and the state agencies and local police were not made aware safety until V3 (Current Business Office Manager) reported the allegation to V1 on 7/2/25.
The Immediate Jeopardy started on 1/29/25 when V5 (Prior Business Office Manager) first suspected V11 (R2's
police and state agencies were not notified immediately upon suspicion. V1 (Administrator) and V15 (Regional Director of Operations/RDO) were notified of the Immediate Jeopardy on 8/8/25 at 8:10 AM.
On 8/9/25 this surveyor confirmed through interview and record review that the facility took the following actions to remove the Immediate Jeopardy: 1.On 8/8/25 V3 (Business Office Manager) and V5 (Regional Financial Coordinator) completed a 100 percent audit of all resident trust funds to ensure all residents' accounts were paid up to date and all discrepancies were immediately investigated.2.On 8/8/25 V15 (RDO) educated V1 on the facility's abuse policy regarding immediately reporting abuse.3.On 8/8/25 V1 (Administrator) and V17 (MDS Coordinator) in-serviced all staff regarding the facility's abuse policy and procedures.4. On 8/8/25 V1 held a QA (Quality Assurance) meeting with the Inter-Disciplinary Team to ensure compliance with reporting Abuse and Misappropriation of resident funds.5.On 7/31/25 V1 notified the Social Security Administration and R2's social security funds were suspended.6.On 8/8/25 V1 notified the Social Security Administration and R3's social security funds were suspended.7. On 8/8/25 V1 contacted The Guardian Life Insurance Company of America to ask for R3's long term disability check to be sent directly to R3 in care of (the facility) due to exploitation of finances by (V8/R3's Guardian).8. On 8/8/25 V3 (Business Office Manager) reported all discrepancies of residents' payments not being made to V1, and V1 reported all discrepancies of resident payments not being made to the local police and state agency.Completion Date: 8/8/25.
145774 08/11/2025
Arcadia Care Havana 609 North Harpham Street Havana, IL 62644
dispensary that were made by (V8). (V1) advised (R3's) income comes from SSI (Supplemental
jeopardy to resident health or 8/6/25 at 11:02 AM V6 (Prior Business Office Manager) stated, While I was working at the facility, safety (V8/R3's Guardian) stopped paying the entire amount for (R3's) bill to the facility. (V8) was the representative payee for (R3's) social security check. I was supposed to do (R3's) Medicaid
prior employment. (V8) had never been turning the disability check money over. I recall (R3's) disability check being over 1,000.00 dollars per month. I stuck the information in (R3's) file and never got time to deal with (V8) not paying the facility. I figured (V8) was spending (R3's) money. I do not think an investigation was ever done about this.On 8/6/25 at 1:38 PM V8 (R3's Guardian) stated, (R3) has been getting a check from long-term disability for years.
The facility has always been aware. In fact, back in March (V6/Prior Business Office Manager) told me to keep it and not worry about it, and the facility would never find out about it. I have been using the check to come and see (R3) and take (R3) out to dinner. V8 also confirmed he has been using R3's long-term care disability checks to buy V8 and his family personal items, to pay taxes, and to pay personal credit card accounts.On 8/7/25 at 10:20 AM V4 (Prior Administrator) stated, I am not aware of an investigation ever being done regarding (V8) exploiting (R3's) funds.On 8/7/25 at 11:30 AM V1 (Administrator) verified an investigation was not done and R3's funds were not protected from V8 until 7/2/25 (approximately four months after V5 was made aware).The Immediate Jeopardy started on 1/29/25 when V5 (Prior Business Office Manager) first suspected V11 (R2's guardian) was exploiting R2's funds and failed to report this to the Administrator, therefore R2 was never protected from further exploitation of funds and in investigation was not done immediately.V1 (Administrator) and V15 (Regional Director of Operations/RDO) were notified of the Immediate Jeopardy on 8/8/25 at 8:10 AM. On 8/9/25 this surveyor confirmed through interview and record review that the facility took the following actions to remove the Immediate Jeopardy: 1.On 8/8/25 V3 (Business Office Manager) and V5 (Regional Financial Coordinator) completed a 100 percent audit of all resident trust funds to ensure all residents' accounts were paid up to date and all discrepancies were immediately investigated.2.On 8/8/25 V15 (RDO) educated V1 on the facility's abuse policy regarding protection of the residents from abuse and initiating an investigation immediately.3.On 8/8/25 V1 (Administrator) and V17 (MDS Coordinator) in-serviced all staff regarding the facility's abuse policy and procedures.4. On 8/8/25 V1 held a QA (Quality Assurance) meeting with the Inter-Disciplinary Team to ensure compliance with reporting Abuse and Misappropriation of resident funds.5.On 7/31/25 V1 notified the Social Security Administration and R2's social security funds were suspended.6.On 8/8/25 V1 notified the Social Security Administration and R3's social security funds were suspended.7. On 8/8/25 V1 contacted The Guardian Life Insurance Company of America to ask for R3's long term disability check to be sent directly to R3 in care of (the facility) due to exploitation of finances by (V8/R3's Guardian).8. On 8/8/25 V3 (Business Office Manager) sent all residents and residents' representative current financial statements by certified mail.9. On 8/8/25 V1 provided all families with a copy of the facility's Abuse Policy by certified mail.Completion Date: 8/8/25.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.