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
Based on record review and interview the facility failed to provide financial statements quarterly to residents and residents' representatives.
This failure has the potential to affect all 44 residents residing within the facility.
Findings include:The Resident Funds policy dated 3/2024 documents 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 REPRESENTATIVE'S SIGNATURE
TITLE
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
08/11/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Arcadia Care Havana
609 North Harpham Street Havana, IL 62644
SUMMARY STATEMENT OF DEFICIENCIES
Based on record review and interview the facility failed to refund unused resident funds to a resident's representative within 30 days of the resident's death for one of three residents (R1) reviewed for resident funds in the sample of three.Findings include:The Illinois Department on Aging Centers for Medicare and Medicaid Understating Your Financial Rights Guidelines dated 7/12/21 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.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
08/11/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Arcadia Care Havana
609 North Harpham Street Havana, IL 62644
SUMMARY STATEMENT OF DEFICIENCIES
Based on record review and interview the facility failed to promptly provide a copy of the updated admission agreement/contract to all residents and/or residents' representatives upon change of facility ownership.
These failures have the potential to affect all 34 residents residing within the facility upon change of ownership on 11/1/24.Findings include:The facility's Daily Census Report dated 11/1/24 documents 34 residents residing within the facility on 11/1/24.
The Business Office Manager policy dated 7/2023 documents Business Office Manager Job Description Summary: The primary purpose of the Business Office Manager is to assist in the day-to-day accounting functions of the facility in accordance with current acceptable accounting and cost reimbursement principles relating to nursing facility operations, and as may be directed by the Administrator, Director of Finance, or Accountant.
Ensure that resident admission contracts are signed and appropriately filed.V5's (Prior Business Office Manager's) Performance Improvement Plan dated 4/28/25 documents V5 was responsible for doing admission contracts with the residents and residents' representatives and was not doing the admission contracts within 24-48 hours of the residents' admission. On 8/9/25 at 8:30 AM V1 (Administrator) provided a list of all residents residing within the facility upon change of ownership on 11/1/24 with the date of when the admission contract was provided to the residents or residents' representatives.
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.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
08/11/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Arcadia Care Havana
609 North Harpham Street Havana, IL 62644
SUMMARY STATEMENT OF DEFICIENCIES
jeopardy to resident health or safety
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 11:30 AM V1 (Administrator) verified V6 (Prior Business Office Manager) should have tried to protect R3's funds from being exploited by V8 when V6 first became aware (March 2025).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 protect R2 from further exploitation. 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 and 8/11/25 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 and investigating 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 Abuse and Misappropriation of resident funds.5.On 8/8/25 V1 provided all families with a copy of the facility's Abuse Policy by certified mail.6.On 8/8/25 V18 (Activity Director) in-serviced all residents regarding the facility's abuse policy and procedures.7.On 7/31/25 V1 notified the Social Security Administration and R2's social security funds were suspended.8.On 8/8/25 V1 notified the Social Security Administration and R3's social security funds were suspended.9. 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).10. R2 no longer requires a Guardian, and the facility is 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 State Guardianship to file a petition to change R3's Guardian. 12. On 8/8/25 V3 (Business Office 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.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
08/11/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Arcadia Care Havana
609 North Harpham Street Havana, IL 62644
SUMMARY STATEMENT OF DEFICIENCIES
jeopardy to resident health or safety
Security Income) and Disability and believed the case with be Social Security/Medicaid Fraud.On 8/6/25 at 11:02 AM V6 (Prior Business Office Manager) stated, While I was working at the facility, (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 recertification sometime around March 2025 and noticed (R3) was also getting a disability check from 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 never reported this to the administrator. 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, (V6/Prior Business Office Manager) never reported anything to me while I worked at the facility about (V8) taking (R3's) funds and not paying (R3's) bill.On 8/7/25 at 11:30 AM V1 (Administrator) verified V6 (Prior Business Office Manager) never made V1 aware of V6's suspicion that V8 was exploiting R3's funds. V1 verified V6 should have reported the suspicion that V8 was exploiting R3's funds when V6 first became aware in March 2025. V1 confirmed she was not made aware, and the state agencies and local police were not made aware 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 guardian) was exploiting R2's funds and failed to report this to the Administrator, therefore the local 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.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
08/11/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Arcadia Care Havana
609 North Harpham Street Havana, IL 62644
SUMMARY STATEMENT OF DEFICIENCIES
jeopardy to resident health or safety
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.
Facility ID: