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Complaint Investigation

Hillsboro Rehab & Hcc

January 29, 2026 · Hillsboro, IL · 1300 East Tremont Street
Citations 2
CMS Rating 1/5
Beds 121
Provider ID 145500
Healthcare Facility
Hillsboro Rehab & Hcc
Hillsboro, IL  ·  View full profile →
Inspection Summary

HILLSBORO REHAB & HCC in HILLSBORO, IL — inspection on January 29, 2026.

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

FF0725
Nursing and Physician Services Deficiencies
Potential for More Than Minimal Harm

facility follows the CMS regulations.On 1/21/2026, the facility provided a Midnight Census report documenting 80 residents residing in facility.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

01/29/2026

STREET ADDRESS, CITY, STATE, ZIP CODE

Hillsboro Rehab & Hcc

1300 East Tremont Street Hillsboro, IL 62049

SUMMARY STATEMENT OF DEFICIENCIES

Based on observation, interview, and record review, the facility failed to properly store controlled medication and discard expired medication for 7 of 7 (R1, R2, R3, R4, R5, R6, R7) residents reviewed for medication storage in a sample of 13.Findings include:On 1/21/2026 at 9:28 AM, the facility Medication room was inspected.

Upon entrance to the medication room, the refrigerator was unlocked.

The unlocked refrigerator located in the medication contained:*R1's bottle of oral Lorazepam Concentrated solution.On 1/21/2025 at 9:34 AM, the 300 Hall medication cart was inspected.

The medication cart contained the following:*R2's open and partially used Insulin Glargine Solution vial. 1/5 was handwritten on the vial.

The expiration date November 2025.On 1/21/2025 at 9:44 AM, V4, Registered Nurse (RN), stated the handwritten date was the date it was opened, 1/5/26. V4 verified the vial was open, in use, and expired November 2025.On 1/21/2026 at 9:50 AM, the 200 Hall medication cart was inspected.

The lock box was unlocked and able to be opened by lifting the lid with a finger.

The open and unlocked lock box contained the following:*1 open and partially used bottle with 19.25 ml of R1's Morphine Sulfate Oral Solution and 1 unopen bottle with 30 mls of R1's Morphine Sulfate Oral Solution.*1 open and partially used bottle with 1.5 ml of R1's Lorazepam Concentrated solution.* 1 card with 14 of R3's Oxycodone 5mg/325 mg tablets.*1 card with 20 of R3's Hydrocodone/APAP 5mg/325mg tablets.* 1 card with 14 of R4's Alprazolam 0.25mg tablets.* 1 card with 25 of R5's Hydrocodone/APAP 7.5mg/325mg tablets.*1 card with 6 of R6's Tramadol 500mg HCL tablets.* 1 card with 30 of R6's Tramadol HCL 500 mg tablets.*1 card with 8 of R7's Lorazepam 0.5mg tablets.On 1/21/2026 at 9:51 AM, V5, Licensed Practical Nurse, LPN, stated at times, the lock gets stuck and doesn't latch. V5 performed a count of the narcotics and verified R1's medication was open and partially used; R3's, R4's, R5's, R6's, and R7's medication was in the unlocked lock box and in use.On 1/22/2026 at 9:35 AM, V9, LPN, stated all narcotics and controlled are under a double locked system. V9 stated the controlled medication in the refrigerator would be under a double locked system.

The medication room is locked, and the refrigerator is locked as well. V9 stated the medication cart is the same. V9 stated the controlled medication is stored in a locked drawer, and when not in use, the cart is locked.

This creates the double locked system. V9 stated insulins expiration dates are on the vial or pen. V9 stated this date is checked prior to opening. If the medication is expired, it would not be used and discarded.

The facility's Storage and Return of Drugs policy, dated 4/21, documents A.

Drug supplies for the facility shall be stored under proper conditions, sanitation, temperature, light, refrigeration, and moisture. B.

Residents' medications shall be properly labeled and stored at or near the nurse's station in a locked cabinet, a locked medication room, or in one or more locked mobile medication carts of satisfactory design for such storage.

All mobile medication carts shall be under the visual control of the responsible nurse at all times when not stored either in a locked room or otherwise made immobile. D.

Biologicals or medications requiring refrigeration shall be kept in a separate securely fastened box within a refrigerator, locked refrigerator, or in a refrigerator within a locked room.

Such refrigerator shall contain a thermometer to ensure proper temperature for medication storage.

Refrigerators used for medication storage should not be used for personal storage of food/drinks.

E.

Multi-dose vials and pens shall be stored and dated per the manufacturers guidance.The facility's Schedule II Drugs policy, dated 4/21, documents D.

Schedule II controlled substances shall be stored in such manner so that two (2) separate locks, using two (2) different keys, must be unlocked to obtain these substances.

This may be accomplished by using a locked cabinet within a locked room.

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 HILLSBORO, 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 HILLSBORO REHAB & HCC or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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