Lacon Rehab And Nursing
LACON REHAB AND NURSING in LACON, IL — inspection on August 22, 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.
Inspection Findings
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review the facility failed to obtain treatment orders for a resident with pressure injury for 1 of 3 residents (R1) reviewed for pressure injury in the sample of 10.The findings include:R1's Electronic Face Sheet documents R1 was admitted to the facility on [DATE] with diagnosis of Alzheimer's dementia, depression, and anxiety. R1 was on hospice services due to Alzheimer's dementia.R1's Braden Scale (assessment use to predict pressure risks) show R1 was high risk to for pressure injury. R1's admission assessment under skin dated 4/2/25 by V15 (former Administrator/LPN) documents pressure to coccyx as non-staged.
Under treatment: {Wound Company} notified, will see R1 on next visit due (4/8/25)R1's Wound Assessment and Plan with initial visit dated 4/15/25 by V17 (Wound MD) show: Wound Location-coccyx, Wound Type-Pressure Injury, Wound Measurements-1.5 centimeters (cm) x 1cm x 0.1 cm.
Wound Order: Coccyx wound- cleanse with normal saline or sterile water apply Hydrocolloid to wound every 2 days and PRN.On 8/22/25 at 1PM. V2 (Director of Nursing-DON) said R1 was admitted with pressure injury. V2 (DON) said she thought R1 had wound treatment upon admit. R1 had dressings to coccyx when she checked R1's coccyx wound. V2 also said R1 was supposed to see V17 (Wound Md) on 4/8/25 to obtain treatments but R1 was not on the list to be seen at that time.R1's Electronic Treatment Sheet documents: coccyx wound- cleanse with normal saline or sterile water apply hydrocolloid to wound bed every two days and as needed.
Start date 4/15/25 (approximately 13 days after admission).On 8/22/25 at 2:30 PM, V16 (Asst Director of Nursing) said wound treatment should be obtained as soon as the wound was discovered to promote wound healing.The Facility Policy on Skin Prevention, Assessment and Treatment dated 5/7/2024 show, to identify factors that place the residents at risk for the development of pressure ulcers, to promote a systematic approach and monitoring process for the care of residents with existing wounds and for those who are at risk for skin breakdown and to promote healing of existing pressure ulcers.
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
08/22/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Lacon Rehab and Nursing
401 9th Street Lacon, IL 61540
SUMMARY STATEMENT OF DEFICIENCIES
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to ensure that water was delivered at a safe and comfortable temperature.
This applies to 6 of 7 residents (R2, R4, R6, R7, R9 and R10) reviewed for safe water temperatures in a sample of 10.
The findings include: On 8/22/25 at 10:05AM the temperatures of the water coming out of the bathroom sinks on the St. [NAME] wing of the facility were checked.
The readings were as follows: R2 and R4's room [ROOM NUMBER].9 degrees Fahrenheit, R6's room [ROOM NUMBER].3 degrees Fahrenheit, R7's room [ROOM NUMBER] degrees Fahrenheit, R9's room [ROOM NUMBER].6 degrees Fahrenheit and R10's room [ROOM NUMBER].7 degrees Fahrenheit.On 8/22/25 at 10:30 AM R9 stated, Sometimes the water is too hot.On 8/22/25 at 1:00PM V4 (Maintenance Director) stated, The water should be 110 degrees in the resident areas and 160 in the kitchen. I am supposed to do water temps but I am not going to lie, I have not had time to do them and I have not been doing them.The facility policy entitled Water Temperatures dated 12/30/2024 states, Water temperatures in resident rooms should not exceed 110 degrees Fahrenheit.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
08/22/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Lacon Rehab and Nursing
401 9th Street Lacon, IL 61540
SUMMARY STATEMENT OF DEFICIENCIES
Based on observation, interview and record review the facility failed to ensure the dishwasher was reaching 180 degrees Fahrenheit to sanitize the dishes and prevent cross contamination.
This applies to all 56 residents in the facility.
The findings include: On 8/22/25 the facility census showed a total of 56 residents residing in the facility. On 8/22/25 at 9:30AM Surveyor asked V8 (Dietary Aid) to check the Sanitizer level in the dishwasher. V8 used a Quaternary Ammonia strip and ran it through a cycle of the dishwasher.
The strip came out a light blue color.
Comparing it to the key and the package of strips V8 stated, It's supposed to be between this one (400ppm) and that one (500ppm). We check the dishwasher once a day.
Surveyor then showed V7 (Dietary Manager) the test strip and V7 looked at the dishwashing machine and stated she would have to get maintenance because she doesn't know anything about it.At 9:45AM V4 (Maintenance Director) Came to inspect dishwasher. V4 tried to run the final rinse cycle with no numbers showing on the screen for the final rinse temperature. V4 stated, I didn't know I was responsible for the dishwasher.At 9:50AM V7 (Dietary Manager) stated, I have never had to have the dishwasher serviced. I'm not sure who we use.On 8/22/25 at 12:03PM V5 (Maintenance Director from a Sister Facility) stated, The dishwasher is a high temp machine- the machine is designed to get to 190 degrees but I don't know why it is not displaying the temp.
The wash temp is reading fine, but I can't get the final rinse temp to show.
The machine is showing 200 on the strips.
Surveyor asked to accompany V5 to the dishwasher for another test. V5 again used Quaternary strips and ran one through a cycle on the dishwasher.
The strip did not register any quaternary ammonia.
Surveyor pointed out that the strips were to test quaternary ammonia and this is a hot water machine. V5 then went to look for strips to test for hot water and returned stating they did not have any hot water test strips available in the building. At 12:10PM Surveyor requested temperature logs for the dishwasher from V7 and V7 stated, we don't have those.
The facility policy entitled Dish Machine Use dated December 30, 2024 states, Dish machine hot water sanitation rinse temperature may not be more than194 degrees F, or less than 180 degrees F for all other machines.
Facility ID: