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Complaint Investigation

St Clara's Rehab & Senior Care

October 15, 2025 · Lincoln, IL · 1450 Castle Manor Drive
Citations 1
CMS Rating 2/5
Beds 99
Provider ID 145720
Healthcare Facility
St Clara's Rehab & Senior Care
Lincoln, IL  ·  View full profile →
Inspection Summary

ST CLARA'S REHAB & SENIOR CARE in LINCOLN, IL — inspection on October 15, 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

FF0689
Quality of Life and Care Deficiencies
Actual Harm

on how to secure residents in the van during (V5's) transportation training and orientation. On 10/15/25 at 9:01am, V5 LPN stated that on the day of R1's accident, that V5 used the van for the first time; had just gotten his license to drive it to transport residents. V5 stated that he had been trained on how to secure wheelchairs in the van but that he only locked R1's wheelchair wheels and that was it, stated that the facility was only a block away (from hospital). V5 stated, It was around 1:30am in the morning; figured it was just a block away to the facility. I stopped at the stop sign out of the hospital parking lot; stepped on gas and (R1) rolled backwards. At this same time, V5 stated that he was no longer at the facility; stated I felt so bad about this; I resigned the next day. On 10/15/25 at 10:50am, V1 Administrator stated: (V3 Power of Attorney/POA to R1) was called after the accident.

Both myself and (V3) agreed that the accident could have been avoided.

When I called (V5 LPN) about the accident, he said he is getting too old for all the new technology; and said he was putting in his resignation immediately. (V5) was responsible for securing residents in the van.

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 LINCOLN, 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 ST CLARA'S REHAB & SENIOR CARE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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