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Complaint Investigation

Marshall Rehab & Nursing

November 25, 2025 · Marshall, IL · 410 North Second Street
Citations 1
CMS Rating 2/5
Beds 75
Provider ID 146046
Healthcare Facility
Marshall Rehab & Nursing
Marshall, IL  ·  View full profile →
Inspection Summary

MARSHALL REHAB & NURSING in MARSHALL, IL — inspection on November 25, 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

FF0600
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Potential for More Than Minimal Harm

Based on interview and record review, the facility failed to protect a resident's right to be free from physical abuse by another resident.

This failure affects two residents (R1, R2) of four reviewed for abuse in the sample of four.Findings include: The facility's Resident's Right to Freedom from Abuse, Neglect, and Exploitation Policy and Procedure (2025) documents residents have the right to be free from abuse, neglect, misappropriation of their property, and exploitation.

The facility Final Report (undated) documents R1 and R2 were roommates and had a verbal argument on 9/19/2025 followed by R1 striking R2 in the face. On 11/25/2025 at 1:07PM, R2 reported having an argument about politics with R1 in their room on 9/19/2025. R2 reported telling R1 why don't you just hit me? and repeatedly asked R1 to hit R2. R2 reported R1 then approached R2 and began striking R2 in the jaw. On 11/25/2025 at 2:52PM, V4 (Housekeeper) reported being nearby R1 and R2's room and hearing the above altercation. V4 reported entering their room and observing R1 hitting R2 and immediately separating the residents. On 11/25/2025 at 1:43PM, V2 (Director of Nursing) reported responding to R1 and R2's altercation on 9/19/2025. V2 reported R2 told V2 at the time that R2 had been repeatedly asking R1 why don't you just come hit me?, and then leaned forward in R2's chair and stated to R1 are you going to hit me or what?

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

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


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