Odd Fellow-rebekah Home
ODD FELLOW-REBEKAH HOME in MATTOON, IL — inspection on November 26, 2025.
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.
Inspection Findings
nurse can call the regular pharmacy provider, which has an on-call service available 24 hours per day; however, the on-call service might be located in California. V2 further stated that the on-call service would call area pharmacies to locate one able to fill the needed medication. V2 additionally stated that if a resident is out of a medication, they typically only need one or two doses before the regular pharmacy delivery arrives, making it difficult to find a pharmacy willing to fill an order for one or two pills, especially if the facility is not a regular customer. V2 concluded by stating that the special on-call delivery might still take up to 12 hours, at which point it would be just as effective to wait for the regular daily pharmacy delivery.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
11/26/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Odd Fellow-Rebekah Home
201 Lafayette Avenue East Mattoon, IL 61938
SUMMARY STATEMENT OF DEFICIENCIES
Ensure that residents are free from significant medication errors.
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure that a resident was free from a significant medication error involving an anti-seizure medication.
This failure affected one resident (R2) out of three reviewed for anti-seizure medications on the sample list of three.Findings include: R2's Census Detail dated 11/25/25 documented that R2 was admitted to the facility on [DATE].R2's Medical Diagnoses List dated 11/25/25 documented that R2's medical diagnoses included epilepsy.R2's Physician Prescription Facsimile from the neurologist (V6), dated 9/22/2025, documented an order for R2 to take two tablets of Keppra 250 milligrams (mg) by mouth twice a day, totaling 500 mg twice daily.R2's Physician Order Sheet entry dated 6/12/2024 documented an order for R2 to receive Levetiracetam oral tablets, 250 mg, to be given by mouth twice a day.On 11/25/2025 at 11:45 a.m., V3, Licensed Practical Nurse, stated she gave R2 one tablet of Keppra 250 mg that morning during her medication administration pass. V3 verified the order in R2's Medication Administration Record (MAR) as one tablet of Keppra 250 mg by mouth twice a day.On 11/25/2025 at 11:55 a.m., a bubble pack of Keppra 500 mg was observed for R2, documenting that one 500 mg tablet was to be given by mouth twice a day.
The bubble pack was retrieved from the medication cart by V3.
Handwritten on the medication bubble pack was 1/2 tab. V3 stated that 1/2 tab indicated one-half of a tablet was to be given at each dose, equaling a 250 mg dose twice daily.On 11/25/2025 at 12:15 p.m., R2's MAR documented that R2 had been administered Keppra 250 mg by mouth twice a day from 9/1/2025 through the morning dose on 11/25/2025.On 11/25/25 at 2:48 p.m., V2, Director of Nursing, confirmed that the most recent physician order from the neurologist (V6) was for Keppra 250 mg with instructions to administer two 250 mg tablets twice daily, for a total of 500 mg twice daily. V2 stated the facsimile did not have a signature from facility nursing staff and the document must have been uploaded into R2's electronic medical record prior to the nurses transcribing the new order onto R2's Physician Order Sheet. V2 confirmed that the current dose should be 500 mg twice daily.
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