Odd Fellow-rebekah Home
ODD FELLOW-REBEKAH HOME in MATTOON, IL — inspection on February 20, 2026.
Found 4 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
Based on observation, interview, and record review the facility failed to protect the resident's right to
reviewed for abuse in the sample list of 7.
This failure resulted in R4 sustaining a fracture to her right wrist.Findings include:R4's health status note dated 12/27/25 documents that R4 allegedly had a physical altercation with another resident that resulted in R4 falling to the ground and sent to the emergency room for evaluation.R4's event note dated 12/28/25 documents that R4 was pushed by another resident (R6).R4's progress notes dated 12/28/25 documents R4 returned to the facility form the emergency room with a soft cast to her right hand due to a fracture.On 2/19/26 at 11:50 a.m., V4, Licensed Practical Nurse (LPN) stated that on the night of 12/27/25 she was passing pills when V15 Certified Nurse Assistant (CNA) told her that R4 was on the floor because another resident (R6) pushed R4. V4 stated she went to check on R4 and observed her on the floor by the nurse station close to the fireplace. V4 attempted to assess R4 but R4 refused and demanded to be sent to the hospital. V4 stated she sent R4 to the hospital for evaluation per physician's order and notified R4's family. V4 stated she notified V1 about the incident between R4 and R6. V4 stated R4 provoked R6 that may have led to pushing. V4 stated that R4 returned to the facility the next morning with a soft cast to her right hand.R4's Care Plan dated 8/14/25 documents that R4 exhibits verbal behaviors such as yelling and threatening others. R6's Care Plan dated 4/15/24 documents that R6 experiences episodes of impaired moods/behaviors.
This Care Plan documents that R6 has physical behaviors such as hitting others, swinging purse at others, throwing things, attempting to break windows, and flashing others. On 2/19/26 at 10:53 a.m., R4 was observed sitting in a chair in the common area with a platform walker positioned in front of her. R4 had a wrist brace applied to her right hand. R4 stated that her hand was broken because she interfered in a fight, stating, I got the worst of it. R4 stated she does not remember when the fight occurred. R4 stated she was pushed but was unable to identify who pushed her.On 2/20/2026 at 11:28 a.m., V15, CNA stated she was present when the incident occurred between R4 and R6 on 12/27/25. V15 stated she did not witness how the alleged altercation started but when she turned around, she witnessed R6 push R4 causing R4 to fall to the ground. V15 stated they separated both residents and reported the incident to the nurse. V15 stated she wrote a statement regarding the incident on 12/27/25 and gave it the nurse.R4's Electronic Medical Record (EMR) documents an X-ray result dated 12/28/25, which showed that R4 sustained a shattered and displaced wrist fracture (distal radius) as a result of her fall.
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 TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE
145772 02/20/2026
Odd Fellow-Rebekah Home 201 Lafayette Avenue East Mattoon, IL 61938
authorities.
resident-to-resident abuse for two (R4, R6) out of three residents reviewed for abuse, on a sample list
documents if the incident involves alleged abuse, the incident will immediately be reported to the Administrator and the Administrator shall provide the Illinois Department of Public Health with initial notice of the alleged abuse via OHCR Portal or by emailing or telefaxing to the Department a copy of a report of the incident completed immediately after the incident becomes known.
Administrator shall report alleged violations of abuse or if there is resulting serious bodily injury, immediately, but no later than two hours after the allegation was made. R4's health status note dated 12/27/25 documents that R4 allegedly had a physical altercation with another resident and resulted that resulted in R4 falling to the ground and being sent to the emergency room for evaluation. R4's Electronic Medical Record (EMR) contains an event note dated 12/28/25 that documents R4 was pushed by another resident.
R4's progress notes dated 12/28/25 documents R4 returned to the facility with a soft cast to her right hand due to a wrist fracture following the incident.R4's health status note dated 12/28/25 at documents that V4 notified V1 Administrator about the incident. On 2/19/26 at 11:50 a.m., V4 Licensed Practical Nurse (LPN) stated she called V1 Administrator and reported the incident. On 2/20/25 at 3:00 p.m., V1 Administrator stated he did not notify the State Agency about the incident involving R4 and R6. V1 Administrator stated that he should report all allegation of abuse incidents.
145772 02/20/2026
Odd Fellow-Rebekah Home 201 Lafayette Avenue East Mattoon, IL 61938
sample list of seven.
Findings include:The facility's abuse prohibition policy with revision date
Administrator or designee shall investigate all alleged incidents of abuse. R4's health status note dated 12/2/25 documents that R4 allegedly had a physical altercation with another resident and resulted for R4's to fall that required sending her to the emergency room.R4's progress note dated 12/28/25 documents R4 returned to the facility with a soft cast to her right hand due to a fracture following the incident. R4's event note dated 12/28/25 documents that R4 as pushed by another resident.R4's health status note dated 12/28/25 documents V4 Licensed Practical Nurse (LPN) notified V1 Administrator following the incident between R4 and R6.V4, LPN stated she called V1, Administrator to report the incident on the day it occurred.On 2/20/26 at 3:00 p.m., V1, Administrator stated he did not investigate the incident. V1 Administrator stated he should investigate all alleged abuse that is reported to him.
145772 02/20/2026
Odd Fellow-Rebekah Home 201 Lafayette Avenue East Mattoon, IL 61938
adhesive glue. V6 stated R3 can sometimes be combative, particularly during transfers, and other
bed. V6 confirmed that R3's bed was not in the low position when she entered the resident's room,
a.m., V2, Director of Nursing (DON), stated he would need to review R3's Care Plan; however, he stated that if the Care Plan indicated R3 required a low bed, then the CNA caring for R3 should have maintained the bed in the lowest position until she was prepared to provide care that morning. V2 stated the CNA should not have turned away from R3 while the R3 was in bed and not in a low position.R3's emergency room notes dated 01/11/2026 document that the resident's fall resulted in treatment for soft tissue swelling around the left eye and a 2-centimeter laceration above the left eyebrow.