Arcadia Care Morris
ARCADIA CARE MORRIS in MORRIS, IL — inspection on March 30, 2026.
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
and dressing. On March 23, 2026, at 2:51 PM, V16 and V17 (Both Certified Nursing Assistant/CNA)
bruise noted that almost covered his whole right buttock. V19 (Power of Attorney/POA/wife) was at
bruising.On March 23, 2026, at 3:05 PM, V6 (Nurse) stated R5 is a high risk for fall. V6 also stated she was not aware of R5's bruise on his right buttock.On March 26, 2026, at 2:45 PM, V6 changed her statement and said she noticed the bruise on R5's buttock and she notified V2 (Director of Nursing/DON).On March 26, 2026, at 3:11 PM, V17 (CNA) said she worked evening shift on March 22,
- V17 noticed the bruise which covered R5's whole right buttock and immediately notified V6.On
March 26, 2026, at 2:50 PM, V21 (CNA) stated she knew about R5's bruise on his right buttock because V17 endorsed it to her during the shift change and according to V17, V6 was already notified of R5's bruise.On March 26, 2026, at 2:21 PM, V20 (Assistant Director of Nursing/ADON) stated when a staff observes bruising or any unusual change in a resident's condition, then the staff must immediately notify the physician and family.R5's incident report dated March 20, 2026, at 3:45 PM, shows R5 had a fall incident by the nurses' station.
There was no injury noted initially, and family and physician were notified.
However, R5's post fall follow up assessment of March 23, 2026, at 11:03 AM, does show any documentation that the physician and family member were notified of R5's bruise.
Further review of R5's progress notes showed an incident report dated February 23, 2026. It shows that R5 had an unwitnessed fall that resulted in yellow discoloration to the left hip and an abrasion to posterior side of the head. R5's progress notes did not show any documentation that the physician and family member were notified about the above mentioned injury.Facility's Policy and Procedure for Physician-Family Notification- Change in Condition with revision date of December 2025 shows:Purpose: To ensure that medical care problems are communicated to the attending physician or authorized designee and family/responsible party in a timely, efficient, and effective manner.Guidelines: The facility will inform the residents; consult with the resident's physician or authorized designee such as Nurse Practitioner, and if known, notify the resident's legal representative or an interested family member when there is:B. A significant change in a resident's physical, mental, or psychosocial status (i.e. a deterioration in health, mental, or psychosocial status in either life-threatening conditions or clinical complications. C. A need to alter treatment significantly (i.e. a need to discontinue an existing form of treatment due to adverse consequences, or to commence a new form of treatment).
145623 03/30/2026
Arcadia Care Morris 1095 Twilight Drive Morris, IL 60450
from the hospital before dinner time and was placed in a wheelchair by the nurses' station. V17
purple in color and covered his whole right buttock. V17 immediately notified V6 about it.On March 26,
endorsed it to her during shift change, and she was also informed by V17 that V6 was already made aware of R5's bruise. On March 26, 2026, at 2:21 PM, V20 (Assistant Director of Nursing/ADON) stated when a staff member finds a bruise on a resident, the staff must document the size, location, color, and if it is tender or painful.
The staff should notify the physician right away when there's an injury or a change in a resident's condition because the resident might need to be sent to the hospital for a higher level of care. R5's incident report dated March 20, 2026, at 3:45 PM, showed R5 had a fall incident by the nurses' station.
Three staff members assisted R5 back to his wheelchair.
There was no injury noted initially.
Because it was an unwitnessed fall and R5 was on a blood thinner, the facility sent R5 to the hospital for further evaluation.
However, R5's progress note dated March 22, 2026, at 9:48 PM, showed R5 returned to facility from the hospital. A full body assessment was conducted, and no new skin issues were noted.
Further review of R5's post-fall assessments until March 23, 2026, at 11:03 AM, shows R5 has no skin issues noted.The Facility's Accident and Incident Policy and Procedure with revised date of May 2022 shows:Documentation in nurses' notes is to include A description of the occurrence, the extent of injury (if any), the assessment of the resident, vital signs, treatment rendered, and parties notified. A minimum of 72 hours (longer if indicated) of documentation per day on resident status after the incident.
Vital signs, mental, and physical state, follow-up test, and findings are to be documented.
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 MORRIS, 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 ARCADIA CARE MORRIS or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.